1519 THE ROLE OF ALPHA BLOCKER (TAMSULOSIN) FOR TREATING THE SYMPTOMS RELATED TO INSERTION OF DOUBLE J URETERAL STENTS AFTER URETEROSCOPY

Abstract

You have accessJournal of UrologyTechnology & Instruments: Surgical Education & Skills Assessment/Ureteroscopy II1 Apr 20121519 THE ROLE OF ALPHA BLOCKER (TAMSULOSIN) FOR TREATING THE SYMPTOMS RELATED TO INSERTION OF DOUBLE J URETERAL STENTS AFTER URETEROSCOPY ahmed shelbaia and ahmed elnashar ahmed shelbaiaahmed shelbaia cairo, Egypt More articles by this author and ahmed elnasharahmed elnashar cairo, Egypt More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1286AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To evaluate the efficacy of tamsulosin in improving stent-related symptoms and quality of life in patients with double-J ureteral stents after ureteroscopy. METHODS 136 patients with ureteral stones were included in this study. They were prospectively evaluated and distributed randomly into two groups. Group1 was 69 patients with an age ranged from 20 to 56 years with a mean age 35 years and group 2 was 67 patients with a mean age 29 years (range 19to 42 years).Group 1(69 cases), 43 cases had lower Ureteric stones and26 patients had stone upper ureteral .Group 2(67 cases), 47 patients had lower ureteic calculi and twenty cases had proximal Ureteric stones. Ureteroscopy was done for all patients and disintegration of stones was performed and Double j stent (6 Fr.) was inserted post operatively for four weeks. Group 1 received postoperatively tamsulosin 0 .4mg orally once per day for four weeks. International prostatic symptoms (IPSS) questionnaire consists of seven questions, three for irritative symptoms and four for obstructive symptoms. Qualities of life (QoL) was assessed by QoL section of IPSS and assess patients in eight factors, including physical functioning, role limitations due to physical health or emotional disorders, vitality, mental health, social functioning, pain and general health. RESULTS The irritative symptom scores and obstructive symptom scores were significantly lower in group 1 than group2 (p<0.031). The role limitation due to physical health and pain were significantly better in group 1 than group2 (p<0.027). There were no significant differences in any other parameters. Five patients with tamsulosin (7.2%) have side effects in the form of headache and dizziness and the rest of patients had no side effects related to tamsulosin. CONCLUSIONS The administration of a selective alpha1 blocker, such as tamsulosin improves ureteral stent related urinary symptoms after ureteroscopy and disintegration of ureteric stones. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e615 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information ahmed shelbaia cairo, Egypt More articles by this author ahmed elnashar cairo, Egypt More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...