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. 2017 Jul-Sep;7(3):115-120.
doi: 10.4103/ajm.AJM_87_16.

To compare the efficacy of tamsulosin and alfuzosin as medical expulsive therapy for ureteric stones

Rikki Singal  1 , Gaurav Bhatia  1 , Amit Mittal  2 , Samita Singal  2 , Muzzafar Zaman  1
Affiliations

To compare the efficacy of tamsulosin and alfuzosin as medical expulsive therapy for ureteric stones

Rikki Singal et al. Avicenna J Med. 2017 Jul-Sep.

Abstract

Aims and objectives: This study aims to evaluate the efficacy of tamsulosin and alfuzosin for the distal ureteral stone. This study assessed the spontaneous passage and expulsion of the stone.

Materials and methods: The study was conducted in the Department of Surgery at Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala, from May 2013 to May 2014. A total number of 136 patients diagnosed as distal ureteric stone (US) of size <10 mm were included in this study. It was divided into two groups (I and II) out of which 36 cases were excluded. Group I received tablet tamsulosin 0.4 mg/day, and Group II received alfuzosin 10 mg/day. The efficacy of tamsulosin and alfuzosin as an adjunctive medical therapy was determined.

Results: Both the drugs can be safely used for the distal USs. The stone expulsion rate was seen in 36 patients (72.0%) in Group I, and in 34 patients (68.0%) in Group II (P = 0.545). The passage of stones noticed by 32 patients in each Groups I and II (P = 1.000). The mean number of pain attacks was 2.91 ± 1.01 for Group I, and 1.8 ± 0.83 for Group II (P < 0.001 and P < 0.001). Thus, we propagate the use of alfuzosin significantly lower number of pain attacks. The drug-related side-effects were postural hypertension (four in Group I and one in Group II) and retrograde ejaculation (eight in Group I, and one in Group II). Thus, the difference was statistically significant in terms of retrograde ejaculation but insignificant for postural hypotension.

Conclusion: There is no difference between both medications in term of efficacy (passing stones) for the management of distal ureteral stones. Both medications are safe and effective. In addition, alfuzosin was better tolerated than tamsulosin as it has fewer side effects.

Keywords: Alfuzosin; medical therapy; pain; stones; ureter.

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Conflict of interest statement

There are no conflicts of interest.

References

    1. Wood KD, Gorbachinsky I, Gutierrez J. Medical expulsive therapy. Indian J Urol. 2014;30:60–4. - PMC - PubMed
    1. Ibrahim AK, Mahmood IH, Mahmood NS. Efficacy and safety of tamsulosin vs. alfuzosin as medical expulsive therapy for ureteric stones. Arab J Urol. 2013;11:142–7. - PMC - PubMed
    1. Segura JW, Preminger GM, Assimos DG, Dretler SP, Kahn RI, Lingeman JE, et al. Ureteral stones clinical guidelines panel summary report on the management of ureteral calculi. The American Urological Association. J Urol. 1997;158:1915–21. - PubMed
    1. Preminger GM, Tiselius HG, Assimos DG, Alken P, Buck C, Gallucci M, et al. 2007 guideline for the management of ureteral calculi. J Urol. 2007;178:2418–34. - PubMed
    1. Sameer, Lal S, Charak KS, Chakravarti S, Kohli S, Ahmad S. Efficacy of nifedipine and alfuzosin in the management of distal ureteric stones: A randomized, controlled study. Indian J Urol. 2014;30:387–91. - PMC - PubMed