M E D I C U S - Shoqata e Mjekëve Shqiptarë të Maqedonisë-Hipokrati

(P=0.01) and expulsion time (P=0.005). There was not any significant difference in the
mean stone size found in either group between patients who were and those who where
not stone free (6.1±1.3 and 6.3±1.4 mm, respectively; P>0.05). No difference was
observed in the distribution of expulsion by sex (P>0.05). The need for additional
analgesics and the number of colic episodes rate was as twice as higher in the group 2
than in group 1 (fig 2). Tramadol 50 mg was administered when there was additional
need for analgesics.
The only adverse effect from the tamsulosin therapy was transient hypotension
and was seen in 1 patient in group 1 (4%). However it did not resulted in treatment
discontinuation. Due to recurrent colic, 3 patients in the group 2 (12%) were submitted to
ureteral stenting. The patients from the whole study (7 in group 1 and 13 in group 2) who
were not stone free after the 30 days of follow-up were treated successfully with
ureteroscopy.
Table 1.
Demographic data of the two groups
Group 1 (n=25) Group 2 (n=25)
Mean age±SD (years) 42.2±11.1 43.1±9.9
male:female ratio 14:11 15:10
Mean stone size±SD (mm) 6.1±1.3 6.3±1.4
Fig. 1:
90
80
70
60
50
40
30
20
10
0
Expulsion rate and mean expulsion time
colic episodes (n) additional analgesics (mg x 100)
Group 1 Group 2