M E D I C U S - Shoqata e Mjekëve Shqiptarë të Maqedonisë-Hipokrati
M E D I C U S - Shoqata e Mjekëve Shqiptarë të Maqedonisë-Hipokrati
M E D I C U S - Shoqata e Mjekëve Shqiptarë të Maqedonisë-Hipokrati
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The use of tamsulosin and alpha-1 adrenergic blockers in general, increases the<br />
rate of spontaneous passage of distal ureteral stones. It is related with decreased use of<br />
analgesics, smaller rate of renal/ureteral colic, shorter period of hospitalization and<br />
avoiding of more invasive treatment options. Our data support its use in the conservative<br />
treatment of urinary stones in the distal ureter.<br />
REFERENCES:<br />
1. Pak Y. Kidney stones. Lancet 1998; 351:1797-1801<br />
2. Menon M, Parulkar G, Drach W: Urinary lithiasis: etiology, diagnosis and<br />
medical management. In: Campbell‘s Urology, 7th ed. 1998: W. B. Saunders Co.,<br />
vol. 3, p. 2702<br />
3. Segura W, Preminger G, Assimos M, et al. Ureteral stones: clinical guidelines<br />
panel summary report on the management of ureteral calculi. J Urol 1997;<br />
158:/1915-1921.<br />
4. Miller F, Kane J. Time to stone passage for observed ureteral calculi: A guide for<br />
patient education. J Urol 1999; 162:688–691.<br />
5. Coll M, Varanelli J, Smith C. Relationship of spontaneous passage of ureteral<br />
calculi to stone size and location as revealed by unenhanced helical CT. AJR Am<br />
J Roentgenol 2002;/178:/101.<br />
6. Roberts W, Cadeddu A, Micali S, et al. Ureteral stricture formation after removal<br />
of impacted calculi. J Urol 1998;/159:/723.<br />
7. Kupeli B, Irkilata L, Gurocak S, et al. Does tamsulosin enhance lower ureteral<br />
stone clearance with or without shock wave lithotripsy?Urology 2004;/64:1111-5.<br />
8. Borghi L, Meschi T, Amato F, et al. Nifedipine and methylprednisolone in<br />
facilitating ureteral stone passage: A randomized, double blind, placebo<br />
controlled study. J Urol 1994;152:1095–1098.<br />
9. Cervenakov I, Fillo J, Mardiak J. Speedy elimination of ureterolithiasis in lower<br />
part of ureters with the alpha 1 blockers-tamsulosin. Int J Urol Nephrol 2002;<br />
34:25–29.<br />
10. Porpiglia F, Destefanis P, Fiori C, et al. Effectiveness of nifedipine and<br />
deflazacort in the management of distal ureteral stones. Urology 2000;56:579–<br />
583.<br />
11. Dellabella M, Milanese G, Muzzonigro G. Randomized trial of the efficacy of<br />
tamsulosin, nifedipine and phloroglucinol in medical expulsive therapy for distal<br />
ureteral calculi. J Urol 2005;/174:/167-72.<br />
12. Obara K, Takeda M, Shimura H, et al. Alpha-1 adrenoreceptors subtypes in the<br />
human ureter: characterization by RT-PCR and in situ hybridization. J Urol 1996;/<br />
155 (Suppl):/472A.<br />
13. Morita T, Wada I, Saeki H, et al. Ureteral urine transport: changes in bolus<br />
volume, peristaltic frequency, intramural pressure and volume of flow resulting<br />
from autonomic drugs. J Urol 1987;/137:/132.<br />
14. Sigala S, Dellabella M, Milanese G, et al. Alpha-1 adrenoreceptor subtype in men<br />
with juxtavesical ureters: molecular and pharamacological characterization. Eur<br />
Urol 2004;/3 (Suppl):/119.