Aguilar-Moreno JA, Maldonado-Ávila A, Garduño-Arteaga L, Castell-Cancino R, Jaspeasen-Gastélum J, Virgen-Gutiérrez F

Language: Spanish
References: 8
Page: 11-14
PDF size: 576.48 Kb.

ABSTRACT

Background: Through the utilization of both extracorporeal shock wave lithotripsy (ESWL) and medical expulsive therapy a calculus-free state can be achieved in a single procedure and at low cost to the patient. In this context, medical expulsive therapy plays an important adjuvant role following ESWL.
Materials and methods: From September to December 2008 a total of 30 patients programmed for ESWL with a single, radiopaque kidney or renal pelvic stone not larger than 20 mm in diameter, with or without double-J catheter, were included in the study. They were re-evaluated as out-patients 2 and 3 months after lithotripsy by means of simple abdominal X-ray, analyzing calculus-free state as the total absence of stones at the kidney and renal pelvic level. There were successful results in 7 of the 15 patients (46.6%) of the tamsulosin group and in 5 of the 15 patients (33.3%) in the group receiving standard treatment. Analysis with Student t test and Levene’s test was not statistically significant (P=0.473). It was therefore concluded that tamsulosin, as adjuvant treatment following ESWL, offers no additional benefit.

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