endourology.com » medical expulsive therapy http://endourology.com timely information for the endourologist Tue, 28 Feb 2012 20:07:41 +0000 en hourly 1 http://wordpress.org/?v=3.3.2 Is There a Role for Tamsulosin in the Treatment of Distal Ureteral Stones of 7 mm or Less? Results of a Randomised, Double-Blind, Placebo-Controlled Trial http://endourology.com/2009/09/08/is-there-a-role-for-tamsulosin-in-the-treatment-of-distal-ureteral-stones-of-7-mm-or-less-results-of-a-randomised-double-blind-placebo-controlled-trial/ http://endourology.com/2009/09/08/is-there-a-role-for-tamsulosin-in-the-treatment-of-distal-ureteral-stones-of-7-mm-or-less-results-of-a-randomised-double-blind-placebo-controlled-trial/#comments Wed, 09 Sep 2009 04:34:22 +0000 Mike http://endourology.com/?p=11 [...]]]> European Urology 56(2009) 407-412 (pubmed link)

Hermans T, Sauerman P, Rufibach K, Frauenfelder T, Sulser T, and Strebel RT

A recent randomized double blinded study that did not show different rate of successful stone passage for Tamsulosin vs. placebo (86.7% vs 88.9%), but the Tamsolosin group did pass their stones earlier (7 d vs. 10 d on average) and required less pain medications. It is quite possible that the advantage of the use of alpha blockers relates less to an improved ability to pass the stones, but rather less pain, and therefore more likely to tolerate the time required to pass the stone.

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