Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Effect of Diuretics Therapy on Upper Urinary Tract Stones Before Extra Corporeal Shock Wave Lithotripsy and Compare its Efficacy with Tamsulosin Therapy After Extra Corporeal Shock Wave Lithotripsy (ESWL)
Prashant Chaudhary, Nishant Gurnani Gurnani and Kunjan Kumar
Page: 416-420 | Received 20 Sep 2024, Published online: 29 Nov 2024
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Abstract
Upper urinary tract stones are one of the most common urological health problems worldwide, having a prevalence of approximately 12% in men and 7% in women1. Moreover, its prevalence varies with country to country and race to race. It ranges from 5‐9% in Europe, 7‐13% in North America and 1‐5% in Asia. Compare the efficacy of diuretic before ESWL with efficacy of tamsulosin after ESWL in management of upper urinary tract stone. One hundred of patients with stone size between 5mm‐15 mm randomized into two group. Group A patients received 40mg of furosemide 5 minutes before ESWL and Group B patients received tab tamsulosin (.4mg) for 21 days after ESWL. ESWL included 3000 shock waves per patient in each session with energy from 8kv‐15kv, primary outcome compare in term of fragmentation of stone, stone free rate, requirement of second session. Fragmentation of stone was better in Group A patients, at 57.4% vs 41.3%. Further SFR(Stone free rate) was also higher in Group A patients as compare to Group B patients, at 70.4% vs 65.2%. Requirement of second procedure much less in Group A as compare to Group B. Diuretic seem to be better or equally good adjuncts to ESWL tamsulosin after ESWL.
How to cite this article:
Prashant Chaudhary, Nishant Gurnani Gurnani and Kunjan Kumar. Effect of Diuretics Therapy on Upper Urinary Tract Stones Before Extra Corporeal Shock Wave Lithotripsy and Compare its Efficacy with Tamsulosin Therapy After Extra Corporeal Shock Wave Lithotripsy (ESWL).
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.416.420
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.416.420