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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 14, Issue 3, April 2015 pp 540-543

Research Article

Role of medical expulsive therapy in lower ureteric calculi less than 1 cm

Venkat Arjunrao Gite1, Anita Jagdish Kandi2, Anagha S Varudkar3

1,2Assistant Professor, 3Professor, Department of Surgery, Government Medical College, Aurangabad, Maharashtra, INDIA.

Lower ureteric stones and accompanying ureteric colics represent one of the most common medical problems faced by urologist, the treatment usually starts with conservative therapy, however, if the stone fails to pass within 46 weeks, a prompts action should be taken to save the kidney, this usually involves one of the minimally invasive therapy options like shock wave lithotripsy(ESWL), of ureteroscopy. However this is not free of risk, and cost, for these reasons, urologists now concentrate on what's called medical expulsive therapy, which means using drugs to enhance stone passage. This study is taken up to assess the possible role of the combined  alpha 1a & alpha1d Selective antagonist Tamsulosin alone and in combination with corticosteroid deflazacort for facilitating spontaneous expulsion of distal ureteral stones.