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BACKGROUND	Many minimally invasive interventional techniques as well as expectant treatment exist for the management of lower ureteric calculi .
BACKGROUND	This study was conducted to evaluate th efficacy of tamsulosin as an expulsive pharmacologic therapy for the treatment of distal uretern stone .
METHODS	This randomized control trial included 100 patients over 18 years of age wit stone Size > or = mm in distal 1/3 of ureter .
METHODS	Patients were randomly assigned into two groups ( A & B Group A Patients were given Capsule Tamsulosin 0.4 mg , 1 daily up to 4 weeks while group B patients were given placebo , 1 Capsule daily up to 4 weeks .
METHODS	The primary endpoint was expulsio rate .
METHODS	A written informed consent was taken from all the patients .
METHODS	Expulsion time , need for analgesics , need for hospitalization and drug side effects were secondary endpoints .
RESULTS	A total of 49 patients in group A and 48 patients in group B reported back , therefore 97 out of 10 patients were evaluated .
RESULTS	Mean age of the patients was 36.34 years ( range 18-57 years ) .
RESULTS	Mea stone size was 5.78 mm ( range 4-8 mm ) in greatest dimension .
RESULTS	A stone expulsion rate of 85.71 C ( 42 patients ) was noted in group A and 54.20 % ( 26 patients ) in group B. Group A revealed statistically significant advantage in term of stone expulsion rate ( p = 0.032 ) .
RESULTS	Considering expulsio time in days group A showed statistically significant advantage ( p = 0.015 ) .
RESULTS	Regarding age , se ) stone size and stone lateralization ( right/left ) , there was no significant difference between th group A and B. No drug side effects were noted in both the groups .
CONCLUSIONS	By usin tamsulosin a higher stone expulsion rates can be achieved in a shorter time .
CONCLUSIONS	More randomize control trials are required to establish tamsulosin as a standard medical expulsive treatment fc

