Ureteral Calculi Clinical Trial
Official title:
Interest of a Treatment With the alpha1-blocker Tamsulosin in the Elimination of Pelvis Ureteral Stones
Ureteral stones have an important place in daily urological practice, usually causing acute episodes of ureteral colic by obstructing the urinary tract. The aim of the study is to evaluate whether repeated administration of tamsulosin, a drug routinely used in the treatment of lower urinary tract symptoms, could lower the delay of elimination of the stone in patients with pelvis ureterolithiasis.
Ureteral colic, mainly due to ureterolithiasis, represents 1 to 2% of hospital emergency
admissions. When a surgical intervention is not required, usual treatment combines hydration
and anti-inflammatory drugs.
Alpha1-blockers, firstly developed as anti-hypertensive drugs, are now also used in the
management of benign prostatic hyperplasia, due to their relaxing properties on the urinary
tract. The aim of the study is to investigate whether tamsulosin could lower the delay of
elimination of the stone in patients with pelvis ureterolithiasis. Patients are randomized
to receive either tamsulosin or a placebo in addition to usual treatment until stone
elimination. Efficacy is assessed by evaluating the time to spontaneous passage of the stone
between day 1 and day 42, the need for surgery and pain recurrences.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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