Frequency of lower Ureteric Stones and Their Treatment by Tamsulosin, Aden

Abstract

The aim of the study is to find out the frequency of lower ureteric stones related to sex, age, and the outcome of using
tamsulosin in their treatment This was a retrospective study of all patients who suffer from lower ureteral stone and
seen in our Private Urology Clinic from January 2014 to December 2017 in Aden. The total patients were 160. They
were 98 (61.3%) males and 62 (38.7%) females) with ratio male to female 1.6 :1. The mean age of patients is (35.2 ±
11.2) years, range (15 to 56) years. Most involved side is left ureter 80 (50.0%). The mean size of stones is 6.8 ± 1.6
mm. The most effected age group was 21 – 50 years with 76.3%. Seventy four (46.3%) of the patients treated only
with Tamsulosin and the expulsion time ≤ 9 days were in 20(12.5%) of the patients while > 9 days were in 54(33.8%)
patients. Patients treated by Tamsulosin with prednisolone were less in the expulsion time of stones ≤ 9 days. By the
size of ≤ 7 mm, 38(23.7%) of patients have expelled the stones in the time ≤ 9 days and 66(41.3%) of the patients
expelled the stones in the time > 9 days. Also, by the size of > 7 mm, only 10(6.3%) of patients have expelled the
stones in time ≤ 9 days and 46(28.7%) expelled the stones in time > 9 days, (p = 0.010). We concluded that
tamsulosin is an effective and safe treatment modality for lower ureteral stones of less than ≤10 mm.