TY - JOUR
TI - The Efficacy of Medical Expulsive Therapy (MET) in Improving Stone-free
Rate and Stone Expulsion Time, After Extracorporeal Shock Wave
Lithotripsy (SWL) for Upper Urinary Stones: A Systematic Review and
Meta-analysis
AU - Skolarikos, Andreas
AU - Grivas, Nikolaos
AU - Kallidonis, Panagiotis and
AU - Mourmouris, Panagiotis
AU - Rountos, Thomas
AU - Fiamegos, Alexandros and
AU - Stavrou, Sotirios
AU - Venetis, Chris
AU - RISTA Study Grp
JO - European urology oncology
PY - 2015
VL - 86
TODO - 6
SP - 1057-1064
PB - EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
SN - null
TODO - 10.1016/j.urology.2015.09.004
TODO - null
TODO - In this meta-analysis, we included randomized studies on medical
expulsive therapy implemented following shock wave lithotripsy for renal
and ureteral stones. Pooled results demonstrated the efficacy of
alpha-blockers, nifedipine, Rowatinex, and Uriston in increasing stone
clearance. In addition, the time to stone elimination, the intensity of
pain, the formation of steinstrasse, and the need for auxiliary
procedures were reduced mainly with alpha-blockers. Expulsion rate was
not correlated with the type of alpha-blocker, the diameter, and the
location of stone. Our results show that medical expulsive therapy for
residual fragments after shock wave lithotripsy should be implemented in
clinical practice. (C) 2015 Elsevier Inc.
ER -