Τίτλος:
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
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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.
Συγγραφείς:
Skolarikos, Andreas
Grivas, Nikolaos
Kallidonis, Panagiotis and
Mourmouris, Panagiotis
Rountos, Thomas
Fiamegos, Alexandros and
Stavrou, Sotirios
Venetis, Chris
RISTA Study Grp
Περιοδικό:
European urology oncology
Εκδότης:
EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
DOI:
10.1016/j.urology.2015.09.004
