PMID- 19641362 OWN - NLM STAT- MEDLINE DCOM- 20091027 LR - 20181201 IS - 1423-0399 (Electronic) IS - 0042-1138 (Linking) VI - 83 IP - 1 DP - 2009 TI - Effects of tamsulosin on lower urinary tract symptoms due to double-J stent: a prospective study. PG - 66-9 LID - 10.1159/000224871 [doi] AB - OBJECTIVE: To evaluate the effect of tamsulosin in improving symptoms in, and quality of life of, patients with indwelling double-J ureteral stents. PATIENTS AND METHODS: This prospective study lasted from January 2005 to February 2007. All the patients with symptomatic lower ureteral stones with <15 mm diameter were enrolled in this prospective study, and were prospectively randomized (programs Plus 1.0 and Plus 2.10; S-Plus, Taiwan) into two groups. There was a total of 146 patients with insertion of a double-J ureteral stent after ureteroscopic stone removal. In group 1, 71 patients were enrolled and they received placebo for 2 weeks. Group 2 included 75 patients who received 0.4 mg of tamsulosin, once daily for 2 weeks. All patients completed a 10-cm linear visual analogue scale (VAS) for evaluating pain and voiding flank pain, and irritative domain of the International Prostate Symptom Scale (IPSS) before double-J stent removal 2 weeks later. RESULTS: The mean VAS for pain was 4.01 in group 1, 1.52 in group 2, and for voiding flank pain it was 3.3 in group 1 and 1.93 in group 2. The mean score of frequency in IPSS was 3.7 in group 1 and 1.55 in group 2. The mean score of urgency in IPSS was 3.82 in group 1 and 1.43 in group 2. The mean score of nocturia in IPSS was 2.01 in group 1 and 0.65 in group 2. The mean score of quality of life in IPSS was 4.21 in group 1 and 1.6 in group 2. All p values are <0.0001 with statistical significances. CONCLUSIONS: Tamsulosin improved a subset of stent-related urinary symptoms, pain, voiding flank pain and quality of life. CI - Copyright 2009 S. Karger AG, Basel. FAU - Wang, Chung-Jing AU - Wang CJ AD - Division of Urology, Department of Surgery, Saint Martin De Porres Hospital, Chiayi, Taiwan, ROC. FAU - Huang, Shi-Wei AU - Huang SW FAU - Chang, Chien-Hsing AU - Chang CH LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20090727 PL - Switzerland TA - Urol Int JT - Urologia internationalis JID - 0417373 RN - 0 (Adrenergic alpha-Antagonists) RN - 0 (Sulfonamides) RN - G3P28OML5I (Tamsulosin) SB - IM MH - Adrenergic alpha-Antagonists/*therapeutic use MH - Adult MH - Aged MH - Female MH - Flank Pain/drug therapy/etiology MH - Humans MH - Male MH - Middle Aged MH - Quality of Life MH - Stents/*adverse effects MH - Sulfonamides/*therapeutic use MH - Tamsulosin MH - *Ureter MH - Ureteral Calculi/surgery MH - Urination Disorders/*drug therapy/etiology EDAT- 2009/07/31 09:00 MHDA- 2009/10/29 06:00 CRDT- 2009/07/31 09:00 PHST- 2008/04/17 00:00 [received] PHST- 2008/06/12 00:00 [accepted] PHST- 2009/07/31 09:00 [entrez] PHST- 2009/07/31 09:00 [pubmed] PHST- 2009/10/29 06:00 [medline] AID - 000224871 [pii] AID - 10.1159/000224871 [doi] PST - ppublish SO - Urol Int. 2009;83(1):66-9. doi: 10.1159/000224871. Epub 2009 Jul 27.