IP Journal of Urology, Nephrology and Hepatology Science

Distal ureteral stone: A challenging case on medical expulsion therapy with tamsulosin and deflazacort combination

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Article Type : Case Report

Author Details: Prem Kumar,Abhijit Trailokya*,Chetna Gupta,Amrit B. Karmarkar

Volume : 4

Issue : 4

Online ISSN : XXXX

Print ISSN : XXXX

Article First Page : 116

Article End Page : 118

Abstract

Kidney stones (also called as renal calculi, neprholithasis, or urolithiasis) usually accounts for 15-20% cases in OPD. Distal ureteric calculi are kidney stones that have travelled down from either kidney to ureter and stuck in ureter due to size, shape of calculus or narrow ureter. This report highlights a presentation of case of distal ureteral stone in 35-year-old man. Diagnostic tests such as Ultrasonography, CT Scan and laboratory investigations were done. It was found to be the case of Ureteral stone in left ureterovesical junction with size of 5mm. Combination therapy with alpha blocker (Tamsulosin) and steroid (Deflazacort) was given for a period of 7 days. Stone expulsion time, stone expulsion rate, and requirement of analgesics were studied. It was found that, Tamsulosin with Deflazacort combination is proved to be efficient and has been considered as one of the optimum medical expulsive therapy in the management of symptomatic distal ureteric calculus.

Keywords: Tamsulosin, Deflazacort, Kidney stone, Renal calculi, Neprholithasis, Medical expulsion therapy

Doi No:-10.18231