Effectiveness of Silodosin in Medical Expulsive Therapy for Ureteral Pelvic Stone From 4 to 10 mm.
Status:
Terminated
Trial end date:
2015-12-01
Target enrollment:
Participant gender:
Summary
In the diagnosis of renal colic gallstone , in addition to clinical and biological factors,
it is a key : medical imaging. Currently , the French recommendations require at least a
couple of Abdomen radiography Without Preparation lying face (ASP ) associated with abdominal
ultrasound . "The abdominopelvic CT scan without injection of contrast is the examination of
choice.
Current recommendations in the management of gallstone colic simply based on the joint use of
analgesics , anti inflammatory drugs and control of water intake .
The mechanism of analgesic action of this treatment is a decrease in the pressure in the
cavities by decrease in diuresis and inflammation treatment of ureteral permitting passage of
urine . )
The expulsive medical therapy remains under evaluation. The French Association of Urology
does not recommend at this time for lack of evidence deemed sufficient.
For foreign companies Urology (EAU , AUA) , the use of calcium channel blockers or alpha
blockers in the treatment of symptomatic lower ureteral stones (4 to 10mm ) is recommended
(grade 1A) . However, there are less formal studies of their effectiveness .
Investigators wish to demonstrate the effectiveness of alpha in medical expulsive therapy for
pelvic stones 4 to 10mm .