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Efficacy and Safety of Alfuzosin as Medical Expulsive Therapy for Ureteral Stones: A Systematic Review and Meta-Analysis

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  • Chenli Liu
  • Guohua Zeng
  • Ran Kang
  • Wenqi Wu
  • Jiasheng Li
  • Kang Chen
  • Show P Wan

Abstract

Background: Alfuzosin has been widely used to treat benign prostatic hyperplasia and prostatitis, and is claimed to be a selective agent for the lower urinary tract with low incidence of adverse side-effects and hypotensive changes. Recently, several randomized controlled trials have reported using Alfuzosin as an expulsive therapy of ureteral stones. Tamsulosin, another alpha blocker, has also been used as an agent for the expulsive therapy for ureteral stones. It is unclear whether alfuzosin has similar efficacy as Tamsulosin in the management of ureteral stones. Objective: To perform a systematic review and analysis of literatures comparing Alfuzosin with Tamsulosin or standard conservative therapy for the treatment of ureteral stones less than 10 mm in diameter. Methods: A systematic literature review was performed in December 2014 using Pubmed, Embase, and the Cochrane library databases to identify relevant studies. All randomized and controlled trials were included. A subgroup analysis was performed comparing Alfuzosin with control therapy on the management of distal ureteral stones. Results: Alfuzosin provided a significantly higher stone-free rate than the control treatments (RR: 1.85; 95% confidence interval [CI], 1.35–2.55; p

Suggested Citation

  • Chenli Liu & Guohua Zeng & Ran Kang & Wenqi Wu & Jiasheng Li & Kang Chen & Show P Wan, 2015. "Efficacy and Safety of Alfuzosin as Medical Expulsive Therapy for Ureteral Stones: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-11, August.
  • Handle: RePEc:plo:pone00:0134589
    DOI: 10.1371/journal.pone.0134589
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    Cited by:

    1. Sung Yong Cho & Woong Na & Sang Wook Lee & Min Chul Cho & Jong Jin Oh & Sangchul Lee & Juhyun Park & Soyeon Ahn & Chang Wook Jeong, 2017. "Medical expulsive therapy for ureter stone using naftopidil: A multicenter, randomized, double-blind, and placebo-controlled trial," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-9, April.

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