English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

: The most important recent advances in the managememt of ureteral calculi have been the development of medical expulsive therapy to facilitate passage of ureteral stones. Drugs like alpha 1 adrenergic blockers with or without corticosteroids along with hydration have been used to facilitate expulsion of stones. Material & Methods : 3000 patients, from January 2008  to December 2017,  who were diagnosed to have ureteric calculi either by USG / NCCT  and presented to our OPD within first 2 days of colic were enrolled in this study. They were started with SOADS regime  which included Tab Alfa blocker ( Alfuzocin 10 mg ) once daily, Tab Drotaverine Hydrochloride 80 mg + Tab Mefenamic Acid 250 mg Twice Daily , Tab spironolactone 25 mgonce daily , Tab ofloxacin 200 mg Twice daily and Syrup Potassium magnesium citrate 2 Tsf with one glass of water three times daily with 2-3 litres of fluid for a period of 2 – 4 weeks . Results :  Out of 3000 pt , 2550 pts ( 85 % ) passed the stone with SOADS regime. 65 % of pt passed within 2 weeks of therapy and 20 % within 4 weeks. Stone size of 4mm, 5mm & 6 mm comprised 65 % who passed within 2 weeks and rest 20 % pts had stone size of 7mm, 8mm & 9mm. Rest of the 15 % were managed by URSL. An interesting observation was noticed that pts with obstructive stone unilaterally had increased BP of 10 mmhg both systolic and diasystolic. Conclusion :. It is possible to facilitate explusion of ureteric calculi with SOADS  regime in patients who present within first 2 days of colic and thus avoid surgical intervention and thereby reducing the cost and lost working days.

An Outpatient Medical Expulsive Therapy for Unilateral Single Ureteric Calculi with SOADS Regime: Our 9 Years Experience with 3000 Patients