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In latest literature more evidence is available about the positive effect of alpha blocker on stone expulsion from the ureter. Patients benefit from less pain and shortening time to stone expulsion. Our study is design to evaluate whether alfuzosin improves the stone free out come following SWL.
All patients undergoing SWL are included in study. Exclusion criteria: Patient with radio-lucent stone, patients treated with calcium channel blockers, alpha blockers, steroids, patients with contraindication to alpha blocker treatment, postural hypotension patents with abnormal liver function tests.
Patient will be recruited to the study prospectively. Following signature on inform consent patients will be randomized into 2 groups. One group will be treated with alfuzosin 10mg a day and the control group with placebo. Treatment will be initiated following the lithotripsy treatment.
Parameters for investigation includes: demographic and personal data, stone size and location (obtained by CT or KUB), pain control medication and visual analogue scale assessment of pain, side effects, clinical squeals, stone free out come. Follow up evaluation will be at 1 week, 1 month, and 3 months post treatment. Success will be defined following CT evaluation at 3 months. Treatment ends at stone free achievement or at 3 months.
Endpoints:Stone free rate, time to stone free, side effect.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | double blind placebo control |
|
| 2 | Placebo Comparator | placebo control blinded arm |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Alpha blocker-alfuzosin | Drug | P.O. alfuzosin 10 mg once a day |
| |
| placebo |
| Measure | Description | Time Frame |
|---|---|---|
| use of pain control medication stone free rates | 3 months | |
| pain visual analogue scale | 3 month | |
| side effects | 3 months | |
| stone free rate | 3 months | |
| time to stone free status | 3 months | |
| need for secondary procedures | 3 months | |
| auxiliary procedures | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| yoram I siegel, MD | Contact | 972-577-345408 | ysiegel@asaf.health.gov.il |
| Name | Affiliation | Role |
|---|---|---|
| yoram I siegel, MD | Endourology unit Urology department Assaf harofeh MC. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Endourology unit Urology department Assaf Harofeh MC | Recruiting | Ẕerifin | 40700 | Israel |
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| ID | Term |
|---|---|
| D052878 | Urolithiasis |
| D053040 | Nephrolithiasis |
| D053039 | Ureterolithiasis |
| ID | Term |
|---|---|
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| Drug |
placebo once a day for 3 months or stone free |
|
| D052801 | Male Urogenital Diseases |
| D007674 | Kidney Diseases |
| D014515 | Ureteral Diseases |