The Effect of Preoperative Tamsulosin on Ureteroscopic Access in Below 16 Years Children

Authors

  • Asif Khan Department of Urology, Saidu Group of Teaching Hospital, Swat
  • Aya Khan Afridi Senior Medical Officer, MRHSMH Pabbi Hospital
  • Riaz Ahmad Khan Department of Urology, Institute of Kidney Deseases Peshawar
  • Noorshad Khan Department of Urology, DHQ Timergara
  • Nizamudin Department of Urology, Saidu Group of Teaching Hospital, Swat
  • Muhammad Rashidullah Department of Urology, Saidu Group of Teaching Hospital, Swat

DOI:

https://doi.org/10.52206/jsmc.2022.12.4.727

Abstract

Background: Urolithiasis is the frequent condition in school age children. The treatment modalities for renal stone can be just observation to allow to eliminate spontaneously, expulsive medical treatment, ureterolithotomy and ureteroscopy.
Objective: To determine the effect of preoperative tamsulosin on success of ureteroscopicaccesin below 16 years children.
Materials and Methods: This case control study was conducted on records of 110 patients at department of Urology, Saidu Teaching Hospital, Swat. Half cases recieved preoperative tamsulosin and half not. The children below 16 years who received ureteroscopy, Pakistani national and both gender were included. Children who undergone the ureteroscopy or stent placement in last 12 months, those who received preoperative tamsulosin for less than a week (cases only) and with abnormal genitourinary systems were excluded.  Chi-square test and student t test was used for comparison of data. Logistic regression was run for controlling confounders.
Results: The mean age was 12.91±2.73 years. The females were 61 (55.45%) and the males were 49 (44.55%). The procedure of ureteroscopic access was successful in 40 (72.73%) in cases who received tamsolusin and 29 (52.73%) those who did not. The difference was statistically significant (p=0.03). The only significant predictors for success of ureteroscopic access were type of treatment received and BMI. The success was more in cases who received preoperative tamsulosin (40, 72.7%) than control group (29, 52.7%) statistically (p=0.01).
Conclusion: One week preoperative use of tamsulosin can increase the success rate of ureteroscopic access in below 16 years old children.

Additional Files

Published

28-12-2022

How to Cite

1.
Asif Khan, Aya Khan Afridi, Riaz Ahmad Khan, Noorshad Khan, Nizamudin, Muhammad Rashidullah. The Effect of Preoperative Tamsulosin on Ureteroscopic Access in Below 16 Years Children. J Saidu Med Coll Swat [Internet]. 2022 Dec. 28 [cited 2024 Jul. 12];12(4):150-4. Available from: https://jsmc.pk/index.php/jsmc/article/view/727