Randomized Controlled Trial to Compare the Safety and Efficacy of Tamsulosin, Solifenacin, and Combination of Both in Treatment of Double-J Stent-Related Lower Urinary Symptoms

Purpose. We evaluated the effectiveness and safety of tamsulosin, solifenacin, and combination of both in reducing double-J stent-related lower urinary symptoms. Materials and Methods. A total of 338 patients with double-J ureteral stenting were randomly divided, postoperatively, into 4 groups. In g...

Full description

Saved in:
Bibliographic Details
Main Authors: Essam Shalaby, Abul-fotouh Ahmed, Aref Maarouf, Iman Yahia, Mohamed Ali, Ammar Ghobish
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2013/752382
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850226167564468224
author Essam Shalaby
Abul-fotouh Ahmed
Aref Maarouf
Iman Yahia
Mohamed Ali
Ammar Ghobish
author_facet Essam Shalaby
Abul-fotouh Ahmed
Aref Maarouf
Iman Yahia
Mohamed Ali
Ammar Ghobish
author_sort Essam Shalaby
collection DOAJ
description Purpose. We evaluated the effectiveness and safety of tamsulosin, solifenacin, and combination of both in reducing double-J stent-related lower urinary symptoms. Materials and Methods. A total of 338 patients with double-J ureteral stenting were randomly divided, postoperatively, into 4 groups. In group I (), no treatment was given (control group), group II () received tamsulosin 0.4 mg daily, group III () received solifenacin 10 mg daily, and group IV () received a combination of both medications. Before insertion and 2 weeks after, all patients completed the International Prostate Symptom Score (IPSS), quality of life component of the IPSS (IPSS/Qol), Overactive Bladder Questionnaire (OAB-q), and Visual Analogue Pain Scale (VAPS) questionnaire. Results. The demographics and preoperative questionnaires scores of all groups were comparable. There were statistically significant differences in all scores in favour of groups II, III, and IV as compared to control group ( value < 0.005). Group IV showed statistically significant differences in total IPSS, QoL score, and OAB-q score as compared to groups II and III ( value < 0.001). Conclusions. Combined therapy of tamsulosin and solifenacin significantly alleviated lower urinary symptoms associated with double-J stents as compared to either medication alone.
format Article
id doaj-art-5ee94b355d4e430487c892e3ad5f58e6
institution OA Journals
issn 1687-6369
1687-6377
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Advances in Urology
spelling doaj-art-5ee94b355d4e430487c892e3ad5f58e62025-08-20T02:05:09ZengWileyAdvances in Urology1687-63691687-63772013-01-01201310.1155/2013/752382752382Randomized Controlled Trial to Compare the Safety and Efficacy of Tamsulosin, Solifenacin, and Combination of Both in Treatment of Double-J Stent-Related Lower Urinary SymptomsEssam Shalaby0Abul-fotouh Ahmed1Aref Maarouf2Iman Yahia3Mohamed Ali4Ammar Ghobish5Department of Urology, Suez Canal University, P.O. Box 224, Ismailia 41522, EgyptDepartment of Urology, Al-Azhar University, Nasr City, Cairo 11884, EgyptDepartment of Urology, Faculty of Medicine, Zagazig University, P.O. Box 203, Zagazig 44519, EgyptDepartment of Urology, Suez Canal University, P.O. Box 224, Ismailia 41522, EgyptDepartment of Urology, Suez Canal University, P.O. Box 224, Ismailia 41522, EgyptDepartment of Urology, Suez Canal University, P.O. Box 224, Ismailia 41522, EgyptPurpose. We evaluated the effectiveness and safety of tamsulosin, solifenacin, and combination of both in reducing double-J stent-related lower urinary symptoms. Materials and Methods. A total of 338 patients with double-J ureteral stenting were randomly divided, postoperatively, into 4 groups. In group I (), no treatment was given (control group), group II () received tamsulosin 0.4 mg daily, group III () received solifenacin 10 mg daily, and group IV () received a combination of both medications. Before insertion and 2 weeks after, all patients completed the International Prostate Symptom Score (IPSS), quality of life component of the IPSS (IPSS/Qol), Overactive Bladder Questionnaire (OAB-q), and Visual Analogue Pain Scale (VAPS) questionnaire. Results. The demographics and preoperative questionnaires scores of all groups were comparable. There were statistically significant differences in all scores in favour of groups II, III, and IV as compared to control group ( value < 0.005). Group IV showed statistically significant differences in total IPSS, QoL score, and OAB-q score as compared to groups II and III ( value < 0.001). Conclusions. Combined therapy of tamsulosin and solifenacin significantly alleviated lower urinary symptoms associated with double-J stents as compared to either medication alone.http://dx.doi.org/10.1155/2013/752382
spellingShingle Essam Shalaby
Abul-fotouh Ahmed
Aref Maarouf
Iman Yahia
Mohamed Ali
Ammar Ghobish
Randomized Controlled Trial to Compare the Safety and Efficacy of Tamsulosin, Solifenacin, and Combination of Both in Treatment of Double-J Stent-Related Lower Urinary Symptoms
Advances in Urology
title Randomized Controlled Trial to Compare the Safety and Efficacy of Tamsulosin, Solifenacin, and Combination of Both in Treatment of Double-J Stent-Related Lower Urinary Symptoms
title_full Randomized Controlled Trial to Compare the Safety and Efficacy of Tamsulosin, Solifenacin, and Combination of Both in Treatment of Double-J Stent-Related Lower Urinary Symptoms
title_fullStr Randomized Controlled Trial to Compare the Safety and Efficacy of Tamsulosin, Solifenacin, and Combination of Both in Treatment of Double-J Stent-Related Lower Urinary Symptoms
title_full_unstemmed Randomized Controlled Trial to Compare the Safety and Efficacy of Tamsulosin, Solifenacin, and Combination of Both in Treatment of Double-J Stent-Related Lower Urinary Symptoms
title_short Randomized Controlled Trial to Compare the Safety and Efficacy of Tamsulosin, Solifenacin, and Combination of Both in Treatment of Double-J Stent-Related Lower Urinary Symptoms
title_sort randomized controlled trial to compare the safety and efficacy of tamsulosin solifenacin and combination of both in treatment of double j stent related lower urinary symptoms
url http://dx.doi.org/10.1155/2013/752382
work_keys_str_mv AT essamshalaby randomizedcontrolledtrialtocomparethesafetyandefficacyoftamsulosinsolifenacinandcombinationofbothintreatmentofdoublejstentrelatedlowerurinarysymptoms
AT abulfotouhahmed randomizedcontrolledtrialtocomparethesafetyandefficacyoftamsulosinsolifenacinandcombinationofbothintreatmentofdoublejstentrelatedlowerurinarysymptoms
AT arefmaarouf randomizedcontrolledtrialtocomparethesafetyandefficacyoftamsulosinsolifenacinandcombinationofbothintreatmentofdoublejstentrelatedlowerurinarysymptoms
AT imanyahia randomizedcontrolledtrialtocomparethesafetyandefficacyoftamsulosinsolifenacinandcombinationofbothintreatmentofdoublejstentrelatedlowerurinarysymptoms
AT mohamedali randomizedcontrolledtrialtocomparethesafetyandefficacyoftamsulosinsolifenacinandcombinationofbothintreatmentofdoublejstentrelatedlowerurinarysymptoms
AT ammarghobish randomizedcontrolledtrialtocomparethesafetyandefficacyoftamsulosinsolifenacinandcombinationofbothintreatmentofdoublejstentrelatedlowerurinarysymptoms