Sexual intercourse as a new option in the medical expulsive therapy of distal ureteral stones in males: A prospective, randomized, controlled study

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dc.authorid0000-0002-2493-2457
dc.authorid0000-0002-4245-7506
dc.contributor.authorBayraktar, Zeki
dc.contributor.authorAlbayrak, Selami
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:57:02Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:57:02Z
dc.date.issued2017
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.descriptionWOS: 000413117200007
dc.descriptionPubMed ID: 28803386
dc.description.abstractTo investigate the effect of sexual intercourse on the spontaneous passage of distal ureteral stones 5-10 mm in size. A total of 190 male patients with distal ureteral stones were randomly divided into three groups. Patients in group 1 were administered tamsulosin 0.4 mg/day (n = 60). Patients in group 2 were asked to have sexual intercourse at least three times a week (n = 66). Patients in group 3 received standard medical therapy alone and acted as the controls (n = 64). The expulsion rate was controlled after 2 and 4 weeks. Differences between the groups were analyzed statistically by the Chi-square and Student's t test. p < 0.05 was considered as statistically significant. The mean ages of the patients in groups 1, 2, and 3 were 34.4 +/- 13.5 (18-60), 38.6 +/- 14.1 (18-63), and 36.92 +/- 12.4 (18-59) years, respectively (p > 0.05). The mean stone size was 7.09 +/- 1.4 mm in group 1, 7.01 +/- 1.4 mm in group 2, and 7.1 +/- 1.3 mm in group 3 (p > 0.05). Spontaneous passage rates in groups 1, 2, and 3 were 81.6, 81.8, and 51.5%, respectively, and it was significantly higher in group 1 (p = 0.0394) and group 2 (p = 0.0350). There was no significant difference between groups 1 and 2 (p = 0.9925). The analgesic needs in groups 1, 2, and 3 were found to be 1.3 +/- 0.4, 1.2 +/- 0.6, and 1.4 +/- 0.4 times, respectively, and were significantly lower in the sexual intercourse group than in the control group (p = 0.0276). Tamsulosin and sexual intercourse increase the spontaneous passage of distal ureteral stones 5-10 mm in size. At least three sexual intercourses per week seem to be at least as effective as tamsulosin. Sexual intercourse also reduces the need for analgesics in ureteric colic due to ureteral stones.
dc.identifier.citationBayraktar, Z. ve Albayrak, S. (2017). Sexual intercourse as a new option in the medical expulsive therapy of distal ureteral stones in males: A prospective, randomized, controlled study. International Urology and Nephrology, 49(11), 1941-1946. https://dx.doi.org/10.1007/s11255-017-1677-9
dc.identifier.doi10.1007/s11255-017-1677-9
dc.identifier.endpage1946
dc.identifier.issn0301-1623
dc.identifier.issn1573-2584
dc.identifier.issue11
dc.identifier.scopusqualityQ2
dc.identifier.startpage1941
dc.identifier.urihttps://dx.doi.org/10.1007/s11255-017-1677-9
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2881
dc.identifier.volume49
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofInternational Urology and Nephrologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectMedical Expulsive Therapy
dc.subjectSexual Intercourse
dc.subjectTamsulosin
dc.subjectUreteral Stone
dc.titleSexual intercourse as a new option in the medical expulsive therapy of distal ureteral stones in males: A prospective, randomized, controlled study
dc.typeArticle

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