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[Efficacy of tamsulosin in treatment of upper ureteral calculi: a meta-analysis]

Bibliographic details: Tang G, Wang Y, Zhang R, Zhang R, Xu G, Zhang W.  [Efficacy of tamsulosin in treatment of upper ureteral calculi: a meta-analysis]. Academic Journal of Second Military Medical University 2012; 33(7): 750-754

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2012

Tamsulosin as medical expulsive therapy for lower ureterolithiasis: a meta-analysis

Bibliographic details: Liu H, Liu C, Wei W, Liu Z, Tang X.  Tamsulosin as medical expulsive therapy for lower ureterolithiasis: a meta-analysis. Journal of Medical Colleges of PLA 2012; 27(6): 324-333 Available from: http://www.sciencedirect.com/science/article/pii/S1000194813600027

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2012

Evaluation of the effectiveness of terazosin, tamsulosin and finasteride for benign prostatic hyperplasia

Bibliographic details: Xiong Y, Ye L, Ren Y, Li Y, Song H, Li N N, Chu Z Z, Li Y P.  Evaluation of the effectiveness of terazosin, tamsulosin and finasteride for benign prostatic hyperplasia. Chinese Journal of Evidence-Based Medicine 2005; 5(6): 448-454, 481

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2005

Can tamsulosin facilitate expulsion of ureteral stones? A meta-analysis of randomized controlled trials

OBJECTIVES: To determine the efficacy and safety of the adrenergic alpha-antagonist tamsulosin in facilitating ureteral stones expulsion.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2013

Tamsulosin as adjunctive treatment after shockwave lithotripsy in patients with upper urinary tract stones: a systematic review and meta-analysis

OBJECTIVE: This study aimed to evaluate the efficacy of tamsulosin as an α(1)-blocker in the treatment of the renal and ureteral stones after shockwave lithotripsy (SWL).

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2010

Impact of tamsulosin on ureter stone expulsion in korean patients: a meta-analysis of randomized controlled studies

PURPOSE: Using meta-analysis, the study's aim was to evaluate the efficacy of tamsulosin, an alpha-blocker, in the treatment of ureteral stones with or without shockwave lithotripsy (SWL) in Korean patients.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2012

Tamsulosin for treatment of unilateral distal ureterolithiasis: a systematic review and meta-analysis

ABSTRACTObjectives:The lifetime prevalence of ureterolithiasis is approximately 13% for men and 7% for women in the United States. Tamsulosin, an α-antagonist, has been used as therapy to facilitate the expulsion of lithiasis. Whether it is a good treatment for distal lithiasis remains controversial. We conducted a systematic review and meta-analysis to evaluate the effect of tamsulosin on the passage of distal ureterolithiasis.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2014

Tamsulosin for voiding dysfunction in women

The review concluded that consistent positive findings across multiple clinical trials suggested that in women with lower urinary tract symptoms (particularly those with voiding dysfunction) tamsulosin may be an effective and safe treatment option. The authors’ conclusions reflect the evidence presented but limitations in the evidence base make the reliability of the conclusions uncertain.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2012

Efficacy of tamsulosin with extracorporeal shock wave lithotripsy for passage of renal and ureteral calculi

This review concluded that tamsulosin adjunctive to extracorporeal shock wave lithotripsy was safe and effective in treating patients with renal stones of 10 to 24mm diameter; evidence was inconclusive for ureteral stone clearance. Given the poor reporting of the review process and lack of adequate primary trial information, the authors' conclusions should be treated with caution.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2008

Tamsulosin for ureteral stones: a systematic review and meta-analysis of a randomized controlled trial

The authors concluded that tamsulosin was safe and effective for the expulsion of ureteral stones of less than 10mm. Publication bias, limited reporting of trial quality, significant statistical and clinical variations, and the potential overstatement of the findings due to double counting of participants (acknowledged by the authors), mean that these conclusions seem unlikely to be reliable.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2012

Tamsulosin versus terazosin for benign prostatic hyperplasia: a systematic review

The authors concluded that tamsulosin improved International Prostate Symptom Score in the short-term compared to terazosin. High-quality trials were needed to assess the efficacy of tamsulosin in the long term. Some review limitations made the reliability of the pooled results uncertain, but the overall conclusion was suitably cautious and appears appropriate.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2009

Efficacy and safety of tamsulosin for the treatment of benign prostatic hyperplasia: a meta analysis

This review concluded that in comparison with placebo, tamsulosin improved international prostate symptom scores and maximum flow rates for patients with benign prostatic hyperplasia with no significant difference in adverse events. A risk of missing data, paucity of evidence and a lack of information regarding study quality suggest that the findings should be interpreted with caution.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2010

Newer Medications for Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: A Review [Internet]

To assess the efficacy, comparative effectiveness, and adverse effects of newer drugs to treat lower urinary tract symptoms (LUTS) attributed to benign prostatic hyperplasia (BPH).

Comparative Effectiveness Reviews - Agency for Healthcare Research and Quality (US).

Version: May 2016
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Benign Prostatic Hyperplasia (BPH) Management in Primary Care: Screening and Therapy [Internet]

Benign prostatic hyperplasia (BPH) causes urinary hesitancy and intermittency, weak urine stream, nocturia, frequency, urgency, and the sensation of incomplete bladder emptying. These symptoms, collectively called “lower urinary tract symptoms,” or LUTS, can significantly reduce quality of life. Men with no symptoms or mild symptoms (AUA Symptom Index [SI] score of <7 points), and those who tolerate moderate symptoms well, may be managed without pharmacotherapy (“watchful waiting”). For those who have moderate or severe symptoms, medical treatments include alpha-1-selective adrenergic receptor (a-1-AR) antagonists, 5-alpha-reductase inhibitors (5-aRIs), or a combination therapy with one drug from each of these classes.

Evidence-based Synthesis Program - Department of Veterans Affairs (US).

Version: February 2007
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Chronic Urinary Retention: Comparative Effectiveness and Harms of Treatments [Internet]

To determine the effectiveness and comparative effectiveness of treatments for chronic urinary retention (CUR), also termed partial or persistent urinary retention or incomplete bladder emptying, in adults.

Comparative Effectiveness Reviews - Agency for Healthcare Research and Quality (US).

Version: September 2014
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Naftopidil for the treatment of benign prostatic hyperplasia

Benign prostatic hyperplasia (BPH) can cause bothersome lower urinary tract symptoms such as increased frequency, urgency, night‐time urinations, straining and hesitancy. BPH is common in older males and its symptoms can affect quality of life. This review of eight trials evaluated naftopidil for the treatment of BPH. Current evidence is sparse. We did not identify any placebo‐controlled trials. Naftopidil had a similar short‐term efficacy and adverse‐effect profile compared to low‐dose tamsulosin, and better efficacy than phytotherapy (eviprostat). Adverse effects of naftopidil were few, most commonly dizziness and hypotension. Prior to wide‐spread use, more long‐term, randomized, controlled studies compared to standard therapy are needed.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2012

Alpha blocker treatment for men to increase chances to have urinary catheter successfully removed

Acute urinary retention in men is a medical emergency characterised by the sudden and often painful inability to pass urine. There are many known causes including prostate obstruction (because of enlargement of the prostate or cancer), urethral strictures (a narrowing of the urethra due to scar tissue), urine infection, constipation and neurological conditions. A narrow drainage tube (urinary catheter) is temporarily inserted into the bladder through the penis to allow drainage of urine. Once the catheter is removed, some men fail to pass urine again and need to be re‐catheterised. In these men, continued use of catheters or prostate surgery are the standard treatment options. Catheters are associated with risks such as infection and can harm quality of life. Measures for increasing the rate of successful catheter removal, that is, enabling patients to urinate spontaneously again, are therefore potentially beneficial. Alpha blockers (for example tamsulosin, alfuzosin) are a group of drugs known to have positive effects on urinary symptoms such as poor urinary flow. It is believed that their relaxing effect on the prostate may also increase the chance to void again after catheter removal. This review evaluated the evidence available to support this practice.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2014

Finasteride provides relief of symptoms related to benign prostatic hyperplasia.

Finasteride, when compared to placebo and active comparators, improves long‐term urinary tract symptoms associated with benign prostatic hyperplasia.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2016

The Management of Lower Urinary Tract Symptoms in Men [Internet]

The guideline covers men (18 and over) with a clinical working diagnosis of lower urinary tract symptoms (LUTS). Options for conservative, pharmacological, surgical, and complementary or alternative treatments are considered in terms of clinical and cost effectiveness.

NICE Clinical Guidelines - National Clinical Guideline Centre (UK).

Version: 2010
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Treatment of Overactive Bladder in Women

The Vanderbilt Evidence-based Practice Center systematically reviewed evidence on treatment of overactive bladder (OAB), urge urinary incontinence, and related symptoms. We focused on prevalence and incidence, treatment outcomes, comparisons of treatments, modifiers of outcomes, and costs.

Evidence Reports/Technology Assessments - Agency for Healthcare Research and Quality (US).

Version: August 2009
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