Mohammad Sayed Abdel-Kader1. 1. Urology Department, Faculty of Medicine, South Valley University, Qena, Egypt. Moh6789@yahoo.com.
Abstract
OBJECTIVE: To evaluate the efficacy of sexual intercourse in expulsion of distal ureteric stones. PATIENTS AND METHODS: The study included 56 patients with distal ureteric or intramural stone. The stones size ranged from 5 to 10 mm and were detected by US, plain X-ray film, and non-enhanced CT. The patients were divided randomly into group A included 28 patients who were advised to do sexual intercourse 3-4 times/week with administration of symptomatic treatment, and group B included 28 patients receiving symptomatic treatment only (control group) and were instructed not to do sexual intercourse or masturbation during the study. Follow-up (4 weeks) was done by plain X-ray, US, and urine analysis every week and by asking the patients about stone passage, time of expulsion, number of colicky attacks, and analgesic injections. RESULTS:Group A patients mean age was 36.5 ± 10.7 years and group B 37.3 ± 12.5 years. Stone expulsion rate, in the first 2 weeks for group A, was 82% (23/28), while in group B 53% (16/28), (P = 0.006). At the fourth week, expulsion rate for group A reached to 89%, but in group B 71.4%. The mean expulsion time was shorter in group A (11.9 ± 4.4 days) than group B (16.2 ± 6.7 days). The number of colicky attacks and analgesics for group A was less than group B. CONCLUSIONS: Practicing sexual intercourse for 3-4 times/week for married male patients with distal ureteric stone (5-10 mm) increases the expulsion rate and decreases the frequency of renal colic and the needs for analgesic.
RCT Entities:
OBJECTIVE: To evaluate the efficacy of sexual intercourse in expulsion of distal ureteric stones. PATIENTS AND METHODS: The study included 56 patients with distal ureteric or intramural stone. The stones size ranged from 5 to 10 mm and were detected by US, plain X-ray film, and non-enhanced CT. The patients were divided randomly into group A included 28 patients who were advised to do sexual intercourse 3-4 times/week with administration of symptomatic treatment, and group B included 28 patients receiving symptomatic treatment only (control group) and were instructed not to do sexual intercourse or masturbation during the study. Follow-up (4 weeks) was done by plain X-ray, US, and urine analysis every week and by asking the patients about stone passage, time of expulsion, number of colicky attacks, and analgesic injections. RESULTS: Group A patients mean age was 36.5 ± 10.7 years and group B 37.3 ± 12.5 years. Stone expulsion rate, in the first 2 weeks for group A, was 82% (23/28), while in group B 53% (16/28), (P = 0.006). At the fourth week, expulsion rate for group A reached to 89%, but in group B 71.4%. The mean expulsion time was shorter in group A (11.9 ± 4.4 days) than group B (16.2 ± 6.7 days). The number of colicky attacks and analgesics for group A was less than group B. CONCLUSIONS: Practicing sexual intercourse for 3-4 times/week for married male patients with distal ureteric stone (5-10 mm) increases the expulsion rate and decreases the frequency of renal colic and the needs for analgesic.
Entities:
Keywords:
Expulsion; Sexual intercourse; Ureteric stone
Authors: M Hernández; D Prieto; L M Orensanz; M V Barahona; A García-Sacristán; U Simonsen Journal: Neurosci Lett Date: 1995-02-15 Impact factor: 3.046