Rate of Spontaneous Stone Passage as Assessed Using Urinary Ultrasonography and Direct Urinary System Radiography

Avrasya University

Status: Completed

Conditions: Masturbation; Ureteral Calculi

Treatments: Procedure: Endoscopic ureterolitotripsy

Study type: Interventional

Funder types: Other

Identifiers

NCT04550559

masturbation and stone

Details and patient eligibility

About

To evaluate the effect of masturbation on the spontaneous expulsion of distal ureteral stones 5-10 mm in size.

Full description

This prospective randomized controlled study was performed between February 2018 and March 2020 after obtaining ethics committee approval.A total of 128 men with distal ureteral stones were randomly divided into 3 groups. All patients received standard medical therapy. Patients in group 1 (n=43) were instructed to masturbate at least 3-4 times a week, patients in group 2 (n=41) received tamsulosin 0.4 mg/day, and patients in group 3 (controls, n=44) received standard medical therapy alone. Rates of expulsion, need for analgesic, and ureterorenoscopic lithotripsy were compared between the groups.

Enrollment: 149 patients

Sex: Male

Ages: 18 to 75 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• age ≥18 years
• presenting with renal colic and inguinal or lumbar pain
• being diagnosed as having distal ureteral stones ≥5 mm and <10 mm in size

Exclusion criteria

• age <18 years,
• stones <5 mm or ≥10 mm in size,
• intermediate (stones on the ureter-iliac artery cross)
• proximal ureteral stones, multiple ureteral stones,
• presence of urinary infection,
• renal insufficiency,
• high creatinine level,
• severe hydroureteronephrosis,
• history of open or endoscopic ureteral surgery,
• vesicoureteral reflux,
• neurogenic bladder,
• erectile dysfunction,
• inability or refusal to masturbate for any reason (such as religious beliefs)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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149 participants in 3 patient groups

Group 1

Active Comparator group

Description:

The patients in group 1 were instructed to masturbate at least 3-4 times a week

Treatment:

Procedure: Endoscopic ureterolitotripsy

Group 2

Other group

Description:

The patients in group 2 were prescribed oral tamsulosin 0.4 mg once daily

Treatment:

Procedure: Endoscopic ureterolitotripsy

Group 3

No Intervention group

Description:

The patients in group 3 acted as controls and received only standard medical therapy