Objective
To investigate the effect of sexual intercourse on spontaneous passage of distal ureteral
stones.
Material and Methods
The patients were randomly divided into 3 groups with random number table envelope
method. Patients in group 1 were asked to have sexual intercourse at least 3-4 times
a week. Patients in group 2 were administered tamsulosin 0.4 mg/d. Patients in group
3 received standard medical therapy alone and acted as the controls. The expulsion
rate was controlled after 2 and 4 weeks. Differences in the expulsion rate between
groups were compared with the chi-square test for 3 × 2 tables. P <.05 was considered as statistically significant.
Results
The mean stone size was 4.7 ± 0.8 mm in group 1, 5 ± 1 mm group 2, and 4.9 ± 0.8 mm
group 3 (P = .4). Two weeks later, 26 of 31 patients (83.9%) in the sexual intercourse group,
and 10 of 21 patients (47.6%) in tamsulosin group passed their stones, whereas 8 of
23 patients (34.8%) in the control group passed their stones (P = .001). The mean stone expulsion time was 10 ± 5.8 days in group 1, 16.6 ± 8.5 days
in group 2, and 18 ± 5.5 days in group 3 (P = .0001).
Conclusion
Our results have indicated that patients who have distal ureteral stones ≤6 mm and
a sexual partner may be advised to have sexual intercourse 3-4 times a week to increase
the probability of spontaneous passage of the stones.
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Article info
Publication history
Accepted:
March 3,
2015
Received:
January 22,
2015
Footnotes
Financial Disclosure: The authors declare that they have no relevant financial interests.
Identification
Copyright
© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
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- Editorial CommentUrologyVol. 86Issue 1
- PreviewThe prevalence of urolithiasis in the United States has steadily increased over the past several years.1 The morbidity caused by stone disease is similarly significant, as 30% of patients diagnosed with stone disease report loss of work associated with the diagnosis.2 Furthermore, when medical expulsive therapy is unsuccessful, procedural intervention often presents a significant financial burden to both the patient and practice.3 As such, and in light of health care reform with greater focus on financial responsibility, the potential therapeutic effect of lifestyle modifications such as diet and exercise remains an important consideration.
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