Results of two large randomized controlled trials have challenged the use of medical expulsive therapy for the management of ureteral calculi. A new trial now shows that tamsulosin is effective in patients with distal calculi >5 mm in size, demonstrating that the effectiveness of MET depends on stone size and location.
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Healy, K., Shah, O. MET for distal ureteral calculi: not all stones are created equal. Nat Rev Urol 15, 210–211 (2018). https://doi.org/10.1038/nrurol.2017.221
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DOI: https://doi.org/10.1038/nrurol.2017.221