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Volume 2, Issue 4 (2021)                   J Clinic Care Skill 2021, 2(4): 207-211 | Back to browse issues page


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Mehrabi S, Shakeri N, Mehrabi A. Efficacy of Aqueous Extract of Allium sativum and Tamsulosin Comparison on Reducing Pain and Expulsion of Kidney and Ureter Stones in Adult Patients. J Clinic Care Skill 2021; 2 (4) :207-211
URL: http://jccs.yums.ac.ir/article-1-118-en.html
1- Urology Department, Medicinal Plants Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
2- Urology Department, Medicinal Plants Research Center, Yasuj University of Medical Sciences, Yasuj, Iran , Nahid-t88@yahoo.com
Abstract:   (1030 Views)
Aims: Due to the widespread use of Allium sativum or garlic for food and medical purposes as well as the diuretic, analgesic, anti-inflammatory, and antispasmodic effects of garlic and its extract in various diseases, this study aimed to compare the effect of aqueous extract of Allium sativum and tamsulosin on reducing pain and expulsion of kidney and ureter stones in adult patients.
Materials & Methods: In this clinical trial study, 80 patients older than 18 with kidney and ureteral stones less than 10mm were randomly assigned to one of the two groups, including tamsulosin as a control group and intervention group (Allium sativum or garlic). A tamsulosin capsule was administered one capsule every night for two weeks in the first group. In the second group, Allium sativum was prescribed in a dose of 900 mg per day in tree-divided capsules with a glass of water for two weeks. Two weeks later, patients were visited, KUB or sonography was performed, and the amount of stone change and the presence of residual stones were measured and recorded. The patient's pain level was checked using a visual analog scale, and data were collected during treatment and at the end of the study. All data were analyzed using SPSS software version 21.
Findings: The mean age of patients in the control and intervention groups were 48.44±14.65 and 44.18±12.90 years, respectively (p=0.82). The size of stones after treatment in the intervention and control groups were 8.05±3.79 and 6.76±2.51mm, respectively (p=0.142). The mean pain intensity based on visual pain criteria before treatment was not significantly different in the two groups (p=0.438). Still, after treatment, the pain level in the intervention group compared to the control group significantly decreased (p=0.001).
Conclusion: The results showed that the size and expulsion of stones treatment were not significantly different between the two groups. Still, the severity of pain in the Allium sativum group was significantly reduced compared to the control group. It can be used as an adjunct therapy to control pain and help the passage of stones.
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Article Type: Original Research | Subject: Special
Received: 2021/11/13 | Accepted: 2021/12/20 | Published: 2022/01/31

References
1. Menon M, Resnick M. Urinary lithiasis: Etiology, diagnosis and medical management. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell's Urology. 8th edition. Philadelphia: Saunders; 2007. p: 3229-305. [LINK]
2. Khan SR, Thamilselvan S. Nephrolithiasis: A consequence of renal epithelial cell exposure to oxalate and calcium oxalate crystals. Mol Urol. 2000;4(4):305-12. [LINK]
3. Grases F, Prieto RM, Gomila I, Sanchis P, Costa-Bauzá A. Phytotherapy and renal stones: the role of antioxidants. A pilot study in Wistar rats. Urol Res. 2009;37(1):35-40. [DOI:10.1007/s00240-008-0165-1] [PMID]
4. Mehrabi S, Rahmani A, Mehrabi A, Motlagh A. Extracorporeal shockwave lithotripsy versus laser lithotripsy by semirigid ureteroscope in treatment of upper ureteral stones. Acta Med Mediter. 2016;1(32):2075. [LINK]
5. Lu Z, Dong Z, Ding H, Wang H, Ma B, Wang, Z. Tamsulosin for ureteral stones: A systematic review and meta-analysis of a randomized controlled trial. Urol Int. 2012;89(1):107-15.‏ [DOI:10.1159/000338909] [PMID]
6. Lionel OO, Adegboyega IP, Ezekiel AO, Olufunke BC. Antimicrobial activity of garlic (Allium sativum) on selected uropathogens from cases of urinary tract infection. Annals Trop Pathol. 2020;11(2):133-8.‏ [LINK]
7. Moaied Mohseni S, Mirsharif ES, Aiiobi F, Eghtedardoost M, Emadi SMR, Heshmati M, et al. The effect of immunomodulator fraction of garlic (R10) on blood pressure, protein, creatinine and uric acid in pregnant and non-pregnant mice. Daneshvar Med: Basic Clin Res J. 2020;19(4):17-26.‏ [Persian] [LINK]
8. Rashki KM, Gol A, Dabiri Sh, Javadi AR. Preventive and therapeutic role of garlic (Allium sativum) on renal complications in rats with diabetes mellitus.‏ Iran J Biol. 2011;24(5):694-706. [Persian] [LINK]
9. Ang-Lee MK, Moss J, Yuan C-S. Herbal medicines and perioperative care. JAMA. 2001;286(2):208-16. [DOI:10.1001/jama.286.2.208] [PMID]
10. Borek C. Garlic reduces dementia and heart disease risk. J Nutr. 2006;136(3):810S-2S. [DOI:10.1093/jn/136.3.810S] [PMID]
11. Rivlin RS. Historical perspective on the use of garlic. J Nutr. 2001;131(3):951S-4S. [DOI:10.1093/jn/131.3.951S] [PMID]
12. Pedraza-Chaverrí J, Tapia E, Medina-Campos ON, Angeles Granados MDL, Franco M. Garlic prevents hypertension induced by chronic inhibition of nitric oxide synthesis. Life Sci. 1998;62(6):71-7. [DOI:10.1016/S0024-3205(97)01155-7]
13. Nasir A, Fatma G, Neshat N, Ahmad M. Pharmacological and therapeutic attributes of garlic (Allium sativum Linn.) with special reference to Unani medicine-A review. J Med Plants Stud. 2020;8(3):6-9.‏ [LINK]
14. Pantoja CV, Chiang LC, Norris BC, Concha JB. Diuretic, natriuretic and hypotensive effects produced by Allium sativum (garlic) in anaesthetized dogs. J Ethnopharmacol. 1991;31(3):325-31.‏ [DOI:10.1016/0378-8741(91)90018-9]
15. Nasri H, Nematbakhsh M, Rafieian-Kopaei M. Ethanolic extract of garlic for attenuation of gentamicin-induced nephrotoxicity in wistar rats. Iran J Kidney Dis. 2013;7(5):376-82. [LINK]
16. Yencilek F, Erturhan S, Canguven O, Koyuncu H, Erol B, Sarica K. Does tamsulosin change the management of proximally located ureteral stones? Urol Res. 2010;38(3):195-9. [DOI:10.1007/s00240-010-0257-6] [PMID]
17. Tesfaye A, Mengesha W. Traditional uses, phytochemistry and pharmacological properties of garlic (Allium sativum) and its biological active compounds. Int J Sci Res Eng Technol. 2015;1:142-8.‏ [LINK]
18. Naja V, Agarwal MM, Mandal AK, Singh SK, Mavuduru R, Kumar S, et al. Tamsulosin facilitates earlier clearance of stone fragments and reduces pain after shockwave lithotripsy for renal calculi: Results from an open-label randomized study. Urology. 2008;72(5):1006-11.‏ [DOI:10.1016/j.urology.2008.05.035] [PMID]
19. Kansara MB, Jani AJ. Possible interactions between garlic and conventional drugs: A review. Pharm Biol Eval. 2017;4(2):73-81.‏ [DOI:10.26510/2394-0859.pbe.2017.12]

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