Between 5% to 12% of people will get genitourinary stones throughout their lives. Men are more likely to develop calculus than women. Based on data from the Indian population, 12% of people have urinary calculi, and half of them lose their kidney’s ability to function. One prevalent ailment that urologists and surgeons see in emergencies is symptomatic urolithiasis. The most common location for ureteric calculus is the bottom third or distal ureter. This study compared the effectiveness of watchful waiting therapy, which only uses non-steroidal anti-inflammatory drugs, with tamsulosin either by itself or in combination with a low-dose corticosteroid (deflazacort) for the management of distal ureteral stones. In this study, there were three times as many males as females. The mean age for men and women was 38.14 and 36.04 years, respectively. In all groups, the mean stone size was about 6 mm. Compared to the right side of the ureter, the left side had greater symptoms. Group B used NSAIDs on average the least. The medical expulsion treatment was more beneficial to group B. We conclude that medical expulsive therapy is a safe and efficient treatment for distal ureteral stones that are symptomatic and not complex. Furthermore, tamsulosin alone, as a medical expulsive medication, may be a viable alternative for individuals who are not candidates for steroid therapy. Deflazacort, even at low dosages, has the same effect as higher dosages.
