A randomized controlled trial to compare the efficacy and safety of tamsulosin, tadalafil, and their combination as medical expulsive therapy for lower ureteric stones stratified by stone size (5–7 mm and 8–10 mm) .... This is my synopis topic change acc to observation sent by uhs and mention in this document and also make synopsis title in more professional academic and research point of view with reasoni g to defend tge title