Effectiveness of Self-posturotherapy on the Elimination of Residual Fragments After Treatment of Lower Calyx Urinary Stones by Extracorporeal Lithotripsy or Retrograde Flexible Ureteroscopy.
This research is investigating a technique called 'self-posturotherapy' to see if it helps people get rid of small kidney stone fragments that remain after treatment. People often have kidney stones treated using either 'extracorporeal lithotripsy' (shockwave therapy from outside the body) or 'retrograde flexible ureteroscopy' (a small camera passed into the urinary tract). Sometimes, tiny pieces of the stone are left behind, especially in the lower part of the kidney. This study aims to find out if doing specific body positions and movements can effectively remove these leftover fragments three months after treatment. It's designed for adults aged 18-70 who have had these types of kidney stone treatments.
At a glance
What is this study about?
When you have kidney stones, they can be really painful. Doctors have ways to break them up or remove them, like using shockwaves from outside your body (this is called extracorporeal lithotripsy) or by putting a thin, flexible tube with a tiny camera into your bladder and up to the kidney (this is called retrograde flexible ureteroscopy). After these treatments, sometimes tiny pieces of the stone, called 'residual fragments', can remain, especially in the lower part of your kidney. The aim of this study is to see if a simple technique you can do yourself, called 'self-posturotherapy', can help you clear these remaining little fragments. This technique involves specific body positions and movements thought to help gravity move the fragments out of your kidney.
Getting rid of these leftover fragments is important because if they stay in your kidney, they could grow bigger over time or cause problems like infections or pain in the future, meaning you might need more treatment. So, finding an easy and effective way to help people clear these fragments at home would be very beneficial.
This study will compare people who do this self-posturotherapy with those who don't, to understand how effective it truly is. The researchers will check at three months after your initial stone treatment to see if the fragments have gone. The goal is to make it less likely for you to have problems with kidney stones again and to improve recovery after treatment.
Key takeaways
- This study evaluates self-posturotherapy for clearing residual kidney stone fragments.
- It's for people treated for lower kidney stones by shockwave or camera methods.
- The aim is to prevent future problems caused by leftover stone pieces.
- Participants must be 18-70 years old and able to perform exercises independently.
- The study checks for effectiveness three months after initial treatment.
Who may be eligible?
To join this study, you need to be an adult between 18 and 70 years old. You must have agreed to take part by reading and signing a consent form. You should also be planning to have (or have just had) treatment for a kidney stone that is less than 15mm in the lower part of your kidney, either by shockwave therapy (extracorporeal lithotripsy) or by a procedure where a camera is used (retrograde flexible ureteroscopy).
You can’t take part if you have certain health conditions like problems with your kidney or bladder's shape, or if you have severe conditions affecting your heart, lungs, or digestive system. Also, if you have difficulty with balance or movement that would prevent you from doing the exercises by yourself, you would not be able to join. Pregnancy, breastfeeding, or being involved in another medical study would also prevent you from participating.
The study also can't include people who wear a temporary tube called a 'JJ stent' or if the posturotherapy exercises would need to be done with help from someone else, like a physiotherapist. Essentially, if anything would make it difficult or unsafe for you to perform the specific exercises on your own, you would not be eligible.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you between 18 and 70 years old?
- Are you having treatment for a kidney stone in the lower part of your kidney that's less than 15mm?
- Can you comfortably and safely do physical exercises and balance on your own?
- Do you *not* have a kidney or bladder condition that affects its shape (like horseshoe kidney or a blocked ureter)?
- Are you *not* pregnant or breastfeeding?
- Are you *not* currently wearing a temporary tube called a 'JJ stent'?
What does participation involve?
If you decide to take part, you'll first have your kidney stone treated either by shockwave therapy or with a camera procedure. The study will then involve you learning and performing specific body positions and exercises, known as 'self-posturotherapy', on your own. There will be follow-up appointments to check if the kidney stone fragments have cleared. The main check will happen three months after your initial kidney stone treatment. The study is focused on seeing the effect by this three-month mark. There's no mention of specific medications, but the focus is on the exercises and follow-up checks.
Potential risks and benefits
Locations (2)
- Hôpital Edouard Herriot -Verified postcodeLyon, France· Recruiting
- Clinique La Croix du SudVerified postcodeQuint-Fonsegrives, France· Recruiting
Common questions
What is 'self-posturotherapy'?
It's a technique involving specific body positions and movements you do by yourself to use gravity to help clear small kidney stone fragments.
Why is it important to clear stone fragments?
Leftover fragments can sometimes grow bigger, cause pain, or lead to infections, potentially requiring more treatment later.
Who can join this study?
Adults aged 18-70 who are having treatment for a small kidney stone in the lower part of their kidney. You need to be able to do the exercises on your own.
What kind of stone treatment is this study for?
It's for people treated with either shockwave therapy (extracorporeal lithotripsy) or a camera procedure (retrograde flexible ureteroscopy).
How long does the study last?
The main check for stone fragments happens three months after your initial kidney stone treatment.
How to find out more
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
Discussion
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