Effectiveness of Self-posturotherapy on the Elimination of Residual Fragments After Treatment of Lower Calyx Urinary Stones by Extracorporeal Lithotripsy or Retrograde Flexible Ureteroscopy

What this Trial Is About

Researchers are evaluating the effectiveness of a self-posturotherapy technique on the clearance of residual kidney stone fragments three months after treatment for lower calyceal urinary stones. This study focuses on patients treated by extracorporeal lithotripsy (ECL) or retrograde flexible ureteroscopy (URSS) and aims to compare outcomes with standard care. The research is sponsored by GCS Ramsay Santé pour l'Enseignement et la Recherche and involves adult participants between 18 and 70 years old. Participants are randomly assigned to one of two groups: one receiving standard care according to recommendations plus a self-posturotherapy program, and the other receiving standard care alone. The self-posturotherapy is a behavioral intervention where patients perform a simplified posturotherapy protocol themselves, combining inclined positioning, percussion, and diuresis based on physiotherapy principles. The study does not use blinding and monitors participants over a three-month period. During the study, participants will be monitored to measure the stone-free rate at three months after treatment. Researchers will assess the presence of residual fragments using endoscopy and track adherence to the self-posturotherapy program. Safety and eligibility criteria are carefully monitored, including exclusion of patients with physical disabilities that prevent posturotherapy or those with medical conditions that may affect fragment clearance. The study duration extends to at least three months post-treatment to evaluate outcomes effectively.

Effectiveness of Self-posturotherapy on the Elimination of Residual Fragments After Treatment of Lower Calyx Urinary Stones by Extracorporeal Lithotripsy or Retrograde Flexible Ureteroscopy.