21-day comprehensive spa care for kidney and urinary conditions
Objective Assessment of the Effect of Comprehensive Spa Care on Patients With Chronic Kidney and Urological Diseases: A Prospective Interventional Clinical Study
This program will try a 21-day spa treatment with mineral water baths, drinking cures, exercise and diet for adults 40–70 who have chronic kidney or urinary problems to see if it improves symptoms and kidney health.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 150 (estimated) |
| Ages | 40 Years to 70 Years |
| Sex | All |
| Sponsor | Institute of Spa and Balneology, public research institution Academic / other |
| Locations | 1 site (Mariánské Lázně, Carlsbad Region) |
| Trial ID | NCT07435844 on ClinicalTrials.gov |
What this trial studies
This is a prospective, single-arm pretest–posttest study of 150 adults receiving a standard 21-day comprehensive spa care program (KLP) at Mariánské Lázně. Participants receive a prescribed package of local natural therapies including mineral spring drinking cures, mineral water baths, peloid applications, carbon dioxide therapy, climatotherapy, exercise therapy and dietotherapy, totaling about 63 procedures. Clinical data, blood and urine samples, and other measures are collected no later than day 3 after admission and again on day 20 or 21 to compare before-and-after effects. The treatments are provided as routine, insurance-covered care and the protocol does not alter individual clinical prescriptions.
Who should consider this trial
Good fit: Adults aged 40–70 who are prescribed the KLP for recurrent or chronic non-tuberculous kidney/urinary inflammation, nephrolithiasis/nephrocalcinosis, post‑surgical recovery of the urinary tract, or chronic prostatitis are ideal candidates.
Not a fit: Patients with acute urinary obstruction or other acute surgical needs, severe comorbidities, inability to walk to treatments, or those outside the 40–70 age range may not receive benefit from this spa program.
Why it matters
Potential benefit: If successful, the program could reduce urinary symptoms and inflammation and improve kidney-related health and quality of life after a 21-day course.
How similar studies have performed: Previous observational and non-randomized reports of balneotherapy and spa rehabilitation have shown symptom improvements in some urologic and nephrologic conditions, but high-quality randomized evidence remains limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male or female aged 40 to 70 years * Prescribed comprehensive spa care (KLP) for one of the following indications: recurrent and chronic non-tuberculous inflammation of the kidneys and urinary tract resistant to antibiotic and pharmacological treatment, with at least 12 months of continuous urological care (indication VIII/1); cystic kidney disease (indication VIII/1); nephrolithiasis without urinary tract obstruction or nephrocalcinosis (indication VIII/2); conditions after kidney or urinary tract surgery, including endovesical procedures, complicated prostatectomy, nephrolithotripsy, or recovery after extracorporeal shock wave lithotripsy (indication VIII/3); chronic prostatitis or chronic prostatovesiculitis resistant to pharmacological and antibiotic treatment, with at least 12 months of continuous urological care (indication VIII/4) * Able to walk from the sanatorium to the colonnade and back three times daily * Willing to follow the treatment plan * Signed informed consent Exclusion Criteria: * Contraindications according to Czech Decree No. 2/2015 Coll. on spa treatment criteria (pregnancy, acute illness, etc.) * Significant mobility limitation or severe neuropathy preventing daily walks to the colonnade * Significant obesity or inability to briefly hold breath (required for ultrasound examination) * Alcohol intake exceeding 20 g of ethanol per day * Nephrolithiasis with urinary tract obstruction * History of esophageal or gastric variceal bleeding * Severe comorbidities that could affect treatment outcomes * Active oncological disease * Unwillingness to adhere to the treatment plan
Where this trial is running
Mariánské Lázně, Carlsbad Region
- Léčebné lázně Mariánské Lázně a.s. — Mariánské Lázně, Carlsbad Region, Czechia (Recruiting)
Study contacts
- Study coordinator: Ondřej Vacek, Mgr.
- Email: vacek@i-lab.cz
- Phone: +420 603 934 414
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.