Self-posturotherapy to clear leftover fragments after lower-pole kidney stone treatment

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults treated for lower calyx kidney stones (<15 mm) by extracorporeal lithotripsy (LEC) or retrograde flexible ureteroscopy (URSS) who have residual lower-pole fragments will be taught and asked to perform a self-posturotherapy positioning program at home. Patients with temporary JJ stents must have them removed before inclusion, and those with renal/ureteral malformations or physical limitations are excluded. The main outcome is the presence or absence of residual fragments at three months documented by imaging or endoscopy. The approach aims to mobilize and promote passage of fragments noninvasively to reduce the need for additional procedures.

Why it matters

Who can join: the full rules

pré Inclusion Criteria:

* Patient having read and signed the consent form for participation in the study • Patient candidate for an intervention on a lower calyx stone \<15mm by LEC or URSS

Patients meeting all of the following criteria may be definitively included in the study:

* Patient treated by LEC, or patient treated by URSS and for whom the presence of lower calyceal fragments has been observed by endoscopy
* Absence of JJ stent (patients for whom a JJ stent was implanted after URSS or before LEC may be included as soon as it is removed)

Exclusion Criteria:

* Patients presenting one of the following criteria will not be included in the study:

  * Renal or ureteral malformation: ureteral stenosis, pyelo-ureteral junction syndrome, horseshoe kidney, para calyceal diverticulum, pelvic kidney.
  * LEC session interrupted due to treatment intolerance
  * Physical disability making posturotherapy impossible (particularly spinal, etc.), morbid obesity, major gastroesophageal reflux, heart or respiratory failure.
  * Balance disorder which would not allow self-posturotherapy to be carried out alone.
  * Patient under legal protection, under guardianship or under curatorship
  * Posturotherapy carried out while wearing a JJ probe
  * Posturotherapy carried out by a third party (physiotherapist or other)
  * Pregnant or breastfeeding patient
  * Patient not affiliated to the French social security system
  * Impossibility of providing the subject with informed information and/or giving written informed consent: dementia, psychosis, disorders of consciousness, non-French speaking patient
  * Treatment that may modify the clearance of fragments (beta blocker, diuretic, etc.)
  * Patient included in another therapeutic study protocol

Where it's running

• Hôpital Edouard Herriot -
  Lyon, France Recruiting
• Clinique La Croix du Sud
  Quint-Fonsegrives, France Recruiting

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Mini‑PCNL versus flexible ureteroscopy with a suction sheath for 2–3 cm kidney stones

  This tests whether mini‑PCNL or flexible ureteroscopy with a suction sheath better clears 2–3 cm kidney stones and leads to fewer complications in adults.

  Recruiting Ain Shams University · Cairo · NCT07306819

• Evaluating a new patient position for kidney stone surgery

  This study is testing if a new way of positioning patients during kidney stone surgery can help them get rid of stones more effectively than the usual position.

  Recruiting Ain Shams University · Cairo, Abbassia, Cairo · NCT06860113

• Effect of surgical position on kidney stone removal success

  This study tests whether changing the way patients are positioned during kidney stone surgery can help doctors remove stones more successfully and with fewer complications.

  Recruiting Ondokuz Mayıs University · Samsun · NCT06809582

• Using 3D imaging to improve kidney stone surgery training

  This study is testing if using 3D imaging can help doctors learn to perform kidney stone surgery better for patients with larger stones.

  Recruiting Adiyaman University · Adıyaman · NCT06797466

• Improving kidney stone clearance after surgery with home exercises

  This study tests if doing specific exercises at home can help people pass kidney stones more easily after surgery.

  Recruiting Adiyaman University · Adıyaman · NCT06795256

• Exploring the link between kidney stones, insulin resistance, and inflammation

  This study is trying to see if people with kidney stones have more belly fat and inflammation compared to healthy individuals, to better understand how these factors are linked.

  Recruiting University of Chicago · Chicago, Illinois · NCT06436235

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.