Effectiveness of Self-posturotherapy on the Elimination of Residual Fragments After Treatment of Lower Calyx Urinary Stones by Extracorporeal Lithotripsy or Retrograde Flexible Ureteroscopy.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: SELF POSTUROTHERAPIE.
- Who it may be relevant to
- Registry conditions: Stone, Kidney. Basic parameters: 18 years — 70 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The main objective of this study is to evaluate the effectiveness of an auto posturotherapy technique on the RFS at three months of patients treated for lower calyceal urinary stones by extracorporeal lithotripsy (ECL) or retrograde flexible ureteroscopy.
Interventions
- Behavioral SELF POSTUROTHERAPIE
a simplified posturotherapy protocol that can be carried out by the patient himself. This protocol is based on the same principles as posturotherapy carried out by a physiotherapist by combining inclined positioning, percussion and diuresis.
Primary outcome measures
- stone free rate [Time frame: 3 month]
Eligibility criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Supportive care
Study locations
France · 2 centers
- Hôpital Edouard Herriot - — Lyon
- Clinique La Croix du Sud — Quint-Fonsegrives
Identifiers
NCT: NCT06793540 · 2023-06-024-ALMERAS(ALUR) · 2024-A02267-40