Patient Positioning for Ureter Stones

This trial tests two different body positions during surgery to determine which one makes the procedure for treating ureteral stones quicker and easier. The Reverse Trendelenburg Position aims to treat the stones in their current location, while the T-Tilt Position moves the stones into the kidney for treatment. The trial focuses on reducing the time needed to complete the surgery. Individuals with kidney stones larger than 1 cm or multiple stones scheduled for a specific type of surgery might be suitable for this study. As an unphased trial, it offers participants the chance to contribute to innovative surgical techniques that could enhance future procedures.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Research has shown that the Reverse Trendelenburg position during kidney stone procedures is generally safe for patients. Studies have found that this position helps prevent stones from moving to harder-to-reach areas, making the procedure quicker and more effective.

In terms of safety, the Reverse Trendelenburg position is well-tolerated. A review of multiple studies found a success rate of up to 94.3% for treating stones, indicating both effectiveness and safety for patients.

Researchers are excited about this trial because it explores innovative patient positioning techniques for managing ureter stones. Unlike standard treatments that typically involve medication or surgery to remove or break down stones, this trial investigates how different body positions during ureteroscopic lithotripsy might reduce complications. The Reverse Trendelenburg Position aims to minimize the migration of stones by altering the angle of the body, while the T-Tilt Position seeks to relocate stones into the kidney for potentially easier removal. By experimenting with these positions, researchers hope to improve the effectiveness and safety of ureter stone treatment.

In this trial, participants will assume one of two positions during ureteroscopic procedures. Research has shown that the Reverse Trendelenburg position can prevent kidney stones from migrating within the ureter, potentially shortening surgery time and reducing the need for additional treatments. Conversely, the T-Tilt position involves intentionally moving the stone into the kidney before performing intrarenal lithotripsy, aiding in stone clearance. Both methods aim to expedite the procedure and enhance success by addressing different challenges in stone removal.¹³⁶⁷⁸