Kidney stone disease is a common urological condition that often requires surgical intervention for effective management, especially in cases where stones are large or symptomatic. Postoperative recovery plays a crucial role in preventing complications, promoting early return to normal activities, and reducing the risk of recurrence. This case study explores the effectiveness of structured postoperative exercise in enhancing recovery among patients who have undergone surgical treatment for kidney stones. The study focuses on a patient who was advised a planned regimen of mild to moderate physical exercises, including early ambulation, breathing exercises, and gradual mobility training, following surgery. Observations were made on parameters such as pain level, urinary flow, physical mobility, incidence of postoperative complications, and overall well-being. The findings indicate that the implementation of postoperative exercise contributed to improved circulation, reduced pain perception, enhanced urinary elimination, and faster functional recovery. Additionally, early mobilization helped in preventing complications such as urinary stasis, infection, and muscle stiffness. The results of this case study suggest that incorporating a structured exercise protocol as part of postoperative care can significantly improve patient outcomes after kidney stone surgery. It underscores the need to educate patients about engaging in safe and suitable physical activity during recovery. While the findings are based on a single case, the study still offers meaningful insights into how non-drug approaches can support postoperative care. Larger studies are needed in the future to confirm these results and to develop standardized exercise guidelines for use in clinical settings.

Keywords: Kidney stones, postoperative exercise, recovery outcomes, early ambulation, urological surgery

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1. Hallstrom A, Cobb L, Johnson E, Copass M. Cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation. N Engl J Med. 2000;342(21):1546–53. doi: 1056/ NEJM200005253422101.
2. Rea TD, Fahrenbruch C, Culley L, Donohoe RT, Hambly C, Innes J, et al. CPR with chest compression alone or with rescue breathing. N Engl J Med. 2010;363(5):423–33. doi: 1056/ NEJMoa0908993.
3. Svensson L, Bohm K, Castrèn M, Pettersson H, Engerström L, Herlitz J, et al. Compression-only CPR or standard CPR in out-of-hospital cardiac arrest. N Engl J Med. 2010;363(5):434–42. doi: 1056/NEJMoa0908991.
4. Khanna A, Fedrigon D 3rd, Monga M, Gao T, Schold J, Abouassaly R. Postoperative emergency department visits after urinary stone surgery: Variation based on surgical modality. J Endourol. 2020;34(1):93–8. doi: 1089/end.2019.0399.
5. Alwali A, Klar E, Kamaleddine I, Glass A, Leuchter M, Schafmayer C, et al. Effect of early removal of urinary catheter in patients undergoing abdominal and thoracic surgeries with continuous thoracic epidural analgesia on postoperative urinary retention. Visc Med. 2024;40(5):256–63. doi: 1159/000540740.
6. Liao J, Qi Z, Chen B, Lei P. Association between early ambulation exercise and short-term postoperative recovery after open transforaminal lumbar interbody fusion: A single center retrospective analysis. BMC Musculoskelet Disord. 2023;24(1):345. doi: 1186/s12891-023-06395-w.
7. Huang J, Shi Z, Duan FF, Fan MX, Yan S, Wei Y, et al. Benefits of early ambulation in elderly patients undergoing lumbar decompression and fusion surgery: A prospective cohort study. Orthop Surg. 2021;13(4):1319–26. doi: 1111/os.12953.
8. Shen D, Li X, Pan S, Li H, Wang J. Clinical efficacy of enhanced recovery after surgery in intervening patients with ureteral calculi complicated with infection and its impact on quality of life. Pak J Med Sci. 2025;41(10):2715–20. doi: 12669/pjms.41.10.11946.
9. Tazreean R, Nelson G, Twomey R. Early mobilization in enhanced recovery after surgery pathways: current evidence and recent advancements. J Comp Eff Res. 2022;11(2):121–9. doi: 2217/cer-2021-0258.
10. Licina A, Silvers A, Laughlin H, Russell J, Wan C. Pathway for enhanced recovery after spinal surgery-a systematic review of evidence for use of individual components. BMC Anesthesiol. 2021;21(1):74. doi: 1186/s12871-021-01281-1.

Kidney stone disease is a common urological condition that often requires surgical intervention for effective management, especially in cases where stones are large or symptomatic. Postoperative recovery plays a crucial role in preventing complications, promoting early return to normal activities, and reducing the risk of recurrence. This case study explores the effectiveness of structured postoperative exercise in enhancing recovery among patients who have undergone surgical treatment for kidney stones. The study focuses on a patient who was advised a planned regimen of mild to moderate physical exercises, including early ambulation, breathing exercises, and gradual mobility training, following surgery. Observations were made on parameters such as pain level, urinary flow, physical mobility, incidence of postoperative complications, and overall well-being. The findings indicate that the implementation of postoperative exercise contributed to improved circulation, reduced pain perception, enhanced urinary elimination, and faster functional recovery. Additionally, early mobilization helped in preventing complications such as urinary stasis, infection, and muscle stiffness. The results of this case study suggest that incorporating a structured exercise protocol as part of postoperative care can significantly improve patient outcomes after kidney stone surgery. It underscores the need to educate patients about engaging in safe and suitable physical activity during recovery. While the findings are based on a single case, the study still offers meaningful insights into how non-drug approaches can support postoperative care. Larger studies are needed in the future to confirm these results and to develop standardized exercise guidelines for use in clinical settings.

Keywords: Kidney stones, postoperative exercise, recovery outcomes, early ambulation, urological surgery

🔒 This is a subscription article

Full text is available to subscribers and institutional members. Please choose an option below to access it.

1. Hallstrom A, Cobb L, Johnson E, Copass M. Cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation. N Engl J Med. 2000;342(21):1546–53. doi: 1056/ NEJM200005253422101.
2. Rea TD, Fahrenbruch C, Culley L, Donohoe RT, Hambly C, Innes J, et al. CPR with chest compression alone or with rescue breathing. N Engl J Med. 2010;363(5):423–33. doi: 1056/ NEJMoa0908993.
3. Svensson L, Bohm K, Castrèn M, Pettersson H, Engerström L, Herlitz J, et al. Compression-only CPR or standard CPR in out-of-hospital cardiac arrest. N Engl J Med. 2010;363(5):434–42. doi: 1056/NEJMoa0908991.
4. Khanna A, Fedrigon D 3rd, Monga M, Gao T, Schold J, Abouassaly R. Postoperative emergency department visits after urinary stone surgery: Variation based on surgical modality. J Endourol. 2020;34(1):93–8. doi: 1089/end.2019.0399.
5. Alwali A, Klar E, Kamaleddine I, Glass A, Leuchter M, Schafmayer C, et al. Effect of early removal of urinary catheter in patients undergoing abdominal and thoracic surgeries with continuous thoracic epidural analgesia on postoperative urinary retention. Visc Med. 2024;40(5):256–63. doi: 1159/000540740.
6. Liao J, Qi Z, Chen B, Lei P. Association between early ambulation exercise and short-term postoperative recovery after open transforaminal lumbar interbody fusion: A single center retrospective analysis. BMC Musculoskelet Disord. 2023;24(1):345. doi: 1186/s12891-023-06395-w.
7. Huang J, Shi Z, Duan FF, Fan MX, Yan S, Wei Y, et al. Benefits of early ambulation in elderly patients undergoing lumbar decompression and fusion surgery: A prospective cohort study. Orthop Surg. 2021;13(4):1319–26. doi: 1111/os.12953.
8. Shen D, Li X, Pan S, Li H, Wang J. Clinical efficacy of enhanced recovery after surgery in intervening patients with ureteral calculi complicated with infection and its impact on quality of life. Pak J Med Sci. 2025;41(10):2715–20. doi: 12669/pjms.41.10.11946.
9. Tazreean R, Nelson G, Twomey R. Early mobilization in enhanced recovery after surgery pathways: current evidence and recent advancements. J Comp Eff Res. 2022;11(2):121–9. doi: 2217/cer-2021-0258.
10. Licina A, Silvers A, Laughlin H, Russell J, Wan C. Pathway for enhanced recovery after spinal surgery-a systematic review of evidence for use of individual components. BMC Anesthesiol. 2021;21(1):74. doi: 1186/s12871-021-01281-1.