Effect of Comprehensive Spa Care on Kidney and Urological Conditions: A Clinical Study in Adult Patients

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