Recurrent nephrolithiasis: Cystinuria

Prevention of recurrent calcium nephrolithiasis

Calcium-containing renal calculi are the most common stone type in reported series and recur in 26–53% of patients over a 10 year period. Because of this tendency, interventions aimed at reducing or preventing recurrence are an important strategy for reducing the morbidity associated with stone disease. This guideline uses an evidence-based review of the published literature with the purpose of...

Preventing recurrent nephrolithiasis in adults.

Prevention of recurrent calcium nephrolithiasis

Calcium-containing renal calculi are the most common stone type in reported series and recur in 26–53% of patients over a 10 year period. Because of this tendency, interventions aimed at reducing or preventing recurrence are an important strategy for reducing the morbidity associated with stone disease. This guideline uses an evidence-based review of the published literature with the purpose of...

Dietary and medical management of recurrent nephrolithiasis.

Dietary approaches and medical treatment can prevent recurrence of urinary stones. Some interventions are appropriate for all types of stones, but there are particular risk factors that may need directed therapy.

A young man presenting with recurrent nephrolithiasis

A male patient, born in 1990, first presented with a kidney stone when he was 10 years old, but the stone had passed spontaneously, and no further testing was done at that time. At the age of 20, he presented with a second episode of renal colic. Proteinuria and microscopic haematuria were also noticed, for which he was referred to a nephrologist. On examination, he was a lean young man with no...