Systematic follow-up of patients with recurrent nephrolithiasis: A guide for the practising urologist

Abstract

Recurrence is common in stone disease. In the past, urologists attempted to prevent recurrence by correcting anatomic defects, restoring good urinary drainage and treating concomitant infections. An improved understanding of the basic underlying pathophysiology of nephrolithiasis allows the urologist to incorporate a basic screening and therapy programme for the recurrent stone-former in his post-therapy management of the patient. The practising urologist struggling against time in a busy outpatient service or office practice can always liaise with a local laboratory and a nephrologist with similar interests. In the majority of cases he can then provide his patients with suitable guidelines for therapy and monitoring their progress under therapy.