CUA guideline on the evaluation and medical management of the kidney stone patient - 2016 update

Abstract

For patients at risk of recurrent renal stones, a detailed medical evaluation and an individualized approach to dietary and pharmacological prevention are important aspects of their care. The frequency of followup and the need for repeat metabolic testing is not clearly defined in the literature and must, therefore, also be individualized. In patients where specific medical prophylaxis has been prescribed, reevaluations with repeat metabolic testing within six months and yearly thereafter to monitor treatment efficacy and side effects are recommended.15 Periodic imaging is also recommended for those harbouring small asymptomatic stones. Urologists, in addition to providing state-of-the-art surgical care to our patients, should be capable of providing up-todate metabolic assessment and optimal prevention strategies as part of a comprehensive approach to stone management.