Spot news from European Association of Urology EAU24 Congress
5-8 April 2024
Counseling high-risk stone formers:
Standard recommendations to avoid developing another stone are to:
increase your fluid intake and avoid dehydration;
moderate salt and animal protein intake;
ensure a good daily intake of fruit and vegetables, with a focus on lemons, limes, oranges and melons; and
ensure regular calcium intake with meals, either as dairy or as a calcium powder supplement.
In addition, to further reduce risk of recurrent stone formation, consider:
daily vitamin B6 supplementation; and
daily potassium citrate.
Spot urine biochemistry analysis tests are unreliable, and 12-hour (6pm-6am) urine chemistry is more reliable and convenient than 24-hour collections to look for an underlying biochemical abnormality causing recurrent kidney stones.