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Getting the stone out is only half the job

If you've formed one kidney stone, you're at real risk of forming another. The other half of good stone care is keeping the next one from happening.

Recurrence is common — and largely preventable

Kidney stones recur at meaningful rates. Across long-term studies, roughly 1 in 3 calcium-stone formers and around half of uric-acid, struvite, and brushite stone formers will have another symptomatic stone within a decade without preventive care. The encouraging part: much of that risk is modifiable once we understand why you're forming stones.

How we work out your stone risk

  • Stone analysis. Whenever possible we analyze a passed or retrieved fragment — knowing the exact composition shapes everything that follows.
  • 24-hour urine metabolic evaluation. This measures the chemistry that drives stone formation — calcium, oxalate, citrate, uric acid, volume, and pH — and reveals your specific risk factors.
  • Targeted dietary guidance. Fluid intake, sodium, oxalate, and protein all matter, and the right advice depends on your stone type and urine chemistry — not generic rules.
  • Tailored therapy when appropriate. Depending on findings, that can range from urine alkalinization for uric acid stones to specific medications or supplementation matched to your metabolic profile.

A longevity-minded approach to prevention

Stone prevention is really a window into your broader metabolic health — the same factors that drive stones (diet, hydration, metabolic syndrome) intersect with long-term wellness. For patients who want to go deeper on the metabolic and preventive side, this connects naturally to the precision, prevention-focused work at UroLongevity.

Stop the cycle of recurring stones

After we treat your stone, we can build you a prevention plan grounded in your own stone analysis and urine chemistry — not guesswork.

Selected references

  1. Long-term symptomatic recurrence rates by stone composition (population cohort data).

Stone specialists, from pain relief to prevention

Had a kidney stone before? Get a follow-up plan.

We offer ultrasound follow-up every six months to a year for people with a stone history, adjusted to their risk and prior findings. Earlier checks or other imaging may be needed for symptoms or suspected obstruction.

Find stones early. Decide together.

Finding a stone before a painful episode gives us time to discuss monitoring or treatment. We may treat a suitable stone before it passes, but not every small, symptom-free stone needs a procedure.

Diet counseling

We review fluid intake, salt, dietary calcium and other food choices according to your stone type and urine results. Prevention is personalized; one restrictive diet does not fit every stone former.

Stone analysis

If you pass or collect a stone, ask our team how to bring it for laboratory analysis. Its composition helps guide your prevention plan.

24-hour urine testing

When appropriate, a timed urine collection checks urine volume and stone-forming substances. We use the results to tailor diet, hydration and medication when needed, then reassess the plan.

Urgent stone-pain assessment and relief

For appropriate patients, we can provide IV ketorolac (Toradol) for acute stone pain after assessing kidney function, hydration, bleeding risk and other contraindications. It can provide temporary relief while we evaluate the stone and plan care; response varies.

Kidney and ureteral stones: a comfort-focused plan

We assess both kidney and ureteral stones. For eligible ESWL patients, our goal is effective treatment with minimal discomfort and no stent when safely possible. Anesthesia and pain control are individualized; some patients still need a stent, another procedure or hospital care.

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