Guideline Video

Guideline Resources

  • Medical Management of Kidney Stones
  • American Urological Association
  • July 30, 2026
  • Summary
  • Full-text

Video Transcription

Just published July 30th, 2026, the American Urological Association’s newest guideline on Medical Management of Kidney Stones.

This guideline provides evidence-based recommendations for the diagnosis, treatment, prevention, and follow-up of kidney stones in both adult and pediatric patients.

In today’s rapid update, we’ll just be going over a summary of key recommendations so for the full guideline, make sure to check it out on guidelinecentral.com

Let’s get started. 

  • Urinary volume of 2.5 L or 85 oz daily via water should be encouraged in adults with a history of calcium-based stones.
  • Directed dietary advice, based on the patient’s existing diet and metabolic testing, may be offered to adult patients with recurrent calcium-based stones.
  • Thiazide or a thiazide-like diuretic should be offered to adults with recurrent calcium-based kidney stones who have relatively high or high urinary calcium. 
  • Alkali therapy may be recommended to adult patients with recurrent calcium oxalate kidney stones to reduce the risk of recurrence.
  • Alkali therapy may be recommended to pediatric patients with calcium stones to reduce the risk of recurrence.
  • Allopurinol may be offered to adult patients with recurrent calcium oxalate stones and relatively high or high urinary uric acid.
  • Alkali therapy and/or thiazides may be offered to adult patients with recurrent calcium-based stones who have no detectable abnormalities on metabolic testing.
  • Clinicians may offer acetohydroxamic acid to adult patients with struvite stones not amenable to surgical removal.
  • Adults with kidney stones may be recommended to limit soft drink consumption.
  • In the absence of urine chemistry, empiric preventative pharmacotherapy may be offered to adult patients with recurrent kidney stones of unknown composition.

And there you have it. Make sure to check out the full guideline from the American Urological Association and other related clinical decision support tools at guidelinecentral.com.

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