This page covers the clinical management of kidney stones classified as infection (struvite) stones — a distinct stone type arising in the setting of urease-producing bacterial infection.
Infection stones contain minerals such as struvite and/or carbonate apatite and/or ammonium urate. These stones may form de novo or may develop on pre-existing stones that have become infected with urea-splitting bacteria. The presence of urease-producing organisms plays a central role in the formation and growth of this stone type.
Management centres on surgical intervention to remove stone material as completely as possible. Antibiotic therapy may also be part of the approach depending on the bacteriological picture. An additional adjunctive technique targeting the stone itself may be considered in selected cases.