What Is Metabolic Medical Management for Kidney Stones?

Metabolic Medical Management - On the road to keeping you 100% stone free

The passing or surgical removal of a kidney stone is just one part in the journey to becoming stone free, especially for patients who are more prone to developing recurrent stones. Dr. Julio Davalos is passionate about keeping his patients 100% stone free for the long term, which combines surgical intervention, comprehensive medical management and patient education and prevention. 


Davalos and nurseOur metabolic medical management program is a combination of comprehensive medical management, patient education and prevention. 

Dr. Davalos and the stone disease specialists at Chesapeake Urology are committed to keeping you stone free for the long term. This means that our specialists won't just see you when you have a stone and need treatment, but will see you at regular intervals after the removal of a stone to help you follow a comprehensive treatment and stone disease prevention plan that is designed to minimize the recurrence of stones.  

Managing your stone disease includes:

  • Regular testing and a thorough medical evaluation including blood work and 24-hour urine collection.
  • Annual medical exams to ensure your body is not producing more kidney stones. This may include imaging of your kidneys via X-ray, ultrasound or CT scan.
  • Changes to diet that can help prevent stones from forming in the future.
  • Adding medications that help reduce kidney stone formation. 



For Dr. Davalos, understanding why you're producing stones is important to developing a personalized plan of care to keep you stone free. Metabolic evaluations are a vital component to a well designed kidney stone prevention plan. This series of diagnostic tests helps determine causes of your stone disease. The metabolic work up includes several key components:

  1. A 24-hour urine test. Patients are provided a collection jug and are required to urinate in the jug for a full 24 hours. The urine is then analyzed for higher than normal levels of calcium, uric acid, protein, urinary sodium and other indicators of kidney stones.

  2. Blood work can show increased levels of minerals such as uric acid and calcium that lead to kidney stone formation.

  3. Crystal analysis (when a kidney stone or fragment of the stone is available) helps your urologist determine the type of stone your body formed. This can aid in the development of a prevention plan including changes to diet. 

Results from the metabolic evaluation often yield a diagnosis such as dehydration, low urinary citrate or elevated levels of urinary sodium or protein. Understanding the factors that caused your body to produce kidney stones ultimately helps Dr. Davalos map out a comprehensive treatment and prevention plan for your long term health. 

Learn More About Kidney Stone Prevention.