The data presented herein documenting an increase in
the incidence of metabolic calculi in patients with NB due to
SCI or MM emphasize the importance of obtaining a stone
analysis for all patients undergoing a stone removal proce-
dure. If a metabolically derived stone is identified, the pa-
tient should be offered further metabolic evaluation.
Properly selected medical and dietary therapy, when based
on data obtained from a metabolic evaluation, can attenuate
stone activity