Medical management of calcium oxalate urolithiasis.

Dietary modifications and medical therapy can reduce the risk of urinary stone formation. Using the described stepwise approach, the medical management of stone disease should become a less daunting task for physicians. Unfortunately, the optimal medical and dietary management of urolithiasis remains uncertain and recurrent stone disease remains a significant cause of morbidity. Approaches to diagnosis and medical management have improved considerably in the last decade and it is hoped that well-designed studies in the near future will help further optimize management.