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Cystine Stone Disease - Cystinuria


Treatment & Monitoring

What are the treatments for the disease?

The goals of treatment for cystinuria are primarily pain relief and prevention of kidney stones. Recommendations may include:

  • pain medications
  • drinking large amounts of water to dilute the cystine and reduce stone formation
  • sodium bicarbonate or medications such as acetazolamide to reduce stone formation
  • medications to bind cystine and reduce the amount available for stone formation
  • ultrasound treatments to break stones apart and help them pass along the urinary tract
  • surgery to remove larger stones
  • dialysis or kidney transplant if the person develops kidney failure
  • What are the side effects of the treatments?

    Side effects vary, depending on the treatments used. All medications have side effects, including allergic reactions to the medication. Surgery carries a risk of bleeding, infection, or allergic reaction to the anesthesia.

    What happens after treatment for the disease?

    Even after kidney stones have been successfully treated, new stones may form.

    How is the disease monitored?

    Periodic kidney function tests will be done to detect early signs of kidney failure in a person with cystinuria. Any new or worsening symptoms should be reported to the healthcare provider.


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