Table 7.

Management of struvite stones.

EAU Recommendations	EAU Strength of Recommendation	AUA Recommendation	AUA Strength of Recommendation
Complete surgical removal Antibiotics if persistent bacteriuria Ammonium chloride for urinary acidification Methionine as an alternative for urinary acidification Acetohydroxamic acid may be an option for persistent bacterial colonisation	Strong Strong Weak Weak	Surgical removal, and, if surgical options exhausted, acetohydroxamic acid can be offered Monitor patients with urease-producing organisms for reinfection; prophylactic antibiotics may prevent recurrence	Option Expert opinion