# Potassium Sodium Hydrogen Citrate in Managing Surgical Candidates With Urinary Stones: A Case Series

## TL;DR

A non-invasive treatment using potassium sodium hydrogen citrate successfully dissolved kidney stones in five patients, avoiding surgery in Saudi Arabia.

## Contribution

Demonstrates the efficacy of potassium sodium hydrogen citrate as a non-surgical treatment for kidney stones in high-risk patients.

## Key findings

- Potassium sodium hydrogen citrate dissolved kidney stones in five patients without surgery.
- The treatment prevented stone recurrence and improved patient outcomes.
- Adoption of this therapy could reduce reliance on invasive procedures in Saudi Arabia.

## Abstract

Kidney stone disease is highly prevalent in Saudi Arabia, where conventional treatments often involve invasive procedures that carry significant risks. This case series examines the efficacy of potassium sodium hydrogen citrate as a non-invasive alternative for managing kidney stones. Five patients with complex medical histories, large stone sizes, and diverse stone compositions were treated with this therapy, resulting in complete stone dissolution without the need for surgical intervention. The findings highlight the potential of this approach to effectively dissolve stones and prevent recurrence, particularly for patients deemed unsuitable for surgery. Despite its proven efficacy, the adoption of chemical management remains underutilized in Saudi Arabia. Incorporating potassium sodium hydrogen citrate into the standard treatment protocols could reduce dependence on invasive procedures, improve patient outcomes, and alleviate the burden on healthcare resources.