TREATMENT

There is no directed treatment for MSK. Patients who experience nephrolithiasis should increase their water intake and may benefit from treatment with thiazides and potassium citrate. When stones occur, they are generally small and undergo spontaneous passage; however, an intervention such as ureteroscopy (Plate 10-33) or extracorporeal lithotripsy (Plate 10-12) may sometimes be required.

In general, the prognosis for patients with MSK is excellent. In rare cases, however, repeated episodes of nephrolithiasis or infection may lead to some degree of renal insufficiency.