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

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.