Bilan métabolique et prise en charge médicale de la lithiase : une mise au point du CLAFU

This text summarizes the CLAFU first-line screening guidelines for renal stone disease patients. We have focused on the useful information provided by renal stone analysis and also the identification of relevant stone risk factors detected in a 24-hour urine collection. Indeed, evaluation of water, sodium and protein intake may be easily achieved in a current clinical setting and allows a useful pedagogic tool for patients' advices and follow-up: daily diuresis above 2000 mL, calcium intake between 800 mg and 1 g/day, a moderate daily sodium and proteins restricted diet (< 9 g and < 1.2 g/kg per day respectively). General therapeutical principles are reviewed, including circumstances requiring specialized management.