Because allopurinol reduces uric acid rapidly, it may trigger an attack of gout in susceptible people. Patients should discuss the appropriate drug with their physician. Medications for Struvite Stones Eliminating Infection. Because the bacteria may hide within the stones, however, the stones themselves must be completely eliminated as well. Careful follow-up afterward, and testing urine for acidity is extremely important.
Acidic urine dissolves struvite stones.
Candidates for irrigation must have sterile urine and healthy kidney function. In surgical patients, irrigation is performed four or five days after the operation. The urinary tract is irrigated with saline for one to two days, and if there are no problems, the organic acid solution is administered for another one or two days until all stones are dissolved. The patient's urine should be tested on a regular basis to be sure that bacteria do not return. Acetohydroxamic acid blocks the enzymes released by the bacteria and has been beneficial in preventing stones even when bacteria are present.