Given that the PUSH trial found that interventions to increase fluid intake didn't actually reduce symptomatic stone recurrence, will this change the way you counsel patients on fluid intake for stone prevention?

Although the PUSH trial did not demonstrate the benefit of increasing fluids to prevent recurrent stone formation, a number of randomized, prospective trials plus my own clinical experience have validated the importance of increased fluid intake to reduce recurrent nephrolithiasis. All of the patien...

Still will ask the patient to drink at least 80 Oz of water and have urine output more than 2.5 liters.