Staghorn calculi – causes and treatment. Brad Weaver 8/19/08. Struvite stones. Composed of magnesium ammonium phosphate “triple phosphate” crystals Precipitate at alkaline pH created by urease producing bacteria such as Proteus or Klebsiella Urease
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Urea 2NH3 + CO2
NH3 + H20 NH4+ + OH-
J Urol 1995 May;153(5):1403-7