“…Metabolic predispositions that highly contribute to urinary stone formation include disorders like idiopathic hypercalciuria, primary hyperparathyroidism, Cushing's syndrome, primary hyperoxaluria, hyperuricosuria, cystinuria and hyperchloremic metabolic acidosis [121] . Miscellaneous risk factors include obesity as high body mass index (BMI) is known to be associated with high urinary oxalate, calcium and uric acid levels [126] ; diabetes mellitus, which is known to promote formation of uric acid stones [127] ; family history of urolithiasis [118,128] ; UTI that induce formation of struvite stones; chronic consumption of drugs like triamterene, ceftriaxone, topiramate, indinavir and probenecid that eventually lead to the formation of drug stones; genetic disorders like xanthinuria, primary hyper oxaluria and idiopathic renal hyperuricosuria; structural aberration of the urinary system like that in polycystic kidney disease and medullary spongy kidney that are generally associated with urinary stasis [121] ; hot climatic conditions that cause dehydration and perspiration, ultimately leading to highly supersaturated low volume urine that again promotes stone formation [129][130][131] .…”