Do Kidney Stones Cause Urinary Tract Infections?

Do Kidney Stones Cause Urinary Tract Infections?

It happens too often – sudden, sharp pain in your side or a burning sensation when you pee. Naturally, you wonder: did that kidney stone just lead to a UTI? Or was it the other way around? It’s a confusing and often painful puzzle. Do kidney stones cause urinary tract infections? Let’s take you through what happens and how to protect yourself.

What Are Kidney Stones and UTIs?

Kidney stones are tiny, hard mineral deposits—like sand or pebbles—forming in your kidneys when chemicals like calcium, oxalate, or uric acid concentrate too much in urine. They can be innocuous or excruciatingly painful, especially if they block a ureter.

UTIs, on the other hand, are infections caused by bacteria like E. coli entering your urinary tract—urethra, bladder, or kidneys – triggering pain, urgency, and burning. Women are more prone, but anyone can get a UTI.

How Kidney Stones Can Spark a UTI

How Kidney Stones Can Spark a UTI

1. Urine Backup & Bacterial Growth

Stones can block urine flow, leading to stagnant pockets where bacteria grow unchecked—an ideal breeding ground.

2. Irritated Urinary Lining

Sharp stones can scratch the urinary tract, break its protective barrier and let bacteria hitch a ride.

3. Infection-Forming Struvite Stones

Some bacteria release urease, turning urine alkaline and creating struvite stones—blurring the line between stone-caused UTI and UTI-caused stones.

Can UTIs Lead to Kidney Stones?

Yes. Recurrent UTIs, especially those involving urease-producing bacteria, can lead to infection stones like struvite. We’ve often encountered such cases at our department of Urology Care Samaritana. Studies show an overlap: 18–36% of stone cases come with UTIs and vice versa.

What the Data Tells Us

• A 19-year UK study tracked people with stones and found they were about 5.7 times more likely to have a UTI.
• Struvite stones, which are directly formed by UTIs, show up in 88% of infections with urease-positive bacteria.
• In Taiwan, 34% of pediatric stone cases had concurrent UTIs.

So yes – a stone may spark a UTI, and a UTI can foster a stone. It’s a frustrating cycle.

Why Treatment Often Involves Both

• Removing stones (like from ureteroscopy or shock-wave treatments) often clears persistent UTIs.
• Stones can hide bacteria, allowing infections to linger even after antibiotics.
• Treating stones AND UTIs together reduces recurrence and protects your kidneys.

Spot the Symptoms Early

Since kidney stones and UTIs share symptoms, it’s easy to get them mixed up!

SymptomCan Indicate Kidney StoneCan Indicate UTI
Sharp side or back painYesRare
Urgency or frequent urinationYesYes
Burning when peeingYesYes
Cloudy/smelly urineYesYes
Blood in urineYesSometimes
Fever/chillsPossible with stonesLikely, especially with UTI

If symptoms overlap, consult a doctor. Your care plan depends on accurate diagnosis—stone removal, antibiotics, or both.

Prevention & Relief

1. Stay Hydrated

Drinking plenty of water keeps urine diluted to reduce both stone formation and bacterial growth.

2. Diet Helps

Watch salt, sugar, and animal protein intake to prevent stones. Cranberry juice and good hygiene help lower UTI risk.

3. Treat UTIs Promptly

Early antibiotics stop infections before they lead to stones.

4. Follow-Up Care

For stones, doctors may analyze composition and recommend diet or medication. For UTIs, proper testing and full antibiotic courses matter.

5. Regular Checkups

Imaging tests and urine cultures help catch stones or infections before they escalate.

When to Call Your Doctor

Seek medical care if you experience,
• Severe flank pain or blood in urine
• Burning with urination, fever, chills
• Inability to urinate or unbearable pain

These could indicate blocked stones or serious UTIs. Timely action prevents infection spread and kidney damage.

The Bottom Line

So, do kidney stones cause urinary tract infections? Yes, kidney stones can lead to UTIs—especially if they block urine flow, damage the urinary tract, or form when infection-causing bacteria are present. UTIs can also spark struvite stones. Both conditions often go hand in hand, and treating them together brings better, longer-lasting relief. Protect yourself with hydration, healthy habits, early treatment, and medical guidance to break the cycle and keep your urinary system healthy. Contact our Urology department at Samaritana Medical Clinic Los Angeles to book an appointment with one of our urologists.

Must Read: What Is Pediatric Care? How It Differs from Regular Healthcare

Q1. Can kidney stones and UTIs happen at the same time?

A1. Yes, it’s possible to have both at once. A kidney stone can cause a blockage, leading to infection, while an untreated UTI can create conditions for certain stones to form. When both happen together, symptoms often feel worse and need urgent attention.

Q2. Do kidney stones always cause infections?

A2. Not always. Many kidney stones pass without any infection. But if a stone blocks urine flow or injures the urinary tract, bacteria can settle and cause a UTI. So, while not guaranteed, the risk is definitely higher.

Q3. Can antibiotics treat both UTIs and kidney stones?

A3. Antibiotics treat UTIs but don’t break down kidney stones. However, if a stone is infected, antibiotics are needed before removal to prevent complications. Stones usually need other treatments like surgery or shock wave therapy.

Q4. Are men or women more likely to get UTI from stones?

A4. Women are generally more prone to UTIs due to anatomy, but when it comes to kidney stones leading to infections, both genders are at risk—especially if the stones are large or block urine flow.

Q5. How can I tell if I have a kidney stone or just a UTI?

A5. Kidney stones cause sharp pain in the back or side, while UTIs usually bring burning and frequent urination. If you’re unsure, see a doctor—imaging and tests are the only way to know for sure.