Dr Mehdi Mirzazadeh, Consultant in Metabolic Medicine

Recurrent Kidney Stone Prevention in Guildford

Understand why kidney stones keep returning

If you have experienced kidney stones more than once, you may want more than treatment for the latest episode. Understanding the factors contributing to stone formation can help guide a personalised prevention plan.

Dr Mehdi Mirzazadeh, Consultant in Metabolic Medicine, offers specialist assessment and management of recurrent kidney stones at VR Private Clinics in Guildford.

He can review your medical history, previous stone analysis and investigation results, then advise on appropriate next steps.

Initial consultation £300 | Follow-up £225

Saturday appointments in central Guildford.

Tests, scans and medication are charged separately where required.

This service provides planned metabolic assessment and prevention advice. It does not provide emergency treatment, stone removal or lithotripsy.

Request a Kidney Stone Prevention Consultation

Is this consultation right for you?

A consultation may be helpful if:

You have had repeated episodes of kidney stones.
You have passed stones or undergone stone removal and want advice about preventing further episodes.
You have been advised to have a metabolic assessment.
Previous tests have identified a possible metabolic factor contributing to your stones.
You want help understanding stone analysis, blood results or urine test findings.
You would like a second opinion about an existing stone prevention plan.

If you currently have a stone being monitored or treated by a urologist, our team can check whether a metabolic consultation would complement your existing care

WhatsApp message our team - 01483 323 473
Book an Appointment >>

Why do kidney stones keep coming back?

Kidney stones can have different compositions and contributing factors. The most useful prevention advice depends on your individual history and findings.

A metabolic assessment looks at the way substances in your blood and urine may contribute to stone formation. It also considers relevant medical conditions, medicines, supplements, diet and fluid intake.

Where appropriate, identifying a contributing factor may allow more targeted advice or treatment.

An assessment cannot guarantee that you will never develop another stone. Its purpose is to investigate relevant factors and develop an informed approach to reducing recurrence risk.

What is a metabolic kidney stone assessment?

Bringing your history and results together

Dr Mirzazadeh will review the information available about your previous stone episodes and their treatment.

Depending on your circumstances, this may include:

How often stones have occurred.
Previous stone analysis reports.
Relevant ultrasound or CT scan reports.
Blood and urine test results.
Your medical and family history.
Current medicines and supplements.
Relevant dietary habits and usual fluid intake.

Further investigations may be recommended where they would help clarify your risk factors or guide management.

Not every patient needs the same tests. Your investigation plan will depend on your history and existing results.

Blood tests, urine tests and stone analysis

Investigations selected for your circumstances

If further assessment is appropriate, Dr Mirzazadeh may recommend blood tests, urine tests or review of stone composition.

Blood tests can help assess relevant factors such as kidney function and calcium metabolism. More detailed urine testing, including a timed collection, may be appropriate for selected patients.

If a previous stone has been analysed, the report can provide useful information. Please bring it if available.

Tests are not included in the consultation fee. Our team will explain arrangements and costs before you agree to proceed.

Please do not arrange additional tests or collect samples yourself unless advised to do so.

A personalised kidney stone prevention plan

Following assessment, Dr Mirzazadeh can explain the findings and discuss recommendations relevant to you.

Your plan may include:

Advice about fluid intake suited to your health needs.
Dietary guidance informed by your history and stone type, where known.
Review of medicines or supplements that may be relevant.
Treatment of identified metabolic abnormalities where appropriate.
Discussion of preventive medication when clinically suitable.
Advice on monitoring and follow-up.

Bring details of any existing dietary restrictions or fluid limits. Recommendations should take account of other medical conditions and advice you have already received.

Have you already had a stone removed?

Prevention advice after your immediate treatment

Removing or passing a stone addresses that episode, but you may still have questions about the likelihood of another stone.

A metabolic consultation can focus on factors contributing to recurrence and appropriate preventive measures.

It can complement your urology care. Any existing advice about remaining stones, obstruction, procedures or follow-up imaging should continue to be followed.

Metabolic medicine and urology: which service do you need?

This metabolic medicine clinic focuses on:

Investigating contributing metabolic factors.
Reviewing relevant blood, urine and stone analysis results.
Discussing prevention and medical management.

A urology service may be needed for:

Assessment of a stone requiring removal.
Procedures such as lithotripsy or surgery.
Management of obstruction or other structural urinary tract problems.

If you are unsure which service you need, contact our team before booking.

Book a Saturday Consultation

Meet Dr Mehdi Mirzazadeh

Consultant in Metabolic Medicine

Dr Mehdi Mirzazadeh has worked as a Consultant in Metabolic Medicine since 2013.

His expertise includes recurrent kidney stones, metabolic bone disorders such as osteoporosis, and high cholesterol and triglycerides, including inherited metabolic disorders.

He completed his training in Oxford, with collaborative subspecialty training in Cambridge and at University College London Hospitals. He holds an honorary senior lecturer post at St George’s, University of London.

Dr Mirzazadeh is an advisory member of the National Osteoporosis Guidance Group and Clinical Lead for Metabolic Bone Disease at Epsom and St Helier University Hospitals NHS Trust.

He also serves as an assessor for national clinical biochemistry quality assurance services, involving interpretation of blood tests relating to calcium and sodium metabolism, vitamin deficiencies including vitamin D, and hormones.

He is Director of the South West Thames Newborn Screening Services in London.

At VR Private Clinics, he offers personalised specialist assessment and management in central Guildford.

Preparing for your appointment

Please provide the following where available:

Letters from your urologist or previous specialists.
Reports from relevant CT or ultrasound scans.
Previous stone analysis reports.
Blood and urine test results.
A list of medicines and supplements.
Details of previous stone episodes and procedures.
Your existing prevention or monitoring plan.

You can still enquire if you do not have all these records. Our team will advise what information is needed before your consultation.

Consultation fees

Initial consultation £300

Follow-up consultation £225

Consultation fees do not include scans, blood tests, medication or other treatments. Additional costs will be explained before you agree to proceed.

Self-pay appointments

You can request an appointment without private medical insurance.

Using medical insurance

Please contact the clinic before booking so we can check the arrangements for your appointment. Your insurer may require a referral and authorisation, and cover must be confirmed for the appointment and location.

Book a Saturday Consultation

Saturday appointments in central Guildford

Consultations take place at:

VR Private Clinics
Balm Clinic
6 Market Street
Guildford
Surrey
GU1 4LB

Our central Guildford location welcomes patients from Guildford, Woking, Godalming, Farnham and surrounding Surrey towns and villages.

Saturday appointments are available by prior arrangement, with at least two days’ notice.

Please contact the team to request a date. Your appointment is confirmed once you receive confirmation from the clinic.

WhatsApp Message us or call: 01483 323 473

Email: info@vrprivateclinic.co.uk

Book Online

FAQ's

Who will I see?

You will see Dr Mehdi Mirzazadeh, Consultant in Metabolic Medicine, whose areas of expertise include recurrent kidney stones and disorders of calcium metabolism.

Can you help investigate why my kidney stones keep returning?

Dr Mirzazadeh can review your history and existing results, consider relevant metabolic factors and recommend further investigations where appropriate.

The findings can help guide a personalised prevention plan.

Do you remove kidney stones?

No. This service provides metabolic assessment, prevention advice and medical management where appropriate.

Stone removal, lithotripsy and surgical procedures require a urology service.

Can I attend after a kidney stone operation?

Yes. You can request an assessment focused on preventing further stones after your immediate treatment.

Please bring your urology letters, scan reports and any stone analysis results. Continue to follow your existing urology care plan.

Will I need a 24-hour urine collection?

Some patients may benefit from a timed urine collection, but it is not required for everyone.

Dr Mirzazadeh will advise whether it is appropriate and explain the arrangements. Please do not collect a sample before receiving instructions.

Are blood tests and urine tests included?

No. Tests and investigations are charged separately from the consultation. Any recommended tests and costs will be explained before you proceed.

Do I need a scan before the appointment?

Please provide any existing scan reports. You do not need to arrange a new scan yourself unless advised to do so.

If your symptoms need urgent investigation, seek medical advice promptly rather than waiting for this clinic.

Do I need a GP referral?

Contact our team and we will advise on the information required for your appointment.

If using insurance, check your insurer’s referral and authorisation requirements before attending.

How much does a consultation cost?

An initial consultation is £300. A follow-up consultation is £225.

Tests, scans, medication and other investigations or treatments are charged separately where required.

When are appointments available?

Dr Mirzazadeh offers Saturday consultations by prior arrangement. Please request an appointment at least two days in advance. The clinic will confirm availability and your booking.

Current kidney stone symptoms? Seek urgent advice

This Saturday clinic is for planned assessment and prevention.

If you have severe pain, fever or shivering, blood in your urine, or difficulty passing urine, seek urgent medical advice through an urgent GP appointment or NHS 111. Do not wait for a routine consultation.

Take the next step towards a prevention plan

If kidney stones keep returning, specialist assessment can help you understand the relevant factors and discuss what to do next.

Request an appointment with Dr Mehdi Mirzazadeh at VR Private Clinics in Guildford.