Urolithiasis is a complex process that results from a succession of several physicochemical events including super saturation, nucleation, growth, aggregation, and retention within the urinary tract. It is a disease known from ancient times, and is a problem that has confronted clinicians since the time of Hippocrates, and many family physicians have extensive experience in its clinical management. Urinary tract stones are common more so in men and among Asian especially in warm climates, Medical therapy has been used for many years in the prevention of urinary stones. Medications directed at correcting urinary metabolic abnormalities responsible for promoting stone formation. In addition, intake of citrate-rich juices, such as lemonade, may help to reduce urinary stone formation. This review also summarized the updated clinical management in terms of specific and surgical measures.