Highlights ■ Understanding the composition of urinary calculi is essential for guiding long-term treatment strategies. ■ This is the first study to correlate clinical data with crystallographic analysis of urinary stones. ■ Clinical criteria allow for a high likelihood of accurately identifying stone composition. ■ Clinical findings can serve as valuable tools for guiding treatment decisions. ABSTRACT Objective: This study aimed to evaluate whether clinical, laboratory, and radiological data could effectively identify struvite stones without the need for crystallographic analysis. […]