The primary treatments are to alkalinize (citrate or
bicarbonate) and dilute (large water intake) the urine.
Sodium urate is 15 times more soluble than uric acid. At a urine pH of 6.8, 10 times as much sodium urate as uric acid is present. At a urine pH of 7.8, 100 times as much urate as uric acid is present"
"Surgical treatments may include ureteroscopic stone extraction, percutaneous nephrolithotomy, open stone surgery, and extracorporal shock wave lithotripsy.