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BACKGROUND Some, but not all, patients with primary hyperparathyroidism (PHPT) and kidney stone disease (KSD) are cured of their nephrolithiasis after parathyroidectomy. The goal of this study is to identify risk factors for recurrent KSD despite successful parathyroidectomy in known stone formers with PHPT. METHODS We conducted a single-center retrospective review of patients presenting to Urology clinic with KSD between 1/2008 and 7/2018, who were diagnosed with concurrent PHPT, and underwent definitive parathyroidectomy. Laboratory