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Cystine in Urine (Quantitative, 24-Hour Collection)

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of cystine, a rare amino acid, in your urine over a 24-hour period. It helps diagnose conditions like cystinuria, where the body fails to properly absorb cystine.

Quick summary

["Cystinuria is a genetic disorder that can lead to kidney stones if untreated."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
25155-3
Short code
Cystine Cry #/area UrnS HPF
Synonyms
Cystine Cry #/area UrnS HPF
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
microscopy-light-hpf
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your doctor may recommend this test if you have symptoms like frequent kidney stones, pain in your back or side, nausea, or unexplained weight loss. It’s also used to monitor people with a known history of cystinuria or kidney stones caused by cystine.

What to Expect Before the Test

You’ll need to collect all urine for a full 24-hour period. Start by emptying your bladder completely at the beginning of the collection period (e.g., 8:00 AM). Store all urine in a clean container, adding fresh urine every time you urinate. Bring the entire collection to your doctor’s office or lab.

What Happens During the Test

No special preparation is needed beyond the urine collection. The lab will analyze the sample for cystine levels using a specialized method, such as high-performance liquid chromatography (HPLC).

What the Results Mean

High levels of cystine in urine strongly suggest cystinuria. Your doctor will compare your results to known reference ranges for this condition and discuss potential next steps, such as dietary changes or medications.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated cystine levels confirm cystinuria, a genetic disorder that can cause recurrent kidney stones. Early diagnosis allows for treatment to reduce stone formation, improve kidney function, and prevent complications like chronic kidney disease.

Frequently asked questions

What causes cystine to build up in urine?
Cystine builds up in urine due to cystinuria, a genetic disorder that prevents your kidneys from properly reabsorbing cystine. This leads to excess cystine being excreted in urine, increasing the risk of kidney stones.
How is cystinuria diagnosed besides this test?
Diagnosis often includes genetic testing to confirm the cystinuria gene mutations. Imaging tests (like ultrasounds or CT scans) may also be used to identify kidney stones or structural kidney issues.
Can diet help manage cystine levels?
Yes, a low-cystine diet (avoiding high-protein foods like meat, dairy, and legumes) can help reduce cystine excretion. Your doctor may also prescribe medications like penicillamine to bind cystine and prevent stone formation.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy