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Surgery Kidney & Ureturs 950eef13

Management of 4 cm size renal staghorn calculus.

A
Extracorporeal shock wave lithotripsy (ESWL)
B
Percutaneous nephrolithotomy (PCNL)
C
Pyeloplasty
D
Open pyelolithotomy
High-Yield Explanation
ANS. B* Management of renal calculi* Stones <6 mm--conservative treatment* Stones from 6 mm to 2 cm: ESWL* Stones >2 cm: PCNL* For stones at lower renal calyx: Do PCNL* For staghorn calculi: ESWL+PCNL (Sandwich technique)Shapes of urinary stonesLeucine stones--spherical-shapedTyrosine stones--needle-shaped

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