A 34yo man had a 4mm ureteric stone which he passed in urine. This time he presents withh
3cm stone in the right kidney. Single most appropriate treatment?
a. No treatment
b. ESWL
c. Laparotomy
d. Observe
e. Operative stone removal
answer: E
by operative stone removal they mean PCNL
kidney stones
may stent prior to ESWL if stone is 1.5-2.5 cm
ESWL if stone <2 cm
PCNL if stone >2 cm
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