Nephrolithotomy is the surgical removal of a nephrolith through an incision in the back.
These procedures are treatments for kidney stones that are used in patients with large or irregularly shaped kidney stones, people with infections, stones that have not been broken up enough by SWL (extracorporeal shock wave lithotripsy) or those who are not candidates for another common stone treatment, ureteroscopy.
Stones bigger than 2 cm (the size of a marble) require this procedure.
Procedures involve entering the kidney through a small incision in the back. Once the surgeon gets to the kidney, a nephroscope (a miniature fiberoptic camera) , threaded in through the hole.
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