A Child presents with complaints of abdominal colic and hematuria USG showed a renal stone 2.5cm in diameter in renal pelvis the next step in management of this case ?
Ans is 'b' i.e. PCNL Also know Steinstrasse - literally means 'stone street' - it is condition which follows the use of ESWL. - small pieces of fragmented calculi collect and obstruct in the distal ureter, like sand occluding a straw.
ESWL
PCNL
Nephroureterostomy
Conservative