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Kidney stone disease, also known as renal calculus disease, nephrolithiasis or urolithiasis, is a crystallopathy where a solid piece of material (renal calculus) develops in the urinary tract. [2] Renal calculi typically form in the kidney and leave the body in the urine stream. [2] A small calculus may pass without causing symptoms. [2]
[citation needed] A large "staghorn" kidney stone may block all or part of the renal pelvis. The size of the renal pelvis plays a major role in the grading of hydronephrosis. Normally, the anteroposterior diameter of the renal pelvis is less than 4 mm in fetuses up to 32 weeks of gestational age and 7 mm afterwards. [2]
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The renal calyces (sg. calyx) are conduits in the kidney through which urine passes. The minor calyces form a cup-shaped drain around the apex of the renal pyramids.Urine formed in the kidney passes through a renal papilla at the apex into the minor calyx; four or five minor calyces converge to form a major calyx through which urine passes into the renal pelvis (which in turn drains urine out ...
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A number of important medical conditions are caused by stones: [citation needed] Nephrolithiasis (kidney stones) Can cause hydronephrosis (swollen kidneys) and kidney failure; Can predispose to pyelonephritis (kidney infections) Can progress to urolithiasis; Urolithiasis (urinary bladder stones) Can progress to bladder outlet obstruction
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In pyeloscopy, the endoscope is designed to reach all the way to the renal pelvis (also called pyelum), thereby allowing visualisation of the entire drainage system of the kidney. [3] The endoscope can contain an instrument port which allows for introduction of laser fibres to fragment stones, and micro-baskets to retrieve stone fragments. [ 3 ]
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