Calculus of 26 mm size in pelvis which is obstructive and reports suggestive of hydronephrosis
Treatment of choice is PCNL
HOWEVER investigation required for surgery
CBC
Renal profile
Pt/INR
Urine routine
CT IVU
Next Steps
there is no conservative options for such a large stone
Health Tips
if there is infections might require DJ stenting or PCN prior to surgery