Abstract
Stone has received more attention than any other lesion of the kidney; however, certain conservative methods are retained which often result in the destruction of the kidney harboring the stone, and certain benign operations are continued which, in spite of being popularized for their simplicity and safety, favor the recurrence of stone. This paper reviews seventy-four cases of renal calculi removed by surgical intervention or cystoscopic maneuvers. Silent, quiescent, nonobstructing calculi unaccompanied by infection were untreated and are not included. The etiologic role of congenital deformity, stasis and infection is carefully studied and correction emphasized. The pathologic effects of stone, pyelonephritis, ulcerative necrosis, renal abscess, perinephric abscess and hydronephrosis are thoughtfully considered. These pathologic processes progressively destroy the kidney and emphasize the necessity of early recognition and removal of stone. Several cases presenting the so-called nonsurgical coralform type of stone are reported in which fragments broke off and passed into
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