Kidney stone disease is a common problem in primary care practice. Bulgaria is endemic region and the number of people in need of treatment is growing. Patients may present with the classic symptoms of renal colic and hematuria. Some patients may be asymptomatic or have atypical symptoms such as vague abdominal pain, while others will have more typical symptoms, such as acute flank pain, nausea, urinary urgency or frequency, fever, or testicular pain. Drug treatment of urolithiasis is directly dependent on the chemical composition of the stone and very rarely the desired release of the stone is achieved. Approximately 20 to 30 percent of all kidney stones require surgical removal, which is determined based upon the presence of symptoms and the size and location of the stones. This article presents the effectiveness of the treatment of large kidney stones with minimally invasive percutaneous nephrolithotomy combined with disposable aspiration access shaft.
 

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