In brief: Nephrolithotomy. While smaller kidneys stones can often be passed, staghorn stones often form in the calyces or conduit between the kidney and the ureters. These are considered complicated stones and often will require percutaneous (through the skin) nephrolithotomy by a urologist. In brief: Nephrolithotomy. While smaller kidneys stones can often be passed, staghorn stones often form in the calyces or conduit between the kidney and the ureters.
Acura is made by the Honda (Japan) car manufacturer. I drive an Acura 3.2 TL Type S. It's the best handling peppy car I have owned to date. It is very responsive to all inputs from the driver. The Acura TL is comparable to a 3-series BMW.
Acura's flagship car is the RL. In the Japanese market, the RL is sold as the Honda Legend, which refers to the Acura Legend, a launch vehicle that helped cement Acura's place in the American luxury market. The RL and Japanese Honda Legend are built in Saitama, Japan.