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 Integra=Honda Civic sedan and coupe. Acura TL=Honda Accord. Acura's have the same engines and chassis, but the Acura engines are tuned to give more power. Europe does not have Acura, that is why I said in Europe only for the Honda Legend.