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Perineal lithotomy was the operation performed prior to the advent of lithotriptors.
Lithotriptors

Stone disease has existed since ancient times. During the Middle Ages, lithotomy—the practice of "cutting for the stone"—flourished in Europe, but while the practice seems barbaric in today's world, it paved the way for modern-day stone treatment. Read a detailed history of stone treatment.

The evolution of lithotomy and stone treatment has been vast. The Didusch Center's collection of instruments for stone removal clearly illustrates how far medicine has evolved in treating this painful disorder. The collection ranges from medieval stone knives to modern-day treatments.

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