Usually means: Surgical incision into the kidney.
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We found 7 dictionaries that define the word pyelotomy:

General (3 matching dictionaries)
  1. pyelotomy: Dictionary.com
  2. pyelotomy: Wiktionary
  3. pyelotomy: Wordnik

Medicine (4 matching dictionaries)
  1. pyelotomy: Merriam-Webster Medical Dictionary
  2. Dorland's Illustrated Medical Dictionary (No longer online)
  3. online medical dictionary (No longer online)
  4. pyelotomy: Medical dictionary

Definitions from Wiktionary (pyelotomy)

noun:  (surgery) incision into the renal pelvis of a kidney

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