The sampling is done with the patient in lithotomy position. Earle was renowned for his surgery skills, particularly in lithotomy. Clover's crutch was a device for maintaining the patient in the lithotomy position. Known for his work in lithotomy, especially using the suprapubic method. The patient is in a lithotomy position during the procedure. Paulus' description of lithotomy closely follows that of Celsus. Treatment by surgical removal (lithotomy) was a procedure many failed to survive. He developed an instrument for lithotomy, the "Gorgeret cystotome". He attained great success as an operator, especially in lithotomy. The woman is placed in the lithotomy position and assists throughout the process by pushing. New techniques in lithotomy began to emerge starting in 1520, but the operation remained risky. He had a reputation, especially in lithotomy, for which he always used Cline's gorget. The lithotomy position is also known to cause stress on the lower extremities. Lithotomy was a fairly common procedure in the past, and there were specialized lithotomists.