What is RIRS (Retrograde Intrarenal Surgery)?
RIRS (Retrograde Intrarenal Surgery) is a modern, minimally invasive surgical procedure used to treat kidney stones located in the upper urinary tract, including the kidney and ureter. The procedure involves passing a flexible ureteroscope through the urethra and bladder, navigating up the ureter and into the kidney. Once the stone is located, it is fragmented using a laser and removed without any incision.
If you are struggling with kidney stones and are looking for a safe, effective, and less painful treatment, RIRS Treatment in Jaipur, Ashmay Clinic, is an ideal solution.
When these stones require surgical treatment, two common minimally invasive techniques are RIRS (Retrograde Intrarenal Surgery) and PCNL (Percutaneous Nephrolithotomy). Here's an overview of these procedures:
Retrograde Intrarenal Surgery (RIRS)
RIRS is a minimally invasive procedure to remove kidney stones by using a flexible ureteroscope passed through the urethra, bladder, and ureter into the kidney. The stone is fragmented using a laser (Holmium laser) and the fragments are removed.
Indications:
- Stones ≤ 2 cm in size.
- Stones are located in difficult-to-reach areas of the kidney (e.g., lower pole).
- Patients with a high risk of complications from open or percutaneous surgery.
- Failed extracorporeal shockwave lithotripsy (ESWL).
Procedure:
- Anesthesia: Typically performed under general or spinal anesthesia.
- A ureteroscope is inserted via the urethra and navigated to the kidney.
- A laser is used to break the stone into small fragments.
- The fragments are removed, or they may pass naturally after the procedure.
- A stent may be placed temporarily to ensure proper drainage.
Advantages:
- No external incisions.
- Short recovery time.
- Less blood loss and minimal post-operative pain.
Disadvantages:
- Not suitable for very large stones.
- Risk of infection or ureteral injury.
- May require multiple sessions for larger stones.
Percutaneous Nephrolithotomy (PCNL)
PCNL is a minimally invasive surgical technique used to remove larger kidney stones through a small incision in the back.
Indications:
- Stones > 2 cm in size.
- Staghorn calculi (branched stones filling the renal pelvis).
- Stones resistant to other treatments like RIRS or ESWL.
- Obstructive or symptomatic stones.
Procedure:
- Anesthesia: Typically performed under general anesthesia.
- A small incision is made in the back to access the kidney.
- A nephroscope is inserted through a tract into the kidney.
- The stone is fragmented using ultrasonic, pneumatic, or laser energy.
- Fragments are removed, and a nephrostomy tube may be left temporarily for drainage.
Advantages:
- Effective for large or complex stones.
- High stone clearance rate in a single session.
- Direct access to the stone.
Disadvantages:
- Requires a small incision.
- Slightly longer recovery time compared to RIRS.
- Risks include bleeding, infection, or injury to surrounding structures.
Comparison of RIRS and PCNL
Feature | RIRS | PCNL |
---|---|---|
Stone Size | ≤ 2 cm | > 2 cm |
Invasiveness | Non-invasive (no incision) | Minimally invasive (small incision) |
Recovery Time | Short | Moderate |
Stone Clearance | May require multiple sessions | High in one session |
Risks | Ureteral injury, infection | Bleeding, infection, organ injury |
Hospital Stay | 1 day | 2–3 days |
Choosing Between RIRS and PCNL
The choice depends on factors like:
- Stone size and location.
- Patient’s overall health and comorbidities.
- Surgeon’s expertise.
- Availability of equipment and facilities.
Post-Procedure Care
- Adequate hydration to flush out residual fragments.
- Medications to manage pain and prevent infections.
- Regular follow-ups, including imaging (ultrasound or CT), are required to check for residual stones.
If you’re considering treatment or want detailed insights into either procedure, consulting a urologist with expertise in stone management is essential.
Key Reasons to Choose Dr. Kaushik:
- Extensive experience in RIRS and other urological procedures
- State-of-the-art equipment and sterile surgical environment
- Personalized treatment plans with high success rates
- Minimal hospital stay and quick recovery time
- Comprehensive follow-up and aftercare
Advanced RIRS Treatment in Jaipur at Ashmay Clinic
At Ashmay Clinic, we specialize in delivering the most advanced RIRS treatment in Jaipur for patients suffering from kidney stones. Unlike traditional open surgeries, RIRS does not require incisions, ensuring a faster recovery and reduced post-operative discomfort.
Benefits of RIRS Kidney Stone Surgery:
- Minimally invasive and scar-free
- Ideal for stones in difficult-to-reach areas of the kidney
- Less bleeding and pain
- Faster return to normal activities
- Suitable for high-risk patients, including those with obesity or bleeding disorders
When Should You Consider RIRS?
You should consider consulting the Best Doctor for RIRS in Jaipur, Dr. Bhanu Kaushik, if:
- You have kidney stones that are not passing on their own
- ESWL (shock wave therapy) has failed
- Stones are larger than 2 cm or are located in challenging areas
- You experience frequent infections or obstruction due to stones
- You prefer a minimally invasive alternative to open surgery
Don’t delay! Early diagnosis and timely treatment can prevent serious complications like kidney damage or recurrent infections.
Best Urologists in Jaipur – Why Ashmay Clinic Stands Out?
Among the many urologists in Jaipur, Dr. Bhanu Kaushik at Ashmay Clinic stands out due to his patient-centered approach, surgical precision, and a strong reputation for treating complex urological conditions. Our clinic offers a wide range of services, including:
- Kidney stone management
- Laser stone removal
- Ureteroscopy
- Prostate treatments
- UTI treatment
- Male infertility solutions
With a modern facility and compassionate staff, Ashmay Clinic is recognized as a leading urology hospital in Jaipur.
If you're experiencing kidney stone symptoms or have been advised to undergo surgery, don't wait. Book a consultation with Dr. Bhanu Kaushik, the Best RIRS Doctor in Jaipur, at Ashmay Clinic and take the first step toward a pain-free life.