Ureteroscopy: Non-invasive Treatment for Kidney Stones
Procedure Name Retrograde Intrarenal Surgery (RIRS)
Surgery Type Minimally Invasive/Outpatient Procedure
Hospital Stay 1 day
Duration of Surgery 60-90 minutes
Type of Anesthesia General anesthesia, spinal anesthesia
Full Recovery 1 to 2 weeks
RIRS Retrograde Intrarenal Surgery in Hoshiarpur is a procedure used to remove kidney stones and treat other renal disorders in a minimally invasive manner.
The term “retrograde” relates to the manner in which the surgeon approaches the kidney during the surgery (in the opposite direction of the normal flow of urine – from the urinary tract to the kidneys). The term "intrarenal" refers to the fact that the surgery takes place inside the kidney.
In this surgery, a fiber-optic endoscope, which is a tube with a camera and light source, is inserted through the urinary tract opening called the urethra into the bladder. It travels via the ureter (the tube that connects the bladder to the kidneys) to the urine-collecting part of the kidney, where it can access the stones present.
A laser fiber probe (commonly Holmium: YAG laser) breaks down (powders) the kidney stones. The larger ones are broken down into smaller fragments and removed with either forceps or other advanced instruments like stone baskets. Incredibly small particles are washed out with urine or saline irrigation.
In some cases, a stent is used to improve drainage, which may be inserted before or after surgery. Retrograde intrarenal surgery (RIRS) in Hoshiarpur with stent placement is an advanced procedure performed by a urologist or someone with clinical expertise in the procedure of RIRS.
RIRS is the preferred surgical option for the treatment of kidney stones that have a size of less than 2 cm and cannot be successfully treated via other methods.
It is efficient and reliable in its use as it does not require open surgery or making any incisions on the kidney to remove the kidney stones. RIRS combines the ideal principles of ureteroscopy (examination of the upper urinary tract with a lighted viewing scope) and lithotripsy (use of shock waves to break up kidney stones) with a holmium laser (efficient for all stones with any composition) for ensuring complete removal of stones with minimal postoperative complications (retrograde intrarenal surgery with laser lithotripsy).
This procedure is used as the go-to technique in a variety of cases such as:
Fragmentation: Here, the fragments produced are removed with a stone basket - a nitinol retrieval instrument.
Dusting: Here, energy is used to reduce the stone to fine dust and fragments smaller than 2 mm in diameter that will later pass via urine.
Popcorn Effect: This is used after fragmentation to produce smaller pieces. Forceps and other advanced equipment like stone baskets can also be used to remove the fragments.
If the double J stents are placed in the ureter after the surgery, they are kept there for 7-10 days to promote healing.
Complications or risks associated with this intrarenal surgery are fairly uncommon and occur only in very few cases. Risks include:
For kidney stones RIRS is a great procedure. However, despite the many indications and advantages of RIRS, it may not be a suitable surgical option if the size of the renal stones is more than 20 mm in diameter or when several small stones are present. In such cases, kidney stones can be treated better through a different method.
Everyone desires a simple and feasible treatment for their ailments, and RIRS certainly shines as a beacon of hope in the case of kidney stones as it is a reliable and safe surgical option.
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Yes, to prevent any recurrence of stone formation in the kidney, some food restriction is required. This includes consuming a healthy diet, limiting animal protein, limiting oxalate-rich foods, reducing sodium consumption as well as getting the right amount of calcium through food.
Ureteroscopic lithotripsy (URSL) is considered for lower ureteric stones when the stone size is 10-15 mm or less. While laparoscopy is needed with a stone size above 15 mm, retrograde intrarenal surgery (RIRS) procedure is kept for proximal ureteric stones or stones in your kidney.
Typically, it takes one day of complete rest after the surgery. You can resume your day-to-day activities the next day. However, it may be affected based on your medical history and post-surgery response to treatment.
The surgery does not cause any pain or discomfort because it is performed under anesthesia. Moreover, there are no cuts or stitches involved. There can only be mild pain/discomfort later due to the stent being inserted. However, this too is manageable.
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