How is RIRS Performed? (A detailed Guide)

If you’re among the millions of people suffering from painful kidney stones, then you are likely to be looking for all possible ways to treat them. One the most innovative and efficient treatments used nowadays is Retrograde Intrarenal Surgery (RIRS) – an operation that provides a new approach to the treatment of kidney stones.

Unlike traditional methods, RIRS offers a more precise approach with significantly less discomfort and a faster recovery time. No more large incisions or lengthy hospital stays—just a quick, targeted solution to get you back on your feet sooner.

In this comprehensive guide, we’ll break down exactly how RIRS is performed, what sets it apart from other treatment options, and why it’s rapidly becoming the go-to procedure for kidney stone removal. If you’re seeking a safe, effective treatment with minimal downtime, this could be the answer you’ve been waiting for. Let’s explore how RIRS can offer you a smooth, successful path to relief.

What is RIRS Surgery?

Retrograde Intrarenal Surgery (RIRS) is a minimally invasive procedure used to treat kidney stones. Unlike traditional methods that require large incisions, RIRS is performed through a small tube inserted into the urinary tract, providing doctors with a direct path to the stones in the kidney.

The procedure involves using a specialized flexible scope (ureteroscope) to navigate through the urethra and bladder to the kidney. Once the stones are located, a laser is used to break them into smaller fragments that can easily be removed or passed naturally. Because of its minimal invasiveness, RIRS offers quicker recovery times, less pain, and a lower risk of complications compared to more invasive surgeries. It’s especially effective for stones located in difficult-to-reach areas of the kidney.

How is RIRS Performed?

Retrograde Intrarenal Surgery (RIRS) is a precise, minimally invasive procedure designed to remove kidney stones without the need for large incisions. Here’s a step-by-step look at how it’s performed:

  1. Preparation and Anesthesia

Before the procedure begins, you’ll be given general anesthesia to ensure you are completely relaxed and pain-free during the surgery. A catheter may be inserted into your bladder to help empty it prior to the procedure.

  1. Accessing the Kidney

The surgeon will begin by inserting a thin, flexible ureteroscope (a long, tube-like instrument with a camera) through the urethra and bladder. The scope is gently guided into the ureter, which is the tube that connects the bladder to the kidney.

  1. Locating the Stone

Using the camera at the tip of the ureteroscope, the surgeon can view the kidney and identify the stone or stones. This real-time imaging allows for precise navigation to the stone’s exact location, even in hard-to-reach areas.

  1. Fragmenting the Stone

Once the stone is located, the surgeon will use a laser fiber passed through the ureteroscope to break the stone into smaller fragments. This laser is highly effective in fragmenting the stone into tiny pieces that can either be removed or passed naturally through the urinary tract.

  1. Stone Removal

After the stone is broken down, the smaller fragments are either flushed out with saline or captured with a special tool and removed. In some cases, a small stent might be placed temporarily in the ureter to help with drainage and healing.

  1. Completion and Recovery

After the stones are removed, the ureteroscope is carefully withdrawn. The procedure typically takes 45 minutes to an hour, depending on the size and location of the stones. You’ll be monitored as the anesthesia wears off, and most patients are able to go home the same day or the following day.

Recovery and Aftercare

One of the key benefits of RIRS is the quick recovery time. While you may experience mild discomfort, such as frequent urination or a slight burning sensation, these symptoms usually subside within a few days. Most patients can resume their normal activities within a week, with follow-up appointments to ensure the kidney has healed properly.

RIRS offers a highly effective way to remove kidney stones, especially for those in difficult-to-reach locations, all while minimizing recovery time and risk.

Can RIRS remove all kidney stones?

RIRS is a highly effective procedure for treating most types of kidney stones, but it may not be suitable for every case. Whether or not RIRS is the right choice depends on several factors, including the size, type, and location of the stones.

Types of Stones Treated by RIRS

RIRS is commonly used to treat the following types of kidney stones:

  1. Calcium Oxalate Stones: These are the most common type of kidney stones. RIRS is highly effective at fragmenting and removing these stones, especially when they are located in difficult-to-reach parts of the kidney.
  2. Uric Acid Stones: RIRS is effective in treating uric acid stones, as the laser can break them into smaller pieces. Additionally, uric acid stones are often more brittle, making them easier to fragment with the laser.
  3. Struvite Stones: These stones, typically associated with urinary tract infections, can also be treated with RIRS. However, in some cases, they may be larger and more complex, requiring additional methods or follow-up procedures.

Limitations of RIRS

While RIRS can treat most kidney stones effectively, there are situations where it may not be the best option:

  1. Very Large Stones: Stones that are too large (generally over 2-3 cm) may be difficult to remove using RIRS alone. For very large stones, other procedures like percutaneous nephrolithotomy (PCNL) may be recommended, as it offers more direct access to the stones.
  2. Multiple or Complex Stones: If a patient has multiple stones or large stone burdens in both kidneys, RIRS may require more than one session or may not be as effective as other techniques.
  3. Stones with Hard Mineral Content: Some stones, like cystine stones, can be very hard and resistant to laser fragmentation. In such cases, additional treatments may be necessary.

Trust Dr. Deepanshu Gupta: Expert RIRS Surgery and Lasting Relief from Kidney Stones

When it comes to treating kidney stones, choosing the right surgeon can make all the difference. Dr. Deepanshu Gupta is a renowned urologist in Gurgaon for his expertise in performing Retrograde Intrarenal Surgery (RIRS), offering patients a safe, effective, and minimally invasive solution for kidney stone removal. With a focus on precision and patient care, Dr. Gupta ensures not only the successful removal of kidney stones but also a reduced risk of recurrence.

His advanced techniques, combined with his in-depth knowledge of kidney stone management, have earned him a trusted reputation for achieving lasting results. Whether you’re dealing with stubborn stones or looking for a solution to prevent future occurrences, Dr. Gupta’s personalized approach to RIRS surgery ensures the best possible outcomes for your kidney health. 

Choose expertise, choose Dr. Deepanshu Gupta, and take the first step towards a stone-free, healthier life.

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