Retrograde Intrarenal Surgery (RIRS) is a cutting-edge medical procedure used for the removal of kidney stones. Unlike traditional open surgeries, RIRS is minimally invasive, ensuring a quicker recovery and fewer complications.
Who Needs RIRS?
RIRS may be recommended in the following cases:
- When other methods to address kidney stones have failed
- Large kidney stones exceeding 20 mm in diameter
- Kidney tumors
- Kidney strictures
- Pediatric kidney stones
- Bleeding disorders
- Gross obesity
Pre-Operative and Surgery Day Expectations
- Before the surgery, you can anticipate:
- Pre-anesthetic Checkup: A checkup to ensure you are fit for anesthesia.
- Medical History and Tests: A review of your medical history and various tests, such as ultrasounds and imaging scans.
- Fasting: You will be required to fast for at least six hours before the surgery.
The RIRS Procedure
A fiberoptic endoscope, a thin and flexible tube with a small camera, is inserted through the urethra to access the kidney’s collecting system.
The endoscope’s camera allows the surgeon to identify kidney stones.
A Holmium laser is employed to break down or manipulate the stones.
Stone fragments are collected using a stone basket and then removed from the body.
The endoscope is removed, excess fluid is drained from the kidney, and no incisions are required.
Recovery and Post-Operative Care
You will be monitored closely in the recovery room.
A urine catheter may be placed to ease urination.
Expect to rest for 24 hours, although early discharge may be possible for some patients.
At home:
- Consume a fiber-rich diet and avoid foods that can lead to constipation.
- Drink 8-10 liters of water daily.
- You may receive pain relievers and mild laxatives as prescribed.
- Reduce alcohol and caffeinated beverage consumption.
- Avoid strenuous activities and heavy lifting for at least a month.
Benefits of RIRS
- Minimally invasive
- Simple and quick
- Less painful
- Shorter recovery time
- Minimal bleeding
- Less risk of renal tissue damage
Retrograde Intrarenal Surgery (RIRS) is an advanced and less invasive option for managing kidney stones. Always consult with your doctor for personalized advice and guidance on the best treatment options for your specific condition.
