Retrograde Intra Renal Surgery | Kidney surgery in Haryana and Rajasthan

Retrograde Intra Renal Surgery (RIRS) is a minimally invasive surgical procedure that is used to treat kidney stones and other urinary tract abnormalities. It involves using a flexible ureteroscope, which is inserted into the urethra and passed through the bladder and up into the kidney. The procedure allows the surgeon to visualize and remove kidney stones or other obstructions without making any incisions.

RIRS is becoming an increasingly popular method of kidney stone removal due to its low morbidity rate and high success rate. In this article, we will discuss RIRS in detail, including the procedure, benefits, and risks.

The procedure of Retrograde Intra Renal Surgery

RIRS is performed using a flexible ureteroscope, which is inserted through the urethra and into the urinary tract. The ureteroscope allows the surgeon to see inside the urinary tract and use small instruments to remove kidney stones or perform other procedures. In Indian hospitals, the procedure of RIRS typically involves the following steps:

• Pre-operative preparation: Before the surgery, the patient will be asked to fast for several hours to empty the bladder and bowels. The patient will also undergo a series of diagnostic tests, such as a CT scan or ultrasound, to determine the location and size of the kidney stone.
• Anesthesia: RIRS is generally performed under general anesthesia, which means the patient will be asleep during the procedure. In some cases, local anesthesia may be used instead.
• Insertion of the ureteroscope: The surgeon will insert a highly flexible ureteroscope into the bladder through the urethra. From there, the scope will be guided up into the ureter and kidney.
• Stone removal: Once the scope is in place, the surgeon will use small instruments to cut the kidney stone and remove the pieces. If the stone is too large to remove in one piece, the surgeon may use a laser to break it up into smaller fragments.
• Stent placement: In some cases, the surgeon may place a small plastic tube called a stent in the ureter to help urine drain from the kidney. The stent is usually removed a few weeks after the procedure.
• Post-operative care: After the procedure, the patient will be monitored in the hospital for several hours to ensure that there are no complications. Pain medication and antibiotics may be prescribed to help manage pain and prevent infection. The patient will typically be able to resume normal activities within a few days to a week.

The entire procedure typically takes between 60 and 90 minutes.

Benefits of RIRS kidney surgery

RIRS offers several benefits over traditional kidney stone removal surgeries. Retrograde Intrarenal Surgery (RIRS) is a minimally invasive surgical procedure used to treat stones, tumors, and other abnormalities in the kidney and ureter. This procedure uses a small fiberoptic endoscope to visualize the inside of the kidney and ureter, and specialized instruments to remove the stones or abnormal tissue.The benefits of RIRS include:

• Minimally invasive: RIRS is a minimally invasive procedure that is performed through the natural opening of the urinary tract, so there is no need for incisions or large surgical wounds. This reduces the risk of bleeding, infection, and scarring, and allows for faster recovery time and less post-operative pain.
• High success rate: High success rate for treating kidney stones, with a reported success rate of up to 96%. This is because the endoscope provides a clear view of the stones or abnormal tissue, allowing for precise removal without damaging surrounding tissue.
• Reduced risk of complications: Lower risk of complications compared to other surgical procedures such as open surgery or percutaneous nephrolithotomy (PCNL). The risk of bleeding, infection, and damage to surrounding organs is minimized due to the minimally invasive nature of the procedure.
• Shorter hospital stay: RIRS is an outpatient procedure, which means that most patients can go home the same day or the next day. This reduces the cost of hospitalization and allows patients to return to their normal activities sooner.
• Effective for complex cases: RIRS is effective for treating complex cases such as large stones or stones that are located in difficult-to-reach areas of the kidney. This is because the endoscope can access all areas of the kidney and ureter, allowing for precise removal of the stones or abnormal tissue.

Risks associated with RIRS Kidney operation

As with any medical procedure, RIRS comes with a certain degree of risk, which can include the following:

• Bleeding: RIRS involves the use of a laser to break up kidney stones or other obstructions in the urinary tract. While this is generally a safe and effective procedure, there is always a risk of bleeding during or after the surgery.
• Infection: Any time the body is opened up or a medical instrument is introduced, there is a risk of infection. RIRS is no exception, and patients may be given antibiotics before and after the procedure to prevent infection.
• Perforation: In rare cases, the RIRS kidney operation can puncture the wall of the urinary tract, leading to a condition known as perforation. This can cause severe pain and may require additional surgery to repair.
• Ureteral stricture: In some cases, RIRS can lead to narrowing of the ureter, which is the tube that carries urine from the kidney to the bladder. This can cause urinary problems and may require additional treatment.
• Stent-related complications: After RIRS, a small tube called a stent may be placed in the ureter to help drain urine from the kidney. Stent-related complications can include pain, infection, and blockage.

It's important to note that these risks are relatively rare, and many patients undergo RIRS without experiencing any complications. Your doctor will be able to provide you with more information about the specific risks and benefits of the procedure based on your individual medical history and circumstances.

Kidney Surgery in Haryana and Rajasthan

Rajasthan and Haryana are developing cities in the North region of India. But since the people here are fascinated with spicy foods and are at high risks of Kidney stones.

There are several Specialized Kidney hospitals in Haryana, Rajasthan and one of the top of these is SS kidney and urology hospital in Haryana that offer RIRS as a treatment option for kidney stones and other urinary tract abnormalities. If you are considering kidney surgery there, it is important to choose a hospital with experienced surgeons and state-of-the-art equipment. You should also consider the hospital's reputation for patient care and post-operative support.