RIRS ( Retro Grade Intra Renal Surgery )

RIRS:
Retrograde Intrarenal Surgery, commonly known as RIRS surgery is a Retrograde technique for extracting kidney stones. In this procedures Surgeons make the urethra the pathway to reach the Kidneys. It is a minimally invasive technique that involves no cuts or holes. The Surgeons use an optic endoscope to reach the kidneys and locate the stones and then use a laser to reduce
the stones or dust.This technique is generally used in cases of large or complex stones that lithotripsy can’t treat.RIRS surgery has high success rates and the risk of complications is close to zero.

PROCEDURES:

RIRS is performed in the following steps:
The patient is given anesthesia which keeps them sedated throughout the surgery.The doctor can use spinal or general anesthesia for this procedure based on patients preference. In next step,the Surgeons inserts an endoscope which is a long and flexible tube into the urethra to reach the urine collecting part of the kidneys.This is an x Ray guiding procedures and
the doctors can see the images externally on a screen. This allow the surgeon to perform the procedure with more precision.
The endoscope is then move upwards in retrograde towards the kidneys to locate the stones.Upon locating the stones the Surgeons use a laser probe to break the stones and reduce them into fine fragments.The broken fragments are then collected in a “stone basket” and ultimately extracted through the same passageway..

Double J stunting in RIRS:
The Surgeons may use double j stents ureteral stents placed in the ureter before or after the surgery.In some cases the Stents are placed before the surgery to dilate the ureter to allow the endoscope to pass easily during the procedures. In other cases,the stents is placed after the surgery for 7 to 10days to promote healing.

ADVANTAGES:
RIRS surgery is an advanced treatment technique for kidney stones with a high success rate. Listed below some common benefits for
RIRS surgery:

• It is a minimally invasive procedure that
  involves no cuts or stitches .
• The procedure is painless and doesn’t cause
  very little blood loss.
• The recovery is quick and hassle free.
• The patients can get back to their day to day
  lives within a couple of days.
• This technique causes no harm to the Renal
  tissue.
• The morbidity rate is very low.