RIRS is Retrograde Intra Renal Surgery that has emerged as the most reliable, safe, and efficient method among the recent technological developments in the management of renal stones. RIRS has emerged to be a prime method of treatment for kidney stones that are less than 2 cm and those stones that cannot be successfully treated with other methods. The reason behind the success of the RIRS application is that it fulfills the aim of a renal stone treatment to clear the stones completely with minimum morbidity. Flexible ureteroscopy, lithotripters, and holmium lasers are the tools that enable RIRS by urologist doctors to clear renal stones ensuring no trace of stones are left back in the kidneys. Overall, RIRS is a less invasive, effective, and feasible treatment for kidney stones with high success rates and fewer chances of any complications.
Who Can Benefit From RIRS?
The advent of RIRS has made it a prime strategy for the treatment of kidney stones that are smaller than 2cm and cannot be effectively treated by means of a combination of different strategies. RIRS can be particularly beneficial for people with kidney stones when
* Earlier attempts to remove renal stones have failed
* Size of the stone is huge
* There is a tumor in the kidney
* It occurs in a child
* There are draining issues
* Obesity is a problem
* Kidneys are anatomically complex
* Under anticoagulant medication
* Suffering from bleeding disorders
RIRS – Solid, Protected, and Proficient Technique
Before RIRS – In preparation for RIRS, tests, and scans to analyze the position of the stones, the general health conditions and response to anesthesia are conducted at a minimum of 2 weeks prior to scheduling the procedure. Kidney stone scan prices in Chennai are made affordable for better access to prompt diagnosis and treatment of kidney stones. Pre-operative stenting done 2 weeks before the procedure may be recommended to keep the ureters dilated and make it easier for the ureteroscope to enter the kidney. The patient is required to fast for at least 6 hours on the day of the actual procedure.
During RIRS – RIRS is an endoscopic surgery that eliminates kidney stones by reaching the kidney from the ureter. This technique needs the patient to be given spinal or general anesthesia after which the endoscope is embedded in the body through the urethra then into the kidney. The strategy of RIRS is to utilize a survey tube called a fiber optic endoscope and a Holmium laser fiber to treat kidney stones. An endoscope is a thin, flexible tube that reaches the bladder through the urethra and then deeper to the area of the kidney where urine is pocketed. Following this, the endoscope will identify stones and squash them by utilizing the laser or can likewise be physically taken out through forceps. With the enormous stone being eliminated, small sections of the stones are collected with stone containers. The advantage of stenting done before two weeks helps to make the recovery time smooth and fast. A stent may be placed in the kidney to improve seepage and patients are discharged on the next day after surgery. Duration of RIRS Surgery varies depending on the size of the stone. Large stones take longer, while average to normal-sized stones would take around an hour and a half for the procedure.
Further, the viability of the RIRS system has been upgraded by the progression and advancement in related tools like wires, ureteral access sheath, and stone containers.
After RIRS – The procedure once complete, a catheter usually placed to stay for a day or more in the urethra is to minimize the pain and discomfort while urinating. The patient is then shifted to a recuperation room for a 24-hour rest and observation. The patient has to drink plenty of liquids, water, in particular, to urinate a minimum quantity of 2.5 liters consistently. This would assist with flushing away contaminations. Considering that the patient is otherwise healthy and totally fit to continue normal activities, the patient may be discharged the following day of the medical procedure. The normal recovery time after an RIRS Surgery is usually a day and the patient can continue with work after a day’s rest. There are no cuts or stitches included in this technique, consequently allowing a quick recuperation time. A follow-up with the Specialist is always important and hence highly recommended.
Advantages of RIRS
RIRS being an endoscopic surgery performed through the natural orifice, is a very safe, efficient, and reliable method to remove kidney stones. The primary advantages of RIRS Surgery for kidney stones are:
* Being minimally Invasive with no incisions or cuts.
* It is a simple and quick procedure.
* No requirement for the patient to stay in the hospital for more than one day.
* The recovery time is fast.
* Negligible complications.
* No blood loss.
* No damage to renal tissue.
* Both kidneys if involved can be treated together.
* Can be applied similarly to both children and adults.
* The surgery is painless as it is done under anesthesia
Disadvantages of RIRS
A small section of patients with kidney stones larger than 20mm diameter or several small stones may not be suitable for RIRS. RIRS is not generally suggested as a careful choice of treatment especially for patients with pre-existing tubes or after experiencing urinary tract infections. Patients at high risk for complications may not get complete satisfaction from RIRS. These are not the ideal circumstances for RIRS and can be treated better through alternate strategies.
The fundamental aim of kidney stone treatment is to clear the stones totally with the least setbacks. RIRS is superior in terms of less complication, less morbidity, and good stone-free rate and has an advantage of one day of hospital stay and resuming duties soon after. This medical procedure is best performed by a urologist doctor with a specific aptitude in RIRS. Hence, a urologist with specialized expertise in RIRS is best suited to performing RIRS. Thus RIRS is the perfect option for large kidney stones to be cleared without open surgery.