Doctors for RIRS in Hyderabad

A minimally invasive treatment called retrograde intrarenal surgery (RIRS) is used to remove kidney stones. A small incision is made near the kidney stone, and an endoscope—a thin, illuminated tube—is inserted to perform this treatment. Once the endoscope is in place, the surgeon uses specialized equipment to break the stone into smaller pieces. This process is known as fragmentation and is done in order to make the removal of the stone easier. Unlike other kidney stone removal procedures, RIRS surgery does not require any incisions in the abdomen or back. This makes it a less invasive option that typically results in less pain and a shorter recovery time for the patient. In addition, the procedure has a high success rate in removing kidney stones and reducing the likelihood of their recurrence.

There are several different types of RIRS surgery, each with their own unique benefits and considerations. Here is a detailed overview of the various types of RIRS surgeries available to patients;

• Standard RIRS: This is the most common type of RIRS surgery and involves the use of a standard-sized endoscope. To view the kidney stone, an endoscope is placed through a small incision close to it. The stone is then fragmented using specialized equipment and removed in small pieces.
• Miniaturized RIRS: This type of RIRS surgery utilizes a smaller endoscope than the standard RIRS. The smaller size of the endoscope allows for greater maneuverability and access to smaller or more difficult to reach stones.
• Micro-perc RIRS: Micro-perc RIRS involves the use of a specialized instrument known as a micro-perc to create a small incision in the kidney. This allows for the insertion of a smaller endoscope and specialized equipment to remove the stone.
• Ultra-miniaturized RIRS: This is the most recent addition to the RIRS family and involves the use of an ultra-miniaturized endoscope. This type of RIRS surgery is particularly useful for accessing very small or hard-to-reach stones in the kidney.

By conducting a thorough evaluation and using advanced diagnostic techniques, the surgeon can tailor a treatment plan that best suits the patient’s needs and ensures a successful RIRS procedure. Here are the various diagnostic tests that are typically conducted before RIRS surgery, including;

• X-Rays: X-rays are a common diagnostic tool used to detect the presence of kidney stones. Patients will be asked to remain motionless on a table during the X-ray as a technician obtains pictures of their pelvis and abdomen.
• Abdominal Ultrasound: High-frequency sound waves are used in abdominal ultrasonography to provide images of the interior of the body. The size and location of kidney stones can be determined with the aid of this test.
• Magnetic Resonance Imaging (MRI): A diagnostic imaging technique called an MRI produces precise images of the body using magnetic fields and radio waves. Any underlying issues that might be causing kidney stones to occur can be found with the help of this test.
• Blood Test: Blood tests are routinely conducted prior to RIRS surgery to assess overall health and to identify any potential complications or risks associated with the procedure.
• Urinalysis: Urinalysis is a laboratory test that is used to detect the presence of blood, protein, and other substances in the urine. This test can help to identify any underlying conditions that may be contributing to the formation of kidney stones.

Kidney stones can be removed surgically by a procedure called retrograde intrarenal surgery, or RIRS. The procedure typically lasts between 60 to 90 minutes and requires a one-day stay at the hospital. To ensure that patients are comfortable throughout the surgery, general or spinal anesthetic is administered to them before the procedure. This method has advantages over regular surgery, including a shorter recovery period and less risksHere is a detailed overview of how RIRS is performed;

• Step 1: Anesthesia
• The first step in RIRS surgery is to administer anesthesia to the patient. This can be done either through general anesthesia or spinal anesthesia, depending on the patient's medical history and overall health.
• Step 2: Insertion of the Endoscope
• Once the patient is anesthetized, the urologist will insert a small, flexible endoscope through the urethra and bladder, and into the ureter. The endoscope is equipped with a small camera that provides a clear view of the kidney and any stones that may be present.
• Step 3: Breaking Up the Kidney Stones
• Once the endoscope is in place, the urologist will use specialized equipment, such as a laser or ultrasound, to break up the kidney stones into smaller, more manageable pieces. These pieces are then removed using a small basket that is attached to the endoscope.
• Step 4: Removing the Stones
• Once all the kidney stone pieces have been removed, the endoscope is removed from the patient. The stones are sent to a lab for analysis to determine their composition and to guide future preventative measures.
• Step 5: Recovery
• After the RIRS procedure, the patient is monitored for any complications and given pain medication as needed. Most patients are able to return home that same day and resume their regular routines within a few days.

RIRS is less intrusive than conventional surgical techniques and provides a number of advantages that can considerably enhance a patient's quality of life. Here are some of the key benefits of RIRS;

• Minimal discomfort: RIRS is a minimally invasive procedure that uses a small endoscope to remove kidney stones. As a result, patients experience minimal discomfort during and after the procedure.
• Quick recovery time: RIRS has a quicker recovery period than conventional surgical techniques. Within a few days of the treatment, the majority of patients are able to resume their regular activities.
• Reduced risk of complications: In comparison to conventional surgical techniques, RIRS has a decreased risk of consequences including bleeding and infection because it is minimally intrusive.
• High success rates: RIRS has a high success rate in the removal of kidney stones, with a success rate of over 90%.
• No incisions: Unlike traditional surgical methods, RIRS does not require any incisions. As a result, there are no scars and there is no longer any chance of complications from incisions.
• High precision: RIRS is performed using a small endoscope, which allows for high precision and accuracy in the removal of kidney stones.

Retrograde intrarenal surgery (RIRS) is a low-risk operation. Here are some of the most common side effects associated with RIRS;

• Urinary tract infection (UTI): UTIs are a common side effect of any surgical procedure that involves the urinary tract. Taking antibiotics both before and after the procedure can lower the risk of getting a UTI.
• Bleeding: During the surgery, there could be some bleeding, but it's normally not serious and doesn't need extra treatment.
• Pain: Patients may experience some discomfort or pain in the lower abdomen or back after the procedure. Painkillers can normally be used to control this.
• Ureteral stricture: In rare cases, RIRS can cause scarring of the ureter, which can lead to a narrowing of the tube. This can cause pain and discomfort and may require additional treatment.
• Perforation: Although rare, there is a small risk of perforation or puncture of the kidney or ureter during the procedure. This can cause serious complications and may require further surgery to repair.
• Adverse reaction to anesthesia: Like all surgeries, RIRS requires general or spinal anesthesia, which can cause side effects such as nausea, vomiting, and allergic reactions in some patients.

​​After undergoing Retrograde Intrarenal Surgery (RIRS), patients should expect to take some time to recover fully. The patient's age, general health, and the scope of the operation can all affect how long it takes to recuperate. Patients can typically return to their regular activities a few days to a week after the surgery. Here is a detailed overview of how to recover after Retrograde Intrarenal Surgery;

• Pain management: After RIRS, patients may experience some discomfort, such as mild pain and discomfort, during urination. The urologist may prescribe pain medication to manage these symptoms.
• Fluid intake: It is essential to drink plenty of fluids, preferably water, to flush out any remaining stone fragments and prevent dehydration. Drinking enough water also lowers the chance of infection.
• Physical activity: After the procedure, patients should refrain from engaging in any vigorous physical activity for at least a few days. Walking is recommended as a light exercise to promote healing and prevent blood clots.
• Follow-up appointments: The urologist will schedule a follow-up appointment to monitor the recovery progress and to check for any potential complications. It is crucial to attend these appointments and to follow any additional care instructions provided by the urologist to ensure a successful recovery.