RIRS Surgery: A Revolutionary Kidney Stone Treatment by YNB Health Care

Retrograde Intrarenal Surgery (RIRS) is a minimally invasive surgical technique to treat kidney stones. Unlike conventional methods, RIRS uses the natural urinary pathway to access and treat kidney stones without any cuts or stitches.

This procedure involves an advanced optic endoscope that reaches the kidneys to locate stones and a laser probe that reduces them into fine fragments or dust. RIRS is particularly effective for treating large or complex kidney stones that are difficult to address through lithotripsy. With high success rates, minimal risks, and a quick recovery period, RIRS is a preferred option for patients looking for effective kidney stone treatment.

What Happens During RIRS Surgery?

1. Diagnostic Tests and Preparation

Before RIRS surgery, a series of diagnostic tests are performed to evaluate the size, location, and nature of kidney stones and assess the patient’s overall health. These tests include:

• Imaging Tests: KUB X-ray, abdominal ultrasound, or MRI to locate stones accurately.
• Blood Urea Nitrogen (BUN) Test: To check kidney function.
• Blood Tests and Urinalysis: To rule out infections and assess overall health.

Proper preparation for RIRS surgery is vital for a seamless experience:

• Consultation: Discuss the procedure, potential risks, and recovery timeline with your doctor.
• Medication and Allergies: Inform the doctor about current medications and any known allergies to anesthesia.
• Lifestyle Adjustments: Refrain from smoking at least two weeks before surgery.
• Fasting: Avoid eating or drinking for 8-9 hours before the procedure.

2. The RIRS Procedure

RIRS is a painless procedure performed under general or spinal anesthesia. Here's how it works:

1. Endoscope Insertion: A long, flexible tube with a camera is inserted into the urethra and guided upwards toward the kidney.
2. Stone Localization: Using real-time imaging on an external screen, the surgeon precisely locates the stones.
3. Laser Treatment: A laser probe is used to fragment the stones into smaller pieces or dust.
4. Stone Removal: Fragments are collected in a ‘stone basket’ and removed through the same passage.

In some cases, a Double J (DJ) stent is placed in the ureter to facilitate stone removal or promote healing post-surgery. The stent is typically removed within 7-10 days.

Recovery and Aftercare Post-RIRS Surgery

Recovery after RIRS is quick, and patients can resume daily activities within 1-2 days. However, adhering to aftercare instructions is essential for a smooth recovery:

1. Hydration: Drink plenty of water to flush out remaining stone fragments.
2. Dietary Adjustments: Avoid spicy foods and reduce animal protein intake. Consume high-fiber foods.
3. Physical Activity: Avoid strenuous activities but stay moderately active.
4. Monitoring Symptoms: Watch for signs like fever, severe pain, or blood in urine, and contact your doctor if they occur.

Benefits of RIRS Surgery

1. Minimally Invasive: No cuts or stitches, reducing the risk of complications.
2. Painless Procedure: Performed under anesthesia with minimal postoperative discomfort.
3. Quick Recovery: Patients can return to normal activities within days.
4. High Success Rate: Effectively treats large and complex kidney stones.
5. Low Morbidity: Preserves renal tissue and ensures minimal risks.