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Retrograde Intrarenal Surgery
Retrograde Intrarenal Surgery (RIRS) is a procedure for doing surgery within the kidney by accessing the kidney from the natural urinary passage.
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Overview
In this procedure, a flexible telescope is used to access each part of the kidney from within. With the help of Holmium laser, the stones are broken into fine particles and removed.
This procedure is preferably done under general anaesthesia.
Preoperative Intravenous Urogram(IVU) is done to check the location of the stone and confirm the functioning of the kidney. Other blood tests and work up to assess fitness for operation are done preoperatively.
Indications:
- Renal stones 10-20 mm in size
- Tumors
- diagnostic to check for cause of blood in urine
This procedure is of great advantage to patients with bleeding diathesis, morbid obesity, malrotated/malpositioned kidney, horse shoe kidney, and calculus (<1.5 cm) in unfavorable lower calyx.
Advantages:
- Decreased morbidity/pain compared to PCNL/Mini perc
- Decreased risk of bleeding
- Earlier recovery
Complications:
- Infection/sepsis
- Sub-capsular Haematoma
- Residual insignificant fragments
- inability to pass scope into kidney due to tight lower ureter. In such cases, DJ stenting is done so that ureter gets dilated and RIRS is done after 7-10 days.
Services and treatment offered include
Laparoscopic Cholecystectomy
Laparoscopic Appendectomy
Frequently Asked Questions
Health Care Plans
Our doctors include highly qualified male and female practitioners who come from a range of backgrounds and bring with a diversity of skills and special interests. Our administration and support staff all have exceptional people skills and trained to assist you with all medical enquiries.
- Review your medical records.
- Check and test blood pressure.
- Run tests such as blood tests.
- Check and test lung function.
- Narrowing of the arteries.
- Other specialized tests.
24 hrs Emergency Facility
If you need an emergency appointment call on the following numbers for emergency service.