Why RIRS Is a Game-Changer for Kidney Stone Removal

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As we are all aware, there are different types of kidney stones of various sizes, like calcium, cystine, uric acid, and struvite stones, due to their formation. Depending upon the size and location, the doctor starts prescribing different treatment options, from nonsurgical to the use of laparoscopy to remove stones. Out of all the treatments available for kidney stones, Retrograde Intrarenal Surgery (RIRS) guarantees to be reliable and advanced kidney stone laser surgery. If your doctor suggested RIRS, you must understand the procedure properly to help you make informed decisions about your well-being.

Now let’s understand in simple words about RIRS: What is RIRS surgery for kidney stones? When is it required? What size of stone requires surgery? How is the surgery performed? What are the tips for post-surgery? Etc.

What is RIRS?

Retrograde intrarenal surgery is a retrograde ureteroscopic technique for extracting kidney stones. It has a high success rate and zero risk of complications. The procedure uses laser and fiberoptic endoscopy, a viewing tube that passes through the urethra and into the kidney stones without making any incisions. It’s a minimally invasive technique that involves no cuts or holes. The surgeons use lasers to cut the rocks into pieces or reduce the dust. This procedure is suitable for both adults and children.

When is RIRS required?

• RIRS is mostly required when the kidney stone is less than 1.5 cm in size, especially when it is located in challenging or inaccessible areas of the kidney.
• It is also recommended for patients with anatomical abnormalities like single kidneys or bleeding diathesis of the urinary system.
• For those at higher risk for complications from traditional surgery.

RIRS vs. Traditional Surgery

What are the pre-operative tips before you go for RIRS?

Being prepared for surgery needs some important preparation, as it contributes to the efficacy of the procedure and reduces the risk of complications. Your surgeon will guide you through the whole procedure, like:

• Pre-operative Tests: An abdominal ultrasound or X-rays are typically recommended to locate and assess the size of your kidney stones. A CT scan or MRI is recommended for stones larger than 1.5 cm.
• Fasting Instructions: Patients are generally advised to fast at least 6 hours prior before anesthesia. RIRS is performed under the spine or general anesthesia.
• Medication Restriction: Your doctor will ask about your past medication and the possibility of restricting it before surgery.
• Blood test: A complete assessment is done with a complete blood count, including KFT hemoglobin, etc.
• Urine culture:- A urine culture is also conducted to identify any infections or abnormalities.

How is RIRS going to be a game-changer?

• Enhanced patient safety: Safer procedure with reduced infection risks and minimal blood loss.
• Minimally invasive approach: Minimal incision, which can lead to less pain and less time to heal.
• Effective for complex stones: RIRS is ideal for stones smaller than 1.5 cm and can treat large, complex stones,
• Suitable for complex cases: RIRS is a better opportunity for patients with anatomical abnormalities such as horseshoe-shaped kidneys or ectopic kidneys.
• Precision: Allows the urologist to directly visualize and treat the kidney, which can increase the chances of complete stone clearance.
• Can treat other conditions: Stones in the ureter or urinary bladder can be treated with RIRS surgery.
• Can be done as a daycare procedure: Depending on the patient’s condition, RIRS can often be completed as daycare surgery, allowing the patient to return home on the same day.
• Reduced the need for repeat procedures: Compared to other procedures, RIRS has a lower need for requiring.

What happens after RIRS?

The total recovery period of RIRS is quite short, and most patients can resume their work, able to perform their daily tasks within 48 hours. Because this procedure does not involve incisions or stitches, there is less risk of complication. Here are some tips to follow after RIRS to avoid any type of complication:

• Increase your consumption of water
• Eat foods rich in fiber
• Avoid too much spicy food that contains a high amount of animal protein for several weeks after surgery.
• Don’t do strenuous exercises
• Attend follow-ups with your doctor to monitor your recovery.

Remember

RIRS is a revolutionary treatment for those occupied with their daily routine and who don’t have time to stay for a longer time for their illness. The RIRS technique has been successfully used on many patients suffering from kidney stones. This is the most reliable and non-invasive procedure for kidney stone removal. If you develop kidney stones and your doctor prescribes RIRS, understand your diagnosis well and stay well-informed to help you take the faster track to recovery.