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Retrograde Intrarenal Surgery (RIRS)

RIRS Treatment in Delhi

Retrograde Intrarenal Surgery

RIRS also called as Retrograde intrarenal surgery (RIRS) or Retrograde intrarenal surgery (RIRS).

This involves approaching the kidney stone using a viewing fibroptic endoscope and when this reaches the stone laser energy is passed through it which fragments the renal stone into sand like particles and this is taken out through the same endoscope.

This procedure is done under spinal anaesthesia in majority of cases and as the procedure is performed through the urinary tract, no cut is given anywhere.

This outpatient procedure is mainly done for removing renal stones upto 15 mm.

Other indications include small inlet of kidney system , failed lithotripsy cases ,renal tumours resection , best done for patients suffering with kidney stones, narrowing of the kidney outlet within and outside of it and kidney tumours.

This is a safe procedure in obese, children and other patients with cardiac disorders unfit for other procedures such as ESWL.


The advantages of this procedure are due the fact that no incision or cut is given.

  • The recovery is quite fast as compared to other procedures and no pain is felt during or after the procedure.
  • Bleeding is very minimal and clearance of stone is well achieved.
  • Nowadays RIRS is seen as a safe option to treat renal calculi UPTO 15 MM and if patients have stones larger than 20mm diameter or have multiple small calculi, then either PCNL or MINIPCNL is the option.
  • This procedure requires a well-trained urologist and is one of the expensive options as it requires HOLMIUM LASER which is very costly.

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Services available in Delhi/NCR only

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