RIRS
RIRS Stands for Retrograde intrarenal surgery
RIRS is a natural hole surgery (No artificial hole is made in this procedure and the whole operation is performed through normal urinary passage).
Since RIRS Surgery is performed through normal urinary tract, there is usually no bleeding
RIRS is the safest procedure for removal of kidney stones
RIRS fortreatment of kidney stones has few complications
RIRS for kidney stones can safely be performed in patients having bleeding diathesis
RIRS for kidney stones can safely be performed in patients on anti-coagulants (blood thinners)
RIRS for kidney stones can safely be performed in patients with chronic renal failure
RIRS for kidney stones does not require extra procedure in case of kidney stones in ectopic kidneys (Anomalous Kidneys)
Aer Operation of RIRS for kidney stones, recovery is fast and patient can go back to work early.
Hospitalization is short in patients who undergo RIRS for removal of kidney stones
Aer the availability of Digital (Chip on the Tip) Flexible Ureteroscopes in the last one decade, the vision during operation in RIRS Surgery is Extremely Good
At present RIRS Surgery is suitable & easily performed in Kidney stones of upto 2 – 3 sq. cm.
At Our Kidney Stone Hospital, we perform RIRS Surgery even for bigger stones including staghorn stones
For Multiple small kidney stones, RIRS is a preferred method for kidney stone removal as the scope can easily examine & locate stones in different calyces without any additional procedure.
For RIRS Surgery, we need expensive equipment which includes Digital Flexible Ureteroscopes (Priced at 10 – 20 Lacs per scope having limited life), Holmium Laser (20 – 50 Lacs with additional cost of Laser fiber), & Expensive single use disposables which include Tip less Baskets and Access Sheath. Because of requirement of above said equipment, the cost of RIRS Surgery is much more.
PCNL
PCNL stands for Percutaneous Nephrolithotomy
In PCNL Surgery, an artificial hole is made on the back (lumbar region) and kidney ofthe patient.
In PCNL Surgery, a hole is made on the body and kidney ofthe patient and it always bleeds.
PCNL Surgery is not as safe as RIRS
PCNL fortreatment of kidney stones has much more complications
PCNL for kidney stones cannot be performed safely in patients with bleeding diathesis
PCNL for kidney stones cannot be safely performed in patients on anti-coagulants (blood thinners)
PCNL for kidney stones in patients with chronic renal faliure is not as safe as RIRS.
PCNL for Kidney Stones may require additional procedure for removing kidney stones in ectopic kidneys (Anomalous Kidneys)
Aer PCNL for Kidney stones, patient takes longertime to recover and get back to work
Hospitalization is little longer in patients undergoing PCNL for removal of kidney stones.
During PCNL or mini PCNL because ofthe concomitant bleeding which usually occurs in these procedures, the vision may not be that good.
PCNL can be easily performed even for bigger kidney stones
At Our hospital PCNL is done in less than 1% of cases.
For Multiple kidney Stones, PCNL may not be preferred operative procedure as Surgeon may need to perform multiple punctures / holes in the kidney
No Expensive Equipment is a necessity during this procedure. However one may require Holmium Laserfor intracorporeal lithotripsy
