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RIRS - Laser Surgery for Kidney Stones Removal

RIRS is the new technology for the endoscopic removal of stones from the kidney through natural passages, in other words, no hole, no cut, no stitch surgery.

A flexible ureteroscope is passed through the urine pipe into the kidney and stones are fragmented to dust with a laser. The stone pieces are then removed with a basket. As there is no incision/cut, the patient's recovery is quick and fast. 100W Holmium laser pulverizes the stone completely leading to high clearance rates with minimum risk and complications.

More than 1500 successful cases


RIRS is a prime strategy for the treatment of renal stones that are under 2 cm and can’t be effectively treated by means of different strategies.

How the surgery is performed :

Before the Surgery:

The specialist will direct a few tests to investigate the situation of the stones, and the overall ailments, just as a reaction to sedation – in any event, fourteen days prior to booking a retrograde internal surgery. The specialist may do the pre-employable stenting 14 days before the real methodology if necessary in a couple of cases; this stenting makes it simpler for the ureteroscope to enter the kidneys effectively since the ureter is as of now enlarged. Additionally, upon the arrival of the medical procedure, the patient needs to be quick for in any event 6 hours.

During the Surgery:

The patient will be affected by sedation, and the urologist will utilize an endoscope – a thin, flexible tube – to reach the bladder through the urethra and afterward further to the territory of pee storage in the kidney. During this cycle, the endoscope will distinguish stones and shoot them with a laser. Further, the Dj stenting completed fourteen days earlier assists with smoothening and securing the recuperation time; much of the time, patients are released on the following day post-medical procedure.

After the Surgery:

Post completion of the medical procedure, a catheter can be put in the urethra to minimize the pain and issue while peeing; the catheter is set for a day or more according to the case premise. The patient is then placed in a recuperation room and a 24-hour rest is exhorted. Further, the patient necessities to drink a ton of liquids, particularly water to pee in any event 2.5 liters consistently; this assists with keep contamination off. Likewise, on the off chance that the patient is solid and totally fit to continue regular exercises, he/she can be released right the following day of the medical procedure. However, a follow-up with the Specialist is important.


  • Complete stone removal
  • No cuts, no hole, stone removal through the natural passage
  • No need of blood transfusion
  • Same day discharge, Early recovery, Early return to work
  • Safe for patients with blood sugar (Diabetes), High Blood Pressure, heart patients, patients with renal failure


Who can get an advantage from RIRS?

  • Prior attempts to eliminate renal stones have failed
  • Stones are huge
  • There is a tumor in the kidney
  • The patient included is a child
  • The patient has draining issues
  • The patient is corpulent or obese
  • The patient has complex anatomical kidneys

DR. Swapan Sood

M.S. (Surgery),M.Ch. (AIIMS),Consultant Urologist Andrologist Kidney Transplant & Robotic Surgeon


DR. Manoj Chaudhary

MD, DNB (Nephrology),Consultant Nephrologist & Transplant Physician



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