RIRS Treatment (retrograde intrarenal surgery): Retrograde intrarenal surgery (RIRS) is a procedure in which a viewing tube called a fiberoptic endoscope is used within the kidney for surgery.In this surgery the endoscope is placed through the urethra (the urinary opening) into the bladder and then through the ureter into the urine-collecting part of the kidney. The endoscope thus is moved retrograde (up the urinary tract system) to within the kidney to fragment stone. Generally, RIRS is performed where the stones do not respond to ESWL or PCNL or URS.
Why to choose RIRS for kidney stone removal?
Over the world RIRS has been identified as one of the most advanced procedure for Kidney Stone. And it is available at SCI Hospital, Delhi.
Doctor to Consult for RIRS Treatment
RIRS is performed by a specialist, a Urologist (Endourologist) with special expertise in RIRS. The procedure is usually done under general or spinal anaesthesia. For this surgery, doctor requires to be experienced enough.
How RIRS is performed
With the help of endoscope, the kidney is reached with a camera; calculus/calsuluses are visualized and broken with laser energy source. No cut or hole need to be made, as it enters the body from the urinary tract, which is the natural hole of the body. To apply this surgery technique and use this device requires to be experienced.RIRS continues to undergo significant advancements and is emerging as a first-line procedure for challenging stone cases
Lithotripsy Treatment is classified as the use of shock waves to breakup or disintegrate stones. Lithotripsy Treatment is non- invasive modality of treatment for stone in which shock waves are delivered from outside and focussed on to stone leading to fragmentation. Lithotripsy requires local anaesthesia with sedation.
What is Extracorporeal Shock Wave Lithotripsy Treatment
Extracorporeal shock wave therapy (lithotripsy or ESWL) has been used for non-surgical fragmentation of stone. Extracorporeal shock wave therapy (ESWL) is shock wave therapy for fragmentation of stone. Shocks waves are delivered on the stone. Patients are usually treated as out patients; in some cases more than one session may be necessary
How does Lithotripsy Treatment work
Lithotripsy work on the basis of electromagnetic / electrohydraulic shock wave generation are focussed on the stone leading to fragmentation. About 1-3 thousand shockwaves are needed to crush the stones. The complete treatment takes about 45 min-60 min. Sometimes, the doctor inserts a tube via bladder and threads it up to the kidney just prior to ESWL. These tubes (called stents) are used when the stone is large to prevent the ureter getting blocked with fragments.
What does the Lithotripsy Treatment involve?
Lithotripsy Treatment is done under local anaesthesia with sedation. Patient is laid on the clinical bed and the applicator is applied on the side of stone. Shock waves are delivered depending on size, consistency of stone (1000-3000 each sitting). Repeat sitting is given if residual stone is present.
Precautions to be taken before Lithotripsy Treatment
Let the doctor know about any prescription drugs, over-the-counter medications, or supplements you take.
If the treatment is taken with general anesthesia, your doctor may advice you not … Continue Reading ››