Retrograde Intrarenal Surgery (RIRS) – Advanced Laser Treatment for Kidney Stones by Dr. Premkumar K

Retrograde Intrarenal Surgery (RIRS) is a modern, minimally invasive procedure used to treat kidney stones using a flexible ureteroscope and high-power laser technology. Without any cuts on the body, Dr. Premkumar K accesses the kidney through the natural urinary pathway, breaks the stone using a laser, and removes fragments safely. It is highly effective for small to medium-sized stones and suitable even for patients unfit for open or shockwave treatments.

• What RIRS Treats – Kidney stones, upper ureteric stones, stones in difficult locations, stones resistant to ESWL, and recurrent or multiple renal stones.

• How the Procedure Works – A flexible ureteroscope is passed through the urethra and bladder into the kidney. Using Holmium or Thulium laser, the stone is dusted or fragmented into tiny pieces that are either removed or allowed to pass naturally.

• Advantages of RIRS – No cuts or scars, minimal pain, daycare or 24-hour admission, quick recovery, safe for obese, elderly, cardiac patients, and stones in hard-to-reach areas of the kidney.

• Pre-Procedure Evaluation – Ultrasound, CT scan (KUB), urine culture, kidney function tests, and evaluation to assess stone size, density, and location for optimal planning.

• Laser Stone Removal – Stones are either dusting (powdering into fine particles) or fragmentation (breaking into removable pieces) based on their size and hardness. A stent may be temporarily placed for comfort and healing.

• Recovery After RIRS – Most patients resume normal activities within 24–48 hours. Mild burning or discomfort may occur temporarily but improves quickly.

• Who Is a Good Candidate? – Ideal for stones up to 2 cm, stones not suitable for ESWL, patients with bleeding disorders, obese individuals, and those preferring a no-cut, quick recovery option.

• Possible Complications Managed – Temporary stent discomfort, mild bleeding, UTI, or rarely ureteral injury — all effectively managed with expert care and follow-up.

• Long-Term Benefits – High stone clearance rates, minimal recurrence, reduced hospital stay, and excellent outcomes with advanced laser and flexible endoscopy techniques.

Using state-of-the-art laser technology and expertise in endoscopic stone surgery, Dr. Premkumar K ensures safe, precise, and highly effective treatment for kidney stones through RIRS.

If you are experiencing kidney stone symptoms or seeking a minimally invasive treatment option, consult Dr. Premkumar K for advanced Retrograde Intrarenal Surgery (RIRS) and personalized care.