Retrograde intrarenal surgery ( RIRS ) is a procedure
for doing surgery within the
kidney using a viewing tube called a fibrotic endoscope .
In RIRS the scope 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 scope thus is moved retrograde (up the urinary tract system )
to within the kidney (intrarenal).
RIRS is done to
remove a stone. The stone is seen through the scope and can then be manipulated
or crushed by an ultrasound probe or evaporated by a laser probe or grabbed by
small forceps, etc.
RIRS is performed
by a specialist, urologist ( endourologist ) with
special expertise in RIRS . The procedure is
usually done under general or spinal anesthesia.
·
This method is
generally preferred for stone size less than 20-25mm.
·
Operative time
and Hospitalization
The advantages
of RIRS over open
surgery (PCNL) include a quicker solution of the problem, elimination of prolonged pain after
surgery