Stone Related
Surgeries
Stone Related Surgeries
Stones in the bladder, ureter or kidney can be tackled by different methods like URS, RIRS, PCNL, mini perc etc.
URS (Ureterorenoscopy)
Ureterorenoscopy is the procedure being done mainly for removal of ureteric stones. Patient generally needs hospitalization for 2 days in which a rigid long scope is inserted per urethra in to the ureter and the stones are fragmented with the help of laser / shock waves. Fragmented portions of the stone are taken out with the help of forceps or basket. Patient may require JJ stent insertion depending upon the condition.
Flexible URS (RIRS – Retrograde Intrarenal Surgery)
A long slender flexible device called a flexible ureteroscope to see and treat stones. The ureteroscope device provides a video image, is inserted through the natural hole into the bladder and up the ureter and kidney until the stone is encountered. The stone can then either be broken up with a laser fiber or pulled out using small baskets.
Advantages:
- • No cut or no artificial hole is made on the patient’s body
- The whole procedure is performed through normal urinary tract
- A day care procedure
- Minimal complications
Percutaneous nephrolithotomy (PCNL) / mini perc / micro perc / ultra mini perc
Also known as “Key hole surgery”. Percutaneous stone surgery (PCNL, mini perc, microperc, ultra mini perc) is used for renal stones. A small incision is made (~5-10 mm) and a small hollow tube is placed directly through a patient’s back into the kidney through which larger instruments / laser fibre can then be used to fragment and extract the stone(s).
