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RIRS Surgery for Kidney Stone in Chennai

Retrograde Intrarenal Surgery (RIRS) — a no-cut, no-scar laser technique to eliminate kidney stones with rapid recovery. Expert flexible ureteroscopy at Unittas Hospital.

Experienced Urologists Minimally Invasive Transparent Pricing Insurance Accepted

What is RIRS Surgery?

RIRS (Retrograde Intrarenal Surgery) is a cutting-edge, minimally invasive endoscopic technique to treat kidney stones. A thin, flexible ureteroscope is gently passed through the urethra, bladder, and ureter into the kidney — no external incisions required. Once inside, a holmium laser fibre fragments the stones into tiny pieces that can be removed or passed naturally in urine.

This RIRS procedure excels for stones up to 2 cm, especially in the kidney's collecting system or upper ureter, offering high clearance rates with minimal body trauma.

When is RIRS Recommended?

  • Kidney stones measuring 1–2 cm or in locations hard to reach with other methods
  • When shock wave lithotripsy (ESWL) fails or is unsuitable
  • Patients desiring no scars, less pain, and faster healing
  • Recurrent, multiple stones or patients with bleeding risks or anatomical variations

The RIRS Procedure: Step-by-Step

Performed under general or spinal anaesthesia, typically taking 45–90 minutes:

  1. 1
    Access: The flexible ureteroscope enters via the natural urinary pathway (urethra → bladder → ureter → kidney).
  2. 2
    Visualisation: High-definition imaging locates the stone precisely.
  3. 3
    Fragmentation: A holmium laser breaks the stone into dust or small fragments.
  4. 4
    Removal: Fragments extracted with baskets or allowed to pass naturally in urine.
  5. 5
    DJ Stenting: A double-J stent is often placed to aid drainage and support healing, removed after 1–4 weeks.

Benefits of RIRS Surgery

No Incisions or ScarsCompletely scarless approach through natural passages.

Minimal PainLess discomfort compared to invasive surgeries.

Quick RecoveryMost patients resume light activities within days.

High Success RateExcellent stone-free outcomes, often in one session.

Recovery After RIRS

  • Hospital Stay: Usually 1 day or same-day discharge
  • Activity: Rest for 1–2 days; avoid heavy lifting for a week
  • Hydration: Drink plenty of fluids to flush fragments
  • Full return to routine: Often within 3–7 days

Cost at Unittas Hospital, Chennai

We offer transparent, affordable pricing with no hidden charges. Costs include the procedure, anaesthesia, and standard care.

Room TypeApproximate Cost (INR)
General Ward (Sharing Occupancy)₹1,00,000
Single Room Non AC Deluxe₹1,20,000
Single Room AC₹1,40,000

* Additional charges may apply for pre-op tests, medications, or extended stays. Contact us for a personalised quote.

Frequently Asked Questions

How does RIRS differ from ureteroscopy (URS)?

RIRS specifically targets stones inside the kidney using a flexible scope, while URS often addresses ureteral stones with rigid or semi-rigid tools.

Is RIRS suitable for children?

Yes, it is safely performed in paediatric patients with adjusted equipment and expertise.

What type of laser is used in RIRS?

Holmium:YAG laser is commonly used for its precision in fragmenting stones of various compositions.

Can RIRS treat stones in both kidneys simultaneously?

Bilateral RIRS is possible in select cases but is usually staged to prioritise safety.

How soon after RIRS can I travel?

Most patients can travel short distances after a few days, once stent discomfort is manageable.

What causes stent-related symptoms and how are they relieved?

Symptoms like frequent urination or mild pain arise from irritation; increased fluids, alpha-blockers, or anti-spasmodics help alleviate them.

Is RIRS effective for cystine or struvite stones?

Yes, the laser effectively fragments these harder stones, though composition influences technique.

When is RIRS preferred over PCNL?

RIRS is chosen for smaller-to-medium stones to avoid percutaneous access and reduce bleeding risk.

Does RIRS require pre-operative ureteral stenting?

In some cases, a pre-op stent is placed to dilate the ureter for easier scope passage.

What dietary advice helps prevent stones after RIRS?

Increase water intake to 2.5–3 litres daily, reduce salt and oxalate-rich foods.

How is stone clearance confirmed post-RIRS?

Follow-up imaging like ultrasound, X-ray, or low-dose CT ensures no residual fragments remain.

Can insurance cover RIRS at Unittas Hospital?

Most plans cover it. Our team assists with documentation, pre-approvals, and claims processing.

What signs after RIRS need urgent attention?

Persistent high fever, severe pain, heavy bleeding, or inability to urinate require immediate medical contact.

Ready to Get Started?

Our expert urology team at Unittas Hospital is here to help. Book a consultation today.