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RIRS (Retrograde Intrarenal Surgery) employs the use of a laser and a fiberoptic endoscope, which is a flexible tube passed through the urethra to the kidney to treat stones without having to make any cuts on the organ. General, local, or spinal anesthetics are used while performing this operation. The surgery requires a specialist urologist who has had training in this type of procedure known as RIRS.

Who needs RIRS?

In the case of a big stone, an advanced treatment referred to as RIRS is employed. Basically, it is often considered to be the most preferable treatment for those patients whose stone size varies between 10mm and 14mm. Although shockwave lithotripsy and ureteroscopy may not work, RIRS is the most common method of removing kidney stones. Care should be taken when choosing a medicine or starting a treatment program after surgery because of the complications that may arise from those conditions if not discussed with the doctor. Several publications in international surgical journals recommend patients above 65 years to consult a urologist before choosing RIRS for the treatment of kidney stones.

RIRS Surgery Cost in India

The cost of treating RIRS surgery in India can fluctuate based on various factors. Typically, treatment expenses for RIRS surgery in India can range from as low as 900 USD to as high as 150 USD. The total cost of treatment is subject to change and may increase or decrease depending on the treatment approach chosen by the physician, along with the patient’s health condition and age.

Affordable RIRS Surgery in Different Countries in India

CountryPrice Starting From
India100 USD
US450 USD
UK450 USD
UAE300 USD

Factors that can Affect The Cost of RIRS Surgery in India

Some of the possible factors influencing RIRS surgery cost in India can be the following: several factors that do not fall under the pre-and post-treatment costs greatly influence your budget. The following are among the aspects that may influence RIRS surgery cost in India.

  • Medication costs
  • Patient Condition 
  • Duration of treatment
  • Geographical location
  • Hospitalization expenses
  • Government policies and subsidies
  • Medical tourism packages
  • Hospital reputation and infrastructure
  • The expertise and experience of medical professionals
  • The type and frequency of diagnostic procedures
  • The choice of treatment modality.

What are the Procedures Involved in Performing a RIRS Operation?

Before undergoing RIRS Surgery, the medical team advises patients to undergo specific diagnostic tests to evaluate various factors such as stone size and location, underlying health conditions, and overall well-being. All patients need to bring the results of these tests on the day of the surgery. The diagnostic tests commonly conducted before RIRS Surgery include:

  • Imaging tests (KUB X-ray, abdominal ultrasound, MRI)
  • Blood urea nitrogen (BUN) test
  • Blood test
  • Urinalysis.

Procedure

For the management of complicated kidney stones, a sophisticated surgery known as RIRS is employed. 

  • Before the operation, spinal or general anesthesia is given to the patient so that there is no pain during the process. 
  • The urologist then proceeds to apply imaging tests to determine the location of the stone precisely. Subsequently, a medical instrument referred to as a ureteroscope is employed to examine the ureteral channel. 
  • The surgeon will proceed by inserting an endoscope, a long and flexible tube, into the urethra to access the urine-collecting part of the kidneys.
  • This procedure is guided by an x-ray, allowing the doctors to view the images on a screen externally, thus enabling the surgeon to perform the procedure with greater precision. 
  • The endoscope is then advanced retrograde towards the kidneys to locate the stones. 
  • Once the stones are located, a laser probe is used to break them into fine fragments. 
  • These fragments are then collected in a ‘stone basket’ and extracted through the same passageway.
  • The flow of blood can either be stopped by manually gripping the stones using forceps or using laser beams to chip off the stones into smaller sizes. 
  • An advanced type of laser, specifically a holmium laser, is applied to treat a kidney stone by crushing or shifting it without affecting other organs. 
  • After that, urine is employed as a means of washing out the body to clear the stone fragments.

Benefits of RIRS Surgery

RIRS Surgery is a cutting-edge method for treating kidney stones, boasting a high rate of success. Here are several key advantages of RIRS Surgery:

– It is a minimally invasive procedure that does not require any incisions or sutures.

– The procedure is virtually painless and results in minimal blood loss.

– Recovery is fast and uncomplicated.

– Patients can resume their normal activities within a few days.

– This technique poses no risk to the renal tissue.

– The morbidity rate is exceptionally low.

Best Hospital for RIRS Surgery Cost in India

Indian medical facilities are known for their state-of-the-art technology and outstanding quality of patient services. Furthermore, these hospitals in India have received global recognition and are endorsed by international bodies for their high standards. Here is a list of the leading hospitals celebrated for their best care in India.

  • Max Hospital Saket
  • Fortis Hospital Gurgaon
  • Global Hospital Chennai
  • MGM Healthcare, Chennai
  • Fortis Hospital Kolkata
  • Apollo Hospital Delhi
  • Medanta Hospital Gurgaon
  • KIMS Hospital, Hyderabad
  • Yashoda Hospitals, Hyderabad
  • Seven Hills Hospital, Mumbai.

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    The Most Important Frequently Asked Questions

    Q: What exactly is the RIRS procedure?

    A: Retrograde intrarenal surgery (RIRS) is a technique for doing surgery on the kidney utilizing a flexible ureteroscope. The urethra, or urinary entrance, is used in RIRS to insert the scope into the bladder, and the ureter is used to insert the scope into the kidney’s urine-collecting portion.

    Q: How much time should one sleep following RIRS?

    A: Following RIRS surgery, recuperation typically takes 24 to 48 hours, during which time one should rest completely. Drinking lots of fluids is necessary for patients to keep up their urine production.

    Q: Why is RIRS being done?

    A: Kidney stone extraction by retrograde ureteroscopic procedure is called Retrograde Intrarenal Surgery (RIRS Surgery). Surgeons create a passageway to the kidneys through the urethra during this operation. There are no incisions or holes made during this minimally invasive procedure.

    Q: Is surgery necessary for a kidney stone measuring 7 mm?

    A: Fifty percent of the time, those that are 5 to 7 mm (bigger than an eraser pencil but less than a green pea) can pass. Larger than 7 mm stones almost never pass by non-surgical means. If kidney stones are detected and treated promptly, there is typically little long-term harm.

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