Why Choose RIRS for Kidney Stones?
No Cuts, No Stitches – A completely scar-free solution
Minimal Pain & Fast Recovery
Ideal for Stones in Hard-to-Reach Areas of Kidney
Daycare or Short Hospital Stay
Safe for Children and High-Risk Patients
When is RIRS Recommended?
RIRS is the preferred treatment in the following cases:
- Kidney stones smaller than 2 cm
- Stones located in the lower calyx
- Patients with bleeding disorders (bloodless surgery)
- Failed previous kidney stone surgeries
- Patients unfit for open or PCNL surgery
Dr. Nitin Negi – RIRS Expert in Jaipur
With a remarkable track record and 12+ years of experience, Dr. Nitin Negi is recognized as the best urologist in Jaipur for advanced kidney stone treatment. He is proficient in managing complicated and recurrent stone cases using RIRS technology.At Manglam Plus Medicity & Vs Medi Hub, Jaipur, Dr. Negi performs RIRS using Rajasthan’s first 150-Watt Holmium Laser, ensuring precision, safety, and superior outcomes. His expertise guarantees optimal stone clearance with minimal risk.
How RIRS works, step by step
- Under anaesthesia, a thin flexible ureteroscope is passed through the urethra and bladder into the ureter and kidney.
- A camera on the scope shows the stone on a screen; the scope bends to reach stones in every part of the kidney, including the lower pole.
- A Holmium laser fibre breaks the stone into fine dust and tiny fragments; larger pieces are removed with a small basket.
- A temporary DJ stent is usually left in place to let the kidney drain while it heals.
RIRS compared with PCNL and ESWL
| RIRS | PCNL | ESWL | |
|---|---|---|---|
| Cut on the body | None | ~1 cm keyhole | None |
| Best stone size | Up to ~2 cm | Over 2 cm | Small, soft stones |
| Usual stay | 1 day | 2–3 days | Day care |
| Stone-free in one sitting | High | Highest for large stones | Lower; may need repeat sessions |
Read a detailed comparison in RIRS vs PCNL.
Who is a good candidate for RIRS?
- Kidney stones up to about 2 cm, including hard stones and lower-pole stones
- Patients on blood thinners or with bleeding tendency, where a keyhole is less suitable
- Obese patients or those with unusual kidney anatomy
- Stones left behind after ESWL
RIRS may be less suitable for very large stone loads, where PCNL clears the kidney faster.
Recovery after RIRS
Most people go home the same or next day. Mild burning, urgency and pink urine are common while the stent is in; plenty of fluids help. Desk work is usually possible in two to three days. The stent is removed in a short day-care procedure after one to three weeks, followed by a scan to confirm the kidney is clear.
Preparing for RIRS
- A recent CT scan (KUB) to map the stone’s size, position and hardness
- Urine culture: any infection is treated before surgery
- Blood tests and, for older patients, a heart check
- Stopping or adjusting blood thinners only as advised by your doctors
- About six hours of fasting before anaesthesia
Sometimes a stent is placed a week or two before RIRS to widen a narrow ureter, which makes the main procedure smoother.
Risks of RIRS and how they are kept low
RIRS is one of the safest stone procedures. Common, short-lived effects are burning, frequency and blood-tinged urine while the stent is in. Less common problems include fever from infection, small residual fragments that need a second session, and, rarely, injury to the ureter. Treating infection before surgery, using an access sheath, controlled laser settings and careful technique keep these risks low.
Cost of RIRS in Jaipur
The cost depends on stone size and number, whether a stent is placed, single-use or reusable scope, hospital room category and length of stay, and insurance coverage. Most insurance policies cover RIRS. The clinic provides a written estimate after the CT scan. See kidney stone treatment cost in Jaipur.
After RIRS: a simple day-by-day guide
| When | What to expect | What to do |
|---|---|---|
| Day 0–1 | Burning, urgency, pink urine | Drink water steadily; take prescribed medicines |
| Day 2–3 | Most discomfort settles | Return to light activity and desk work |
| Week 1–3 | Stent may cause mild flank ache when passing urine | Avoid heavy exercise; keep the stent-removal appointment |
| After stent removal | Back to normal | Check scan; start a stone-prevention plan |
Call the clinic if you have fever, cannot pass urine, see heavy bleeding with clots, or have pain that tablets do not control.
Why the laser matters in RIRS
RIRS depends on breaking the stone into particles small enough to pass or wash out. A high-power Holmium laser, such as the 150W system used by Dr. Negi, can “dust” even hard calcium oxalate monohydrate stones quickly, which shortens anaesthesia time and lowers the need for a second session. Fine laser fibres also keep the flexible scope able to bend into the lower part of the kidney, where stones are hardest to reach.
Hard stones, multiple stones and both kidneys
- Hard stones (high CT density) that fail ESWL usually respond well to laser RIRS.
- Multiple stones in one kidney can often be cleared in one sitting if the total size is moderate.
- Stones in both kidneys are sometimes treated in the same session; otherwise the two sides are staged a few weeks apart.
- A single kidney or poor kidney function: RIRS avoids any puncture of the kidney, which can make it the gentlest option.
Is RIRS safe for older patients?
Yes. Because RIRS involves no puncture of the kidney and little bleeding, it is often the gentlest option for older patients and those with heart disease, diabetes or on blood thinners. The anaesthesia team assesses fitness beforehand, and most older patients go home the next day. For very large stones, the stone may be treated in two shorter sessions rather than one long one.
Why Dr. Nitin Negi
RIRS treatment in Jaipur with the best urologist in Jaipur
- MCh super-specialistMBBS, MS (Surgery), MCh in Genitourinary Surgery; clinical training at AIIMS, New Delhi.
- 25,000+ proceduresEndourological surgeries including RIRS, Mini-PERC, PCNL, HoLEP, TURiS and TURP.
- 150W Holmium laserRajasthan’s first, at ManglamPlus Medicity, for faster, safer stone and prostate surgery.
- Clear explanationsEvery option, risk and cost discussed before treatment; two convenient Jaipur locations.
Frequently asked questions
Is RIRS better than PCNL?
For stones up to about 2 cm, RIRS avoids any cut and has a quicker recovery. For larger stones PCNL usually clears more stone in one sitting. The right choice depends on your scan.
Is a stent always needed after RIRS?
Not always, but it is commonly placed for one to three weeks to keep the kidney draining while swelling settles. It is removed in a quick day-care procedure.
How many days of rest are needed after RIRS?
Most patients rest for two to three days and then return to office work. Heavy exercise is best avoided until the stent is removed.
Can RIRS remove stones from both kidneys?
Sometimes both sides can be treated in the same sitting, depending on stone size and the patient’s overall health. This is planned case by case.