Retrograde Intrarenal Surgery (RIRS) is a minimally invasive, advanced endoscopic procedure used for the treatment of kidney stones located inside the kidney, especially those difficult to reach by other methods. Dr. Sadashiv Bhole at Ketki Nursing Home & Bhole Urology Hospital offers expert RIRS services in Nagpur and has successfully performed over 300 RIRS surgeries.
What is RIRS?
RIRS involves the use of a flexible ureteroscope, a thin, flexible tube with a camera and instruments at the tip, inserted through the natural urinary tract – the urethra, bladder, and ureter – up into the kidney in a retrograde direction. The surgeon visualizes the stones inside the kidney and uses laser energy to break them into smaller fragments which can be removed or passed naturally.
Why is RIRS Performed?
- To treat small to medium-sized kidney stones that are difficult to treat with shock wave lithotripsy or other procedures
- Suitable for stones located in complex anatomical locations within the kidney
- Offers a minimally invasive alternative to open or percutaneous surgery
- Beneficial for patients who prefer fast recovery with minimal pain and no external incisions
The RIRS Procedure
- Performed under general or spinal anesthesia for patient comfort
- A flexible ureteroscope is inserted through the urethra and navigated up to the kidney
- Laser lithotripsy is used to fragment kidney stones under direct vision
- Stone fragments are removed or allowed to pass naturally after fragmentation
- A ureteral stent (double J stent) may be placed temporarily to aid urine drainage and healing
Benefits of RIRS with Dr. Sadashiv Bhole
- Minimally invasive with no external cuts or scars
- Treats stones up to 5 cm, including complex and bilateral cases
- Short procedure time usually around 30 to 60 minutes
- Short hospital stay, often same-day or next-day discharge
- Rapid recovery allowing return to normal activities within days
- Low risk of complications such as bleeding or infection
Recovery and Aftercare
- Most patients recover within 1 to 2 weeks
- Mild discomfort, blood in urine, or urinary urgency may occur temporarily
- Adequate hydration is encouraged to help flush stone fragments
- Follow-up appointments monitor healing and evaluate stone clearance
Location & Contact Details
Dr. Sadashiv Bhole
Ketki Nursing Home & Bhole Urology Hospital
Plot No. 12/2, Second Floor, Hyatt Medicare,
Khare Marg, Dhantoli-440012, Nagpur, Maharashtra
Phone: +91 93708 03532
Email: bholeurology@gmail.com
Frequently Asked Questions (FAQs)
1. Is RIRS painful?
The procedure is performed under anesthesia, so there is no pain during surgery. Mild post-operative discomfort is manageable with medication.
2. How long does the RIRS procedure take?
Typically, 30 to 60 minutes depending on the size and number of stones.
3. How soon can I return to normal activities?
Most patients resume normal activities within a few days to a week.
4. Are there risks with RIRS?
Risks include infection, bleeding, ureteral injury, or residual stone fragments, which are minimized by expert surgical care.
5. Is a stent always placed?
A ureteral stent is often placed temporarily to help drainage and healing but may not be needed in all cases.
6. How do I schedule a consultation with Dr. Sadashiv Bhole for RIRS?
Call +91 93708 03532 or email bholeurology@gmail.com to book your appointment.
For expert, compassionate, and advanced RIRS care in Nagpur, trust Dr. Sadashiv Bhole and the dedicated team at Ketki Nursing Home & Bhole Urology Hospital.