RIRS (Retrograde Intrarenal Surgery) with laser lithotripsy is one of the most advanced and minimally invasive procedures for removing kidney stones. It involves passing a flexible scope through natural urinary passages—without any cuts—to locate and break kidney stones using a high-power laser.

Under the expertise of Dr. Ajinkya Kasekar, RIRS ensures precise stone clearance, minimal pain, and a quick recovery, making it a preferred treatment for stones that are difficult to remove by other methods.

What Is RIRS?

RIRS is an endoscopic procedure performed through the urethra → bladder → ureter → kidney, using a thin, flexible ureteroscope.
A Holmium:YAG laser or Thulium fiber laser is then used to break the stone into fine dust (dusting technique) or small fragments.

No external incision is required.

Who Needs RIRS?

RIRS is recommended for:

• Kidney stones up to 2 cm

• Stones not responding to medications

• Stones stuck inside the kidney calyces

• Failed ESWL (Shock Wave Lithotripsy)

• Stones in patients with bleeding disorders

• Obese patients or those unfit for open/laparoscopic surgery

• Children with kidney stones (very safe)

It is also ideal for stones that require precision and minimal trauma.

How RIRS With Laser Is Performed

1. A flexible ureteroscope is passed through the urinary passage.

2. The kidney stone is visualized with a high-definition camera.

3. A laser is used to break the stone into dust or tiny fragments.

4. The dust usually clears naturally through urine.

5. A DJ stent is placed temporarily to ensure smooth drainage and healing.

The procedure usually takes 45–90 minutes depending on the stone’s size and location.

Benefits of RIRS

• No cuts, no stitches

• Minimal pain and quick recovery

• Highly precise laser stone fragmentation

• Day-care or short-stay procedure

• Safe for high-risk and elderly patients

• Removes stones that are otherwise difficult to treat

• Low complication rate

Recovery After RIRS

Most patients:

• Go home within 24 hours

• Resume normal activities in 2–3 days

• Experience minimal discomfort

• Pass small fragments/dust naturally

A follow-up is required for DJ stent removal after 2–6 weeks.

Why Choose Dr. Ajinkya Kasekar for RIRS?

• Expertise in advanced laser stone surgery

• Uses the latest flexible ureteroscopes and laser systems

• High stone-clearance rates

• Minimally invasive, patient-centered approach

• Focus on safety, comfort, and faster healing

• Strong experience in managing complex stone cases

Book a Consultation

If you are dealing with kidney stones, RIRS with laser removal offers a safe, painless, and highly effective solution. Consult Dr. Ajinkya Kasekar for expert evaluation and advanced stone treatment.