PCNL for large stones
Even large stones can be removed by percutaneous (keyhole) surgery called PCNL or Percutaneous Nephrolithotomy by a skilled urologist. This gentleman had failed attempts at extracorporeal lithotripsy, ESWL (commonly referred to as ‘laser’). We removed all his stones from both kidneys in 2 sittings (one for each side) with an interval of 2 weeks between the procedures.
After PCNL on the second side
Initial IVP X-Ray Huge stones in both kidneys with good kidney function
Initial X-Ray showing huge stones in both kidneys (4)
RIRS
Flexible Ureteroscopy and RIRS (Retrograde Intrarenal Surgery)
Retrograde Intrarenal Surgery represents a triumphant convergence of cutting edge medicine and engineering. Incredible miniaturization, precise optics and matching accessories, chiefly Holmium Laser provides the technology. Surgical skill takes care of the rest! RIRS and mini-PERC (miniature drill removal of stones) are the latest in urological stone management.
Stones sitting in calyces or occasionally in the renal pelvis that are not easily amenable to shock wave lithotripsy can be challenging. RIRS can help avoid the use of percutaneous drilling in many patients. Select tumors can also be managed.
