
Retrograde Intrarenal Surgery (RIRS) is a highly advanced, minimally invasive procedure used to treat kidney stones located within the kidney. It involves no external incisions and uses natural urinary pathways to access and remove stones, ensuring minimal discomfort and faster recovery. RIRS is especially effective for stones up to 2 cm and in difficult-to-reach locations within the kidney.
Manipal Hospitals offers advanced Retrograde Intrarenal Surgery (RIRS) in Mukundapur, Kolkata, with expert urologists and cutting-edge technology to ensure safe and successful outcomes.
This procedure is recommended to:
Treat kidney stones located within the kidney
Manage stones in difficult or hard-to-reach areas
Treat stones not suitable for ESWL or other procedures
Relieve symptoms such as pain, infection, or urinary obstruction
Provide a minimally invasive alternative to open surgery
If kidney stones are not treated in time, they can lead to persistent pain, recurrent infections, obstruction of urine flow, kidney swelling, and long-term kidney damage. Timely treatment with RIRS helps prevent these complications and preserves kidney function.
Our urology team will prepare you for the procedure with:
Detailed evaluation including blood tests, urine tests, and imaging (ultrasound or CT scan)
Assessment of overall health and fitness for anaesthesia
Review of medical history and current medications
Instructions regarding fasting and medication adjustments
Pre-procedure counselling for the patient and family
Retrograde Intrarenal Surgery (RIRS) typically takes 45 minutes to 2 hours, depending on the size and number of stones. At Manipal Hospitals Mukundapur, Kolkata, this procedure is performed under anaesthesia in the following manner:
A thin, flexible ureteroscope is passed through the urethra, bladder, and ureter into the kidney
The stone is located using direct visual guidance
A laser fibre is used to break the stone into tiny fragments
Fragments are either removed using a small basket or passed naturally
After RIRS, patients are monitored for recovery and are usually discharged within 1–2 days. Mild discomfort, burning during urination, or slight blood in urine may occur temporarily. A ureteral stent may be placed to aid drainage and is removed later. Patients are advised to stay well-hydrated, take prescribed medications, and gradually return to normal activities. Most individuals resume light activities within a few days and fully recover within 1–2 weeks.
High success rate with over 90% stone clearance
Minimally invasive with no external cuts
Reduced pain and lower risk of complications
Short hospital stays and faster recovery
Effective for stones in difficult locations within the kidney
Risks are generally low when performed by experienced specialists. These include:
Infection
Minor bleeding
Temporary discomfort or burning during urination
Injury to the urinary tract (rare)
Need for temporary stent placement
At Manipal Hospitals, expert urologists, advanced endoscopic technology, and comprehensive care ensure excellent outcomes and high success rates for RIRS procedures.
You may need RIRS if you have kidney stones that are difficult to treat with other methods or located in areas that require precise access. It helps remove stones effectively while minimising discomfort and recovery time.
Yes, RIRS is a safe and commonly performed procedure when done by experienced urologists. At Manipal Hospitals, advanced technology and expert care ensure high safety standards and successful outcomes.
Most patients undergoing RIRS typically require a short hospital stay of about 1–2 days. The duration may vary depending on the complexity of the stone, overall health, and how well the patient recovers after the procedure.
RIRS is performed under anaesthesia, so you will not feel any pain during the procedure. After surgery, mild discomfort or burning during urination may occur, but it is usually temporary and well-controlled with prescribed medications.
Most patients can resume light activities within a few days after RIRS. A full return to normal daily routines typically takes about 1–2 weeks, depending on individual recovery, overall health, and adherence to post-procedure care instructions.
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