What is PCNL and RIRS?
PCNL: percutaneous nephrolithotomy; RIRS: retrograde intrarenal surgery; ESWL: extracorporeal shock wave lithotripsy. The mean duration of surgery was 75.55±21.5 min in the PCNL group and 100.26±33.26 min in the RIRS group and the difference was statistically significant (p<0.001).
Is PCNL a major surgery?
In the era of minimally invasive surgery, RIRS and PCNL are two major surgical techniques for removing large renal stones and PCNL has become the standard treatment with which all other approaches should be compared.
Which is better PCNL or RIRS?
PCNL for kidney stones in patients with chronic renal faliure is not as safe as RIRS. Hospitalization is little longer in patients undergoing PCNL for removal of kidney stones. During PCNL or mini PCNL because ofthe concomitant bleeding which usually occurs in these procedures, the vision may not be that good.
Is PCNL permanent?
The results of PCNL are more or less permanent. New kidney stones may form until the underlying cause is rectified. The procedure required for the removal of the newly formed stones will be determined by your treating urologist.
How long stent is kept after RIRS?
D-J stenting after RIRS Surgery:- In most of the cases, D-J stent is routinely placed after RIRS Surgery for an average period of 1 to 2 weeks. We rarely leave these stents for longer times as these are associated with several side affects.
Is RIRS surgery painful?
Is RIRS surgery painful? Patients may not feel pain during RIRS surgery because it is performed under general anaesthesia. Post-RIRS surgery patients may have a little lower abdominal pain and discomfort that subsides within 18 to 36 hrs.
What is the success rate of PCNL?
Overall stone free success rate is approximately 80-90% following an initial PCNL and 90-100% following a “second look” procedure.
Does PCNL require stent?
Usually, a temporary device (ureteral stent or nephrostomy tube) for urinary drainage is needed after a PCNL. A stent in internal and goes from the kidney to the bladder while a nephrostomy tube directly drains urine from the kidney to an external bag.
How long is blood in urine after PCNL?
Hematuria Hematuria (blood in the urine) will always be present following the procedure and usually lasts until a few days after the ureteral stent is removed. The amount of blood in the urine is typically heaviest over the first one to two days.
Is stent is placed after RIRS?
In many centers around the world, prior stenting is carried out before retrograde intrarenal surgery (RIRS) to passively dilate the ureter, which facilitates passage of a flexible ureteroscope with or without an access sheath.
When is RIRS done?
RIRS is a minimally invasive urology procedure that is generally. used in cases that are otherwise difficult to treat, such as: Failed attempts at treatment. Kidney stones too large for treatment by lithotripsy.
Is PCNL an outpatient procedure?
PCNL can be safely performed with excellent outcomes as an outpatient procedure.
How long is a kidney stone surgery?
The procedure, which is done under general anesthesia, takes about 1.5 hours. You'll typically return home the same day. Percutaneous nephrolithotomy: Your doctor makes a small incision in your back and guides a thin, flexible tube called an endoscope to your kidney to break up and remove the stone.
How can I avoid getting kidney stones?
The best way to prevent kidney stones is to make sure you drink plenty of water each day to avoid becoming dehydrated.
What should I avoid after PCNL surgery?
Avoid Non-Steroidal Anti-Inflammatories (NSAIDs) such as Aspirin, Ibuprofen, Naproxen, Advil, Aleve, and Motrin, for 72 hours after surgery because they may cause bleeding.
Which anesthesia is used for PCNL?
The General Anaesthesia (GA) is the standard modality for PCNL. However, few studies conclude that Spinal Anaesthesia (SA) can be an alternative method of anaesthesia with similar incidence of complications.
How safe is PCNL?
Multiple tracts PCNL is safe and effective in achieving a great stone clearance rate with non-significant blood loss and a minimal need for blood transfusion.
How long is recovery from kidney stone surgery?
While the recovery times vary for each procedure, most patients are fully recovered within six weeks and can resume their normal activities. Many patients feel much better the first week, but care must be taken to assure that healing is complete.
How long does RIRS surgery take?
RIRS surgery usually take 45 mins to 60 mins unless it is the redo procedure or complicated patient's conditions further that may will take 90 mins to 120 mins (1 and 1/2 hours to 2 hours).
