DOI: 10.36347/sjams.2020.v08i05.021

Pages: 1274-1279

Background: As the advancement in technology and miniaturization of equipments, RIRS provides an alternative way to PCNL by minimizing the risks related to PCNL in the treatment of Urolithiasis. Objective: The aim of this study was to explore our initial experience with RIRS in terms of feasibility, the efficacy and safety for the management of Urolithiasis. Materials and Methods: This prospective study was carried out in the Department of urology Super Specialty Hospital Shereenbagh, Government Medical College Srinagar over a period of 6 months from October 2019 to April 2020. This study comprised of patients admitted with upper tract stones who opted for RIRS after being properly explained the procedure. Follow up NCCT KUB was obtained after 5 weeks of RIRS to look for the clearance of stone. Results: A total of 46 patients were enrolled. The age of the Patients ranged from 26 to 63 years with a mean age of 44.23 years. Out of total 46 patients, preoperative DJ stenting was ensured in 42 patients. In two patients RIRS was converted to PCNL. In our study stone free rate was 81.8% (36/44) after the single session of RIRS. Residual stone was higher in cases of lower calyceal stones, stones in multiple calyces and stone burden >2cm. Residual stones 3-4 mm were present in 14 patients and > 5mm in 2 pts.. Operative time ranged from 55 minutes to 195 minutes (average time 100.57 minutes). Patients were discharged after 36 hrs. There were no major complications in our study. Conclusion: RIRS has not only the advantage of being minimally invasive, but also is associated with low rate of complications, less morbidity and good stone free rate and short hospital stay. RIRS appears to be a safe and effective alternative to PCNL for upper tract stones.