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Urology4 min read•2 November 2026

Laser Kidney Stone Surgery: Understanding RIRS and PCNL Procedures

Say goodbye to open surgery for kidney stones. Discover how flexible ureteroscopy (RIRS) and mini-PCNL use holmium laser energy to pulverize stones to fine dust.

Dr. R L Nayak
Dr. R L Nayak
Sr. Consultant Urologist & Renal Transplant Surgeon
Laser Kidney Stone Surgery: Understanding RIRS and PCNL Procedures

Modern Advances in Kidney Stone Management

Kidney stones (nephrolithiasis) are one of the most painful urological conditions. When stones become lodged in the ureter or grow too large inside the kidney, they can block urine flow and cause severe flank pain, nausea, and kidney infections.

Today, open surgery for kidney stones is virtually obsolete. At Yupiter Hospital, our urology team uses cutting-edge laser endourology.

1. Retrograde Intrarenal Surgery (RIRS)

  • **How it works:** A flexible digital ureteroscope is passed naturally through the urethra and bladder directly into the kidney.
  • **No incisions:** Zero cuts on the skin.
  • **Holmium Laser Dusting:** High-frequency laser pulses break stones into microscopic sand-like particles that pass painlessly in urine.
  • **Hospital stay:** Typically day-care or 24-hour discharge.

2. Percutaneous Nephrolithotomy (PCNL / Mini-PCNL)

  • **Best for:** Large stones greater than 1.5 - 2 cm or complex staghorn calculi.
  • **Keyhole access:** A miniature puncture (less than 1 cm) is made in the flank to access and remove stone fragments under direct optical visualization.
IMPORTANT
**Preventing Stone Recurrence:** Drink at least 2.5 to 3 liters of water daily, reduce dietary sodium intake, and undergo a stone metabolic analysis to prevent future stone formation.
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This medical content has been compiled and reviewed under the clinical governance protocols of Yupiter Hospital, Green Park, South Delhi. For individual symptoms, medications, or surgical evaluations, schedule an in-person outpatient consultation.

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