Understanding Renal Calculus

TABLE OF CONTENTS

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Welcome, viewers, to our medical video on the diagnosis and treatment of renal calculus, commonly known as kidney stones. Today, we’ll explore the innovative RIRS surgery as an effective approach in managing renal stone disease.

Diagnosis

Firstly, let’s delve into the diagnostic process. Suspecting renal stones, a comprehensive medical history and physical examination are crucial. Patients often present with severe flank pain, hematuria, and possible urinary tract infections. To confirm the diagnosis, non-contrast CT scans and ultrasound imaging play a pivotal role, providing detailed insights into the size, location, and composition of the kidney stones.

Renal calculus, or kidney stones, can vary in size and composition. Calcium oxalate and calcium phosphate stones are common, along with struvite, uric acid, and cystine stones. Understanding the specific type aids in tailoring a targeted treatment plan.

RIRS Surgery

Now, let’s explore RIRS (Retrograde Intrarenal Surgery) as an advanced and minimally invasive procedure for treating kidney stones. Unlike traditional methods, RIRS involves accessing the kidney through the natural urinary tract without external incisions.

Procedure Overview

Preoperative Preparation: Patients undergo a thorough preoperative assessment, ensuring they are fit for the procedure. Proper hydration is crucial for optimal outcomes.
Anesthesia: RIRS is typically performed under general anesthesia, ensuring patient comfort throughout the surgery.
Ureteral Access: A flexible ureteroscope is passed through the urethra and bladder to reach the stone in the kidney. This is guided by fluoroscopy or endoscopic visualization.
Stone Fragmentation: Laser technology is employed to break down the stone into smaller, manageable fragments. The tiny pieces can then be extracted or passed naturally.
Postoperative Care: Patients are monitored postoperatively, and a temporary stent may be placed to facilitate urine flow and aid in healing.

Advantages of RIRS

RIRS offers several advantages, including reduced recovery time, minimal discomfort, and a lower risk of complications compared to traditional surgical approaches. This technique is particularly effective for smaller stones and those located in challenging areas of the kidney.

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In conclusion, the diagnosis and treatment of renal calculus have evolved significantly, with RIRS emerging as a forefront option. This innovative approach not only addresses kidney stones effectively but also enhances patient outcomes and quality of life.

Thank you for joining us in this exploration of renal calculus diagnosis and RIRS surgery. Stay tuned for more updates on medical advancements in our future videos.