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.com
Volume 3, Issue 3 (Suppl)
J Kidney, an open access journal
ISSN:2472-1220
Kidney & Nephrology 2017
August 28-30, 2017
August 28-30, 2017 Philadelphia, USA
15
th
Annual Congress on
Kidney: Nephrology & Therapeutics
Role of retrograde intra-renal surgery in management of large renal stones
Rajinder Yadav
Fortis Superspeciality Hospital, India
Objective:
Retrograde intra-renal surgery (RIRS) is considered as a minimally invasive procedure for management of renal
stones with minimal morbidity. Our objective is to demonstrate its effectiveness in management of large, multiple and staghorn
stones in our institution.
Methods:
A prospective study was done of 274 patients who presented to us with renal and upper ureteric stones and were
managed with RIRS. Pre-operatively, stone size and laterality were assessed on NCCT KUB and X-ray KUB. Intra-operative
parameters were assessed such as; operative time, need for ureteric dilatation and intra-operative complications. Post
operatively, X-ray KUB/USG KUB was done before stent removal.
Results:
Out of 274 patients, 185 patients were male and 89 were female. 83 patients had single stone and 191 patients had
multiple stones. 25 patients were pre stented in view of septicemia or renal impairment. 47 patients had renal impairment at
the time of presentation, which improved in all patients and returned to normal value in 36 patients. 85 patients underwent
bilateral RIRS and 189 underwent unilateral RIRS. 175 patients had more than 2 cm sized stones. Six patients had residual
stones out of which, three patients underwent URS, two patients underwent RIRS and one patient underwent ESWL.
Conclusion:
RIRS is feasible in case of large stone burden, like partial and complete staghorn stones along with multiple stones.
Our study demonstrates its effectiveness in large stone burden with additional procedure required in < 3% patients.
Biography
Rajinder Yadav had completed his MCh in Urology fromAIIMS in 1980. He joined as Sr. Lecturer at PGI Medical College, Rohtak. He had established and developed
many departments of Urology and MIS in various hospitals in Delhi. He was Chairman of Urology & Renal Transplant in BLK and Max Hospital. He is the Director
of Urology & Kidney Transplant at Fortis Healthcare, a premier healthcare organization. He had performed more than 30,000 surgeries including endoscopic,
laparoscopic/retroperitoneoscopic surgeries, kidney transplants, more than 1,000 RIRS and around 1,500 laser prostatectomies (Holmium, KTP, Thulium & Diode).
drrajinderyadav@yahoo.comRajinder Yadav, J Kidney 2017, 3:3 (Suppl)
DOI: 10.4172/2472-1220-C1-002