At the Urology Clinic, we qualify for surgical procedures performed as part of our Urology Department.

RIRS is the most effective and safest way to remove stones from any part of the urinary tract and is mainly used to treat kidney stones.

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The urologist performing the procedure introduces a ureterorenofiberoscope – an optical apparatus into the kidney without making skin incisions. This apparatus, apart from imaging the urinary drainage channels from the inside, allows for the introduction of additional devices, e.g. a holma laser, which allows stones to be crushed into very small fragments, which are washed out during the procedure outside the patient’s urinary tract.

This operation is usually performed under general anesthesia. The urologist uses a fiberoscope to assess the interior of the ureter and the renal calyx-pelvic system. If he finds abnormal changes (urolithiasis or tumor), he will try to remove them. Depending on the type of disease, it may be crushing the stone with a holma laser, making an incision or widening of the ureteral stricture, the neck of the kidney calyx, and taking tumor fragments for histopathological examination.

A patient complaining of ailments suggesting urolithiasis may be qualified for surgery during one visit, without the need to make repeated appointments after each diagnostic examination.

An ultrasound examination is performed during the visit. Depending on the patient’s needs and state of health, it may be necessary to perform a CT scan of the abdominal cavity. As a result, the doctor quickly receives a complete set of necessary examinations and, if necessary, can, without undue delay, make a decision about the procedure and schedule the operation.

After surgery, a self-maintaining catheter is usually left in the ureter. The insertion of the catheter is to ensure the proper outflow of urine from the kidney after the RIRS procedure, sometimes it allows the ureter to heal properly after crushing the stone.

The stay in hospital usually lasts one day. After the procedure, the patient remains and receives an order for an antibiotic, infusion fluids and other necessary medications.

If material was collected for histopathological examination during the procedure, it should be collected and consulted at the Urology Clinic after about 3 weeks.

The RIRS procedure is contraindicated in pregnant women and in patients with symptomatic urinary tract infection with elevated parameters of inflammation, fever.

Possible complications, such as haematuria or fever, suggesting an infection of the urinary system, should be consulted with the attending physician.

About the procedure

The urologist performing the procedure introduces a ureterorenofiberoscope – an optical apparatus into the kidney without making skin incisions. This apparatus, apart from imaging the urinary drainage channels from the inside, allows for the introduction of additional devices, e.g. a holma laser, which allows stones to be crushed into very small fragments, which are washed out during the procedure outside the patient’s urinary tract.

This operation is usually performed under general anesthesia. The urologist uses a fiberoscope to assess the interior of the ureter and the renal calyx-pelvic system. If he finds abnormal changes (urolithiasis or tumor), he will try to remove them. Depending on the type of disease, it may be crushing the stone with a holma laser, making an incision or widening of the ureteral stricture, the neck of the kidney calyx, and taking tumor fragments for histopathological examination.

Preperation

A patient complaining of ailments suggesting urolithiasis may be qualified for surgery during one visit, without the need to make repeated appointments after each diagnostic examination.

An ultrasound examination is performed during the visit. Depending on the patient’s needs and state of health, it may be necessary to perform a CT scan of the abdominal cavity. As a result, the doctor quickly receives a complete set of necessary examinations and, if necessary, can, without undue delay, make a decision about the procedure and schedule the operation.

Convalescence

After surgery, a self-maintaining catheter is usually left in the ureter. The insertion of the catheter is to ensure the proper outflow of urine from the kidney after the RIRS procedure, sometimes it allows the ureter to heal properly after crushing the stone.

The stay in hospital usually lasts one day. After the procedure, the patient remains and receives an order for an antibiotic, infusion fluids and other necessary medications.

If material was collected for histopathological examination during the procedure, it should be collected and consulted at the Urology Clinic after about 3 weeks.

Precautions

The RIRS procedure is contraindicated in pregnant women and in patients with symptomatic urinary tract infection with elevated parameters of inflammation, fever.

Possible complications, such as haematuria or fever, suggesting an infection of the urinary system, should be consulted with the attending physician.

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