Understanding URSL, RIRS & PCNL in the Indian Context
Stones triggered by Hyderabad’s heat, RO water, and high-oxalate diets demand minimally invasive solutions that get patients back to work quickly. Ajuda Hospitals specialises in endourology—URSL, RIRS, mini-PCNL, and ECIRS—using the latest scopes and lasers under NABH safety. We balance surgical precision with recurrence prevention so professionals, students, and homemakers avoid repeated hospital visits.
Our teams collaborate with nephrology, endocrinology, and dietetics to manage comorbidities like diabetes and obesity. Telemedicine follow-ups support patients travelling from Karimnagar, Nalgonda, or even neighbouring Andhra Pradesh.
When to Choose URSL, RIRS, or PCNL
⚠️ Consider Surgery If You Notice:
- ✓ Stones >6 mm with repeated pain attacks
- ✓ Stones causing infection or hydronephrosis
- ✓ Job demands quick return without open surgery
- ✓ Recurrent stones despite medication
We evaluate each case individually, factoring stone density, anatomy, and occupation to recommend the least invasive yet most effective option.
Our Diagnostic Approach
Imaging & Stone Analysis
CT-KUB and ultrasound quantify size, density, and location. Stones previously removed undergo composition analysis to guide prevention.
Functional & Medical Review
Kidney function, infection markers, and comorbidities are optimised. Diabetology and cardiology clearances ensure safe anaesthesia.
Surgical Planning
We map access pathways, choose sheath size, and schedule OT slots with laser availability. Patients receive hydration and fasting guidance.
Infection Control
Urine cultures must be sterile before surgery. Antibiotic prophylaxis follows USI guidance, with adjustments for recurrent infections.
Treatment Pathways
URSL for Ureteric Stones
Semirigid scopes access the ureter, lasering stones into passable fragments. Stents prevent swelling-related obstruction post-procedure.
RIRS for Renal Stones
Flexible digital scopes navigate calyces. Holmium laser dusting breaks stones into fine particles, reducing the need for basket retrieval.
Mini-PCNL & ECIRS
For larger stones, we create mini tracts to access the kidney. Combined antegrade and retrograde approaches clear staghorn stones safely.
Paediatric & Challenging Anatomy
Micro-PCNL and ultrasound-guided access protect growing kidneys and complex anatomies. Parents receive detailed counselling in their preferred language.
Pain & Recovery Management
ERAS protocols, multimodal analgesia, and early mobilisation speed recovery. Hydration and medication reminders arrive via WhatsApp.
Recurrence Prevention
Dieticians craft low-oxalate, low-sodium plans using local foods. Metabolic clinics adjust supplements and monitor labs every quarter.
What to Expect: Your Care Journey
You’ll complete imaging and labs, meet the endourology consultant, and receive a customised surgical plan. Insurance pre-authorisation is processed before admission. Most URSL/RIRS cases are day-care, while mini-PCNL patients stay 2-3 nights. Discharge includes stent care instructions, hydration targets, and tele-follow-up schedules.
At 1-2 weeks, stents are removed in clinic. A 6-week ultrasound or CT confirms clearance. Over the next year, metabolic workups and dietician sessions keep recurrence low.
Technology & Innovation
Ajuda’s endourology suite features digital flexible ureteroscopes, high-power holmium lasers with Moses technology, miniaturised nephroscopes, and low-dose fluoroscopy. Ultrasound-guided PCNL reduces radiation, while EMR integration shares operative videos securely.
Preventing Complications
We mitigate infection with strict antibiotic protocols, continuous irrigation monitoring, and cautious intrarenal pressure control. For diabetic or CKD patients, nephrology adjusts medications and fluids to protect renal function.
Why Ajuda for URSL, RIRS & PCNL?
🔍 Expert Precision
High-volume surgeons deliver >94% clearance with minimal complication rates.
📉 Low Downtime
Day-care or 2-night stays mean quick return to work and family life.
🛡️ Recurrence Shield
Metabolic clinics, diet support, and tele follow-ups keep future stones away.
Take the First Step
Ready for incision-free stone removal? Contact Ajuda Hospitals via phone or WhatsApp to plan URSL, RIRS, or mini-PCNL with seamless insurance and prevention support.