Comparative study of Retrograde Intrarenal Surgery and Mini-Percutaneous Nephrolithotomy among Renal Stone Patients: Mini-PCNL Versus RIRS in Renal Stones

Muhammad Maqsood Zahid; Khalid  Farook; Khaleel  Ahmad; Liaquat  Ali; Hafiz  Muhammad Javed; Syed  Mehmood Ul Hassan

doi:10.54393/pjhs.v4i01.523

Authors

Muhammad Maqsood Zahid Department of Urology and Kidney Transplantation, Services Hospital, Lahore, Pakistan
Khalid Farook Urology and Renal Transplantation, Fauji Foundation Hospital, Rawalpindi, Pakistan
Khaleel Ahmad Department of Anesthesia, ICU and Pain Medicine, Fauji Foundation Hospital, Rawalpindi, Pakistan
Liaquat Ali Department of Anesthesia, ICU and Pain Medicine, Fauji Foundation Hospital, Rawalpindi, Pakistan
Hafiz Muhammad Javed Nawaz Sharif Medical College, Gujrat, Pakistan
Syed Mehmood Ul Hassan Services Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i01.523

Keywords:

Mini-PCNL, RIRS, Renal Stones, Surgery

Abstract

Mini-Percutaneous Nephrolithotomy (Mini-PCNL) and Retrograde intra-renal surgery (RIRS), can be carried out in a single stage or numerous phases depending on the burden, size, and/or location of the stone. Objective: To check the efficacy of Mini-Percutaneous Nephrolithotomy and Retrograde intra-renal surgery on adult patients with a renal stones. Methods: A total of 101 patients were included who underwent RIRS (n=51) or mini-PCNL (n=50) at Doctors Hospital Jail Chowk in Gujrat, Pakistan in 2021. Retrospective observations were made on 101 individuals who received RIRS or mini-PCNL. Results: The mean hospital stay time was significantly lower in RIRS group i.e., 01.81 ± 0.59 days as compared to mini-PCNL group (p value <0.001). The operation time was 63.72 ± 14.94 minutes for mini-PCNL and 72.65 ± 15.83 minutes for RIRS group. The stone clearance rate was 92% in mini-PCNL group and 82.35% in RIRS group. Conclusions: In conclusion, we found that both mini-PCNL and RIRS are safe and effective ways to treat renal calculi. RIRS is a non-invasive, practical therapeutic option with reduced hospitalizations times, morbidity, and complication rates for these individuals.

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