Urology

Advancing Kidney Stone Treatment with the Versatile ECIRS Procedure

Dr. Mohan Keshavamurthy Jun 14, 2024

Introduction

In the realm of urology, the evolution of techniques for kidney stone removal has brought forth innovative solutions to address complex scenarios. One such technique, known as Endoscopic Combined Intra Renal Surgery (ECIRS), represents a significant advancement in stone management.

Imagine a scenario where a supine PCNL procedure leaves behind a stone fragment in a calyx that is inaccessible by conventional means. In such cases, the brilliance of urological technicians shines through as they navigate through challenges with finesse.

Dr. Mohan Keshav Murthy, a seasoned urologist at Fortis Hospitals, Bannerghatta Rd, sheds light on the significance of ECIRS:

"ECIRS is a game-changer in stone management, especially in scenarios where traditional approaches fall short. This technique involves the simultaneous performance of both PCNL and RIRS (Retrograde Intra Renal Surgery). The supine positioning facilitates the execution of both antegrade and retrograde approaches concurrently."

"In instances where stone localization proves challenging through antegrade means, a flexible ureteroscope can be passed retrograde through the urethra to locate and clear the stone using retrograde techniques. This combined approach enhances the likelihood of achieving 100% stone clearance, even for small, inaccessible stones encountered during PCNL."

Dr. Murthy emphasizes the versatility of ECIRS in tailoring treatment to individual patients:

"Anesthetic management becomes streamlined, patient monitoring is simplified, and recovery times are optimized with ECIRS. Additionally, the procedure duration is significantly reduced, leading to enhanced patient outcomes."

"Incorporating a combination of supine PCNL and ECIRS equips urologists with a comprehensive armamentarium to tackle diverse stone presentations. Whether utilizing standard nephroscopes, mini nephroscopes, or ultra-mini nephroscopes, ECIRS offers the flexibility to puncture any calyx and combine RIRS as needed."

In Conclusion

ECIRS stands as a testament to the relentless pursuit of excellence in urological care. As technology continues to evolve, urologists at Fortis Hospitals, Bannerghatta Rd, remain committed to pushing the boundaries of innovation to deliver optimal outcomes for patients with kidney stones