Kidney Stones (RIRS) Surgery in Pune
Scarless laser clearance of stones. A laser approach with 24-hr stay and a typical recovery of 3–5 days. But surgery is the last step, not the first — start with a urologist and rule out the simpler fixes.
How it works
You don't buy an operation here — you start with a doctor. Book a consultation first; Kidney Stones (RIRS) surgery happens only if a urologist confirms you need it.
About kidney and upper ureteric stones
Urinary stones form when urine is persistently too concentrated or chemically imbalanced, letting calcium oxalate, calcium phosphate, uric acid, struvite or cystine crystals clump together. Small stones pass on their own. Larger ones lodge in the kidney or ureter, causing the intense colicky pain the condition is known for, and — if they obstruct for long or become infected — genuine damage to the kidney behind them.
When is surgery actually needed?
Stones under about 5 mm frequently pass on their own, and the first step for an uncomplicated small stone is a genuine trial of hydration, analgesia and medical expulsive therapy over a few weeks, with imaging to confirm it actually passed. Active removal is indicated when the stone is too large to pass, is not moving, causes uncontrolled pain or repeated attacks, sits in a single functioning kidney, is associated with infection, or is affecting kidney function. One rule overrides all of the above: an infected, obstructed kidney is drained urgently with a stent or nephrostomy, and the stone is dealt with only once the sepsis has been treated.
Why laser, not open surgery
RIRS — retrograde intrarenal surgery — reaches the stone the way urine leaves, with no incision anywhere. A flexible ureteroscope is passed up the urethra, bladder and ureter into the kidney under vision, and a holmium or thulium laser fibre fragments the stone to dust or to pieces small enough to pass. Fragments may be removed with a basket. A ureteric stent is usually left for a few days to two weeks so that swelling in the ureter cannot obstruct the kidney while it settles; it is removed in the clinic.
Your options for kidney and upper ureteric stones
Non-surgical options are listed first where they exist. Which one suits you depends on your examination and reports — this table is here so you can ask better questions, not to choose for you.
Our urologist surgeons
Dr. Aniket Joshi
Dr. Sanjay Kulkarni
Senior
Dr. Arjun Menon
Senior
Dr. Karan Malhotra
SeniorCost, EMI & insurance
Covered by insurance
Kidney Stones (RIRS) surgery is covered by most health policies. We start cashless pre-authorisation before admission — you pay nothing extra at discharge.
Your recovery timeline
Week by week after kidney stones (rirs) surgery
Discharge the same day or the next. Burning and blood-stained urine for a day or two is expected.
Stent symptoms — urgency, frequency and a dragging loin ache while passing urine — are normal and are the commonest complaint after this operation.
Back to desk work.
Stent removed in clinic and the symptoms resolve almost immediately. Do not miss this appointment.
Imaging confirms clearance. Recurrent stone formers go on to 24-hour urine and metabolic testing.
Risks, preparation & aftercare
Every operation carries risk. These are the complications your surgeon will take you through before you consent — they are listed here so you read them without a pen in your hand.
Possible complications of kidney stones (rirs) surgery
Before your procedure
The urine culture must be sterile or treated first — operating through infected urine is the single commonest route to sepsis after stone surgery. A CT KUB gives the size, site and density of the stone. Kidney function bloods, review of blood thinners, nothing to eat for 6 hours and clear fluids up to 2 hours before.
After you go home
Drink enough to keep the urine pale. Take the alpha-blocker and analgesia prescribed for stent symptoms. Keep the stent removal appointment. Strain the urine if asked, and send any fragment for analysis — it tells you which diet changes will actually help. Report fever, heavy bleeding with clots, or inability to pass urine. Long term, fluids, less salt and moderate animal protein are the prevention, and prevention here is lifelong.
Frequently asked questions
Start with a conversation, not a commitment.
Book a ₹700 consultation with a urologist — adjusted into your surgery cost if you go ahead. No pressure, no surgery unless you need it.