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Laser Kidney Stone Surgery in Delhi | RIRS & Mini-PCNL

Name: Yupiter Hospital
Address: J-4, Green Park Extension Rd, CH Harsukh Marg, Green Park Extension, New Delhi, Delhi, 110029, IN
Telephone: +91 9971905500
Price range: ₹₹ - ₹₹₹

Stitchless 100W Holmium Laser Stone Pulverization via Natural Passages with Short Hospital Stay

Clinically Reviewed by Senior Surgical Board, Yupiter HospitalSenior Operating Faculty (Ex-AIIMS, Fortis, Medanta & Max Healthcare) | Last Updated: September 2026

Stones Removed5,500+

External Cuts (RIRS)Zero Cuts

Hospital Stay24-48 Hours

Laser Power100W Holmium

WhatsApp Helpdesk 24x7 Helpline: +91 9971905500

Senior Surgical Panel

Multidisciplinary Surgical Board

Ex-Fortis, Medanta, Max & AIIMS Faculty

Pedigree: Senior Surgeons from Top Delhi NCR Hospitals

Experience: 15–25+ Yrs Combined Clinical Excellence

OT Standard: ISO Class-5 (0.3μm HEPA Filter Laminar Flow)

Modular Theatres with Ultra-Low Infection Rates

Cashless Pre-Authorization for CGHS & 30+ TPAs

NABH Certified Clinical Patient Safety Standards

Advised surgery for Laser Kidney Stone Surgery (RIRS / PCNL) elsewhere? Share your scans & reports for an objective evaluation of surgical vs conservative options.

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Condition Overview & Anatomy

What is this Condition: Kidney stones (Nephrolithiasis) are crystallized mineral deposits that develop within the renal kidneys, ureters, or bladder, causing severe spasmodic flank pain and urinary blockage.

Anatomy Involved: Kidneys (renal calyces & pelvis), ureters, and urinary bladder.

When Surgery May Be Considered: Laser intervention is indicated for stones larger than 5-6mm, stones obstructing the urinary tract, causing intractable pain, hematuria, kidney swelling (Hydronephrosis), or urinary infection.

Conservative / Non-Surgical Alternatives: Small stones (<4-5mm) without obstruction or severe pain can frequently be managed conservatively with medical expulsive therapy (MET), abundant hydration, and antispasmodics.

Common Symptoms & Clinical Signs

Patients presenting for evaluation at Yupiter Hospital frequently report the following symptoms:

1Severe, sharp cramping pain in the back, flank, and lower abdomen radiating to the groin

2Blood in the urine (Hematuria) with pink, red, or brownish discoloration

3Persistent urge to urinate, painful burning sensation during urination

4Nausea, vomiting, fever, or chills if associated with urinary tract infection

When Should You Consult a Surgeon?

Intractable flank pain unmanageable with oral medications
Fever with chills accompanied by urinary discomfort (Urological Emergency)
Inability to pass urine or persistent blood in urine
Kidney swelling (Hydronephrosis) detected on ultrasound or CT scan

Surgical Indications & Candidate Selection

• Renal & Upper Ureteric Stones (up to 20mm treated via RIRS)• Large or Staghorn Renal Calculi (>20mm treated via Mini-PCNL)• Mid and Lower Ureteric Stones (treated via URS Laser)• Obstructive Uropathy with Hydronephrosis

Treatment Pathways Compared

A structured overview of conservative management versus surgical approaches:

Medical Expulsive Therapy (MET)

Conservative / Non-Surgical

Hydration and alpha-blockers for small non-obstructive stones under 5mm.

Mini-PCNL (Keyhole Puncture)

Minimally Invasive / Laser

Pencil-thin puncture through the back for large, hard, or staghorn stones (>20mm).

Retrograde Intrarenal Surgery (RIRS)

Minimally Invasive / Laser

Stitchless flexible scope through natural urinary tract utilizing 100W Holmium laser.

Advanced Surgical Technology

Flexible Digital RIRS & Mini-PCNL with 100W Holmium Laser

Equipment & Technology Utilized: Karl Storz Flexible Video Ureteroscopes & High-Power Holmium-YAG Laser

Completely stitchless RIRS procedure passing through natural urinary passages

100W laser pulverizes hard calcium oxalate and uric acid stones into fine dust

Visual confirmation of complete stone clearance under direct digital high-definition view

Short hospital stay (24 to 48 hours) with rapid return to daily routine

Step-by-Step Surgical Journey

Diagnostic Imaging & Access

High-resolution NCCT KUB scan confirms stone location and anatomical access.

Flexible Scope Navigation

A flexible digital ureteroscope is advanced through the bladder and ureter into the kidney.

Laser Dusting & Extraction

100W Holmium laser pulses pulverize the stone into micro-dust; larger fragments are basket-extracted.

Temporary DJ Stent Placement

A temporary internal stent is placed to ensure smooth urine drainage and removed after 1 to 2 weeks.

Typical Recovery & Healing Milestones

Individual recovery timelines vary based on patient age, baseline health, and procedure complexity:

Day of Surgery

Day 1

Bedside mobilization within hours; oral hydration.

Discharge

Day 2

Discharge home with oral medications and stent care guidelines.

Back to Routine

Day 4-5

Comfortable return to light office work.

Stent Removal

Week 2

Simple 2-minute outpatient stent removal under local anesthesia.

Transparent Risks & Hospital Safeguards

Every surgical intervention carries clinical considerations. Here is how Yupiter Hospital mitigates potential risks:

Clinical Consideration: Urinary Tract Infection

Prevention Protocol: Pre-procedure urine culture screening and prophylactic antibiotic coverage.

Clinical Consideration: Transient Stent Discomfort

Prevention Protocol: Soft silicone stents and prescribed bladder-calming medication.

Cashless Insurance DeskTPA Pre-Auth Desk

Cost Transparency & Cashless CGHS/TPA Support

Full cashless coordination with CGHS, EHS, and private insurers within 30 minutes.

Cost Determinants:

•Stone size, hardness, and location (Single vs Multiple / Bilateral)
•Technique utilized (RIRS vs Mini-PCNL vs URS)
•Room category and insurance policy benefits

Documents Required for Pre-Auth:

•Insurance Card / CGHS Plastic Card
•Govt Photo ID
•NCCT KUB or Ultrasound Scan Report

Why Choose Yupiter Hospital?

Advanced 100W Holmium laser technology with flexible digital ureteroscopes

Over 5,500+ successful stone removals with high stone clearance rates

Comprehensive 24x7 urology emergency readiness for acute colic and stenting

Cashless hospitalization approved for CGHS and all leading private TPAs

Diagnostic & Operative Facilities

• Endourology Modular Operation Suites with C-Arm Fluoroscopy

• 24x7 Multi-Slice CT KUB & Diagnostic Ultrasound

• Specialized Daycare and Inpatient Uro-Care Bays

Frequently Asked Questions regarding Laser Kidney Stone Surgery (RIRS / PCNL)

Is kidney stone laser surgery stitchless?

Yes. Flexible RIRS is performed entirely through the natural urinary passage without any incision or external cut.

What is a DJ stent and when is it removed?

A Double-J (DJ) stent is a soft, thin internal tube placed temporarily between the kidney and bladder to keep urine flowing smoothly while the ureter heals. It is safely removed in OPD after 1 to 2 weeks.

Surgical Consultation & Triage

Departmental Surgical Board

Senior Faculty from AIIMS, Fortis & Medanta

OPD Days: Mon – Sat: 8:00 AM – 8:00 PM

Coverage: CGHS, EHS & 30+ Private Insurance TPAs

Location: Green Park Extension, New Delhi

WhatsApp Helpdesk 24x7 Helpline: +91 9971905500

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