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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Optimizing Stone Treatment: A Review of Single‐Session Bilateral RIRS with Superpulsed Thulium Fibre Laser

P.B. Krishnan, K. Venkateshwara Rao, Kunal K. Mehra, J. Chaitanya, Sanjay Parchuri and M. Dileep
Page: 5-8 | Received 12 Jan 2025, Published online: 18 Mar 2025

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https://doi.org/10.36478/makrjms.2025.3.5.8

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Abstract

Urolithiasis is a prevalent global condition, with a lifetime risk of stone formation reaching 10‐12% in males and 6‐8% in females. Bilateral renal calculi account for 1‐3% of cases, with an increasing trend. Traditionally managed with staged procedures, technological advancements have enabled single‐session bilateral retrograde intra renal surgery (SSB‐RIRS). This study evaluates the safety and efficacy of SSB‐RIRS using a superpulsed thulium fiber laser (TFL). A retrospective analysis was conducted on patients who underwent single‐session bilateral RIRS with the super pulsed thulium fibre laser between Jan 2024 to June 2024 for a period of 6 months. Data on patient demographics, stone characteristics, operative parameters, stone‐free rates (SFR), complications and postoperative outcomes were collected and analyzed. A total of 50 patients underwent single‐session bilateral RIRS. The mean stone size was 10.06±0.78 mm and the operative time averaged 74.5±7.69 minutes. The overall stone‐free rate was 90%, with a minimal complication rate of Fever (8%), hematuria (6%), sepsis (2%). No significant perioperative complications were observed. Postoperative outcomes indicated rapid recovery with minimal morbidity and no patients required staged procedures or secondary interventions. SSB‐RIRS using TFL is a safe and effective procedure for bilateral renal stones, offering a high success rate and minimal morbidity. Technological advancements in flexible ureteroscopy and laser lithotripsy contribute to improved outcomes and reduced need for staged procedures.

How to cite this article:

P.B. Krishnan, K. Venkateshwara Rao, Kunal K. Mehra, J. Chaitanya, Sanjay Parchuri and M. Dileep. Optimizing Stone Treatment: A Review of Single‐Session Bilateral RIRS with Superpulsed Thulium Fibre Laser.
DOI: https://doi.org/10.36478/makrjms.2025.3.5.8
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2025.3.5.8