ECIRS stands for Endoscopic Combined Intrarenal Surgery. It is a cutting-edge, minimally invasive procedure used to treat complex and large kidney stones (typically >2 cm) that are difficult to clear with a single technique.
ECIRS integrates Percutaneous Nephrolithotomy (PCNL) and Retrograde Intrarenal Surgery (RIRS) simultaneously, giving surgeons dual access to the kidney via both antegrade (through the back) and retrograde (through the urethra and ureter) approaches. This synergy significantly enhances stone clearance while minimizing trauma.
1. Anaesthesia: The patient is placed under general anaesthesia for optimal comfort and safety.
2. Positioning: A modified prone or Galdakao-modified supine Valdivia position is used. This allows both the urologist and endourologist to access the kidney simultaneously.
3. Retrograde Access: Using a flexible ureteroscope, the surgeon navigates through the urethra, bladder, and ureter to reach the kidney.
4. Percutaneous Access: Simultaneously, another access point is made through a small incision in the back to reach the kidney directly.
5. Stone Removal: High-powered laser technology (like Ho:YAG laser) and graspers are used to fragment and extract the stones. Both approaches ensure a higher stone-free rate in one sitting.
6. Stent Placement: A DJ stent may be placed to ensure smooth urinary drainage post-surgery.
7. Closure: The percutaneous tract is usually sealed with a nephrostomy tube or may be tubeless depending on the case.
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At MASSH Hospital, we offer advanced urological care with precision and compassion. Our state-of-the-art endourology suite is equipped with high-definition endoscopes, cutting-edge lasers, and real-time imaging to ensure the highest accuracy during ECIRS procedures. Backed by a team of fellowship-trained urologists and endo urologists, we specialize in handling even the most complex kidney stone cases with confidence.
Every patient benefits from personalized care plans designed through close coordination between urologists, nephrologists, anesthetists, and radiologists ensuring safe, holistic treatment. With transparent communication, seamless support, and hassle-free cashless and insurance facilities, MASSH is your trusted destination for expert stone care.
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ECIRS combines both PCNL and RIRS techniques in a single session, allowing surgeons to access the kidney from two directions. This approach ensures more complete stone removal, especially for complex or large stones, while minimizing trauma.
No, ECIRS is performed under general anesthesia and is minimally invasive. Postoperative discomfort is typically mild and well-managed with pain medications, often less than open or traditional surgeries.
The duration varies based on the size and location of the stones but typically lasts between 60 to 120 minutes. Dual access often reduces operating time compared to performing PCNL or RIRS alone.
In most cases, ECIRS achieves complete stone clearance in a single session, even for multiple or staghorn stones, which would otherwise need staged procedures.
Most patients can resume light activities within 3–5 days and return to normal routines within 2–3 weeks, depending on individual healing.
ECIRS boasts a high success rate—often exceeding 90%—for complete stone clearance, especially when performed in experienced centers like MASSH.
A nephrostomy tube or DJ stent may be placed temporarily to help urine drain properly after the surgery. These are usually removed within a few days to weeks during follow-up.
Yes, ECIRS is often preferred in such cases due to its precision and lower risk of complications. Your surgeon will evaluate your specific case before recommending it.
Like all surgeries, ECIRS carries small risks such as bleeding, infection, or injury to nearby structures, but these are rare when performed by skilled specialists in a high-quality setup.
MASSH offers advanced technology, a skilled urology team, personalized care, and a patient-first approach making your treatment not just effective but also comfortable and smooth.
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