TY  - JOUR
T1  - Optimizing Stone Treatment: A Review of Single‐Session Bilateral RIRS with Superpulsed Thulium Fibre Laser
AU - Krishnan, P.B. AU - Rao, K. AU - Mehra, Kunal AU - Chaitanya, J. AU - Parchuri, Sanjay AU - Dileep, M. 
JO  - Research Journal of Medical Sciences
VL  - 19
IS  - 3
SP  - 5
EP  - 8
PY  - 2025
DA  - 2001/08/19
SN  - 1815-9346
DO  - makrjms.2025.3.5.8
UR  - https://makhillpublications.co/view-article.php?doi=makrjms.2025.3.5.8
KW  - Bilateral renal calculi
KW  - retrograde intra renal surgery (RIRS)
KW  - thulium fiber laser (TFL)
KW  - stone‐free rate (SFR)
KW  - minimally invasive urology
AB  - <p style="text-align:justify">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&plusmn;0.78 mm and the operative time averaged 74.5&plusmn;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.</p>

ER  -