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Suvira Hospital — Mansarovar, Jaipur
At Suvira Hospital, Mansarovar · Jaipur

Kidney stones? Remove Them with Advanced Laser RIRS

Advanced RIRS — Retrograde Intrarenal Surgery using Holmium laser technology. No external incisions, no stitches, same-day discharge.

4.9900+ patient reviews
95%Stone-free success rate
30minAverage procedure time
0cutsZero incisions, no scars
1dayHospital stay, then home
Cashless with
Others
Know your stone

Where does RIRS fit in kidney stone treatment?

Treatment depends mostly on stone size. RIRS is the first-line laser option for stones between 5–20mm — the most common range for adults in India.

0mm5mm10mm15mm20mm25mm+
Pass naturally
RIRS — recommended
Mini-PCNL
Open / PCNL
Where most adult kidney stones fall

No external cuts

Scope reaches the kidney through the body's natural urinary path. No incisions, no stitches, no scars.

Holmium:YAG laser

Precisely fragments stones of any hardness into dust. Safe on surrounding tissue.

Same-day discharge

Most patients go home the same evening. Back to office in 3–4 days.

95%+ stone-free

High single-session clearance rate in the ideal 5–20mm range.

Watch & learn

Dr. Punia explains RIRS — in his own words

Is kidney stone surgery possible without an incision? In this short video, Dr. Mahendra Singh Punia (Consultant Urology) explains how, with the help of advanced laser techniques, kidney stone treatment can now be performed without major surgery and without an incision.

  • No external cuts on the body
  • Treats stones up to 2 cm
  • Same-day discharge, quick recovery
  • Safer than open or traditional surgery
Book Appointment

Kidney Stone Treatment Video

Kidney Stone Surgery Without Incision — Dr. Mahendra Singh Punia
Types of kidney stones

Every stone is different. So is every treatment.

Our urology team has treated over 10,000 cases across every stone type and complexity. Here's a quick guide to what exists — and how each is best treated with RIRS.

5–10% of cases

Uric Acid

Forms in acidic urine; linked to gout, diabetes and high-purine diets. Can sometimes be dissolved with medication before surgery.

Size4–15 mm
TreatmentMedical + RIRS
10–15% of cases

Struvite

Infection-induced. Grows rapidly and can become very large. Needs urgent laser removal to protect the kidney.

Size15–40 mm
TreatmentRIRS + Mini-PCNL
Staghorn

Staghorn Stones

Large, branched stones that fill the renal pelvis. Treated with a planned combined RIRS + mini-PCNL approach.

Size25+ mm
TreatmentCombined approach
Ureteric

Ureter Stones

Stones stuck in the ureter (the tube from kidney to bladder), causing severe colicky pain. Removed via ureteroscopy and laser.

Size3–15 mm
TreatmentURSL + laser
<1% of cases

Cystine

Rare, hereditary stones that tend to recur. Need expert management — RIRS plus a detailed metabolic workup.

SizeVaries
TreatmentRIRS + metabolic
Warning signs

Are you experiencing these symptoms?

Kidney stones can silently damage the kidneys if left untreated. If two or more of these apply to you, consult our urology team without delay.

01 Most common

Sharp back or side pain

Stabbing, wave-like pain in the flank (just below the ribs) that radiates down to the lower abdomen and groin.

02

Blood in urine

Pink, red or brown tinted urine — even in small amounts is a reliable early warning sign.

03

Cloudy or smelly urine

Suggests infection alongside the stone. Often with a burning sensation while urinating.

04

Frequent, urgent urination

Constant urge to go, often passing only small amounts of urine each time.

05

Nausea and vomiting

Severe colicky pain can trigger nausea. Seek urgent care if you can't keep fluids down.

06 Emergency

Fever with stone pain

Fever alongside flank pain means infection has spread. Call the hospital immediately.

Have 2 or more of these symptoms? Consult Dr. Mahendra Singh Punia — Director, Urology & Renal Transplant at Suvira Hospital.
Why patients choose RIRS

RIRS vs traditional kidney stone surgery

A quick side-by-side of what changes when you choose the modern incision-free route.

What patients experience
Open / Traditional
RIRS at Suvira
Incision size
6–8 inch flank cut
Zero external cut
Hospital stay
5–7 days
Same-day or 1 day
Pain after surgery
Severe, 7–10 days
Mild, 1–2 days
Return to desk work
4–6 weeks
2–3 days
Visible scar
Permanent
None
Blood loss
200–400 ml
Negligible
Stone clearance rate
80–85%
95%+
The RIRS procedure

How the surgery works — step by step

RIRS is performed under spinal or general anaesthesia. A flexible scope travels through the natural urinary path to the kidney, where the Holmium laser does its work.

01 Day 1

Consultation & pre-op

Ultrasound or CT scan, blood work, urine analysis, and anaesthesia fitness — all in a single visit. Insurance pre-authorisation begins.

02 30–60 min

Scope enters naturally

Under anaesthesia, a flexible ureteroscope is gently guided through the body's natural urinary path up to the kidney.

03 Main step

Laser shatters stone

A Holmium:YAG laser fibre is passed through the scope. Precise pulses fragment the stone into dust-fine particles.

04 Day 2–3

Recovery & discharge

DJ stent placed temporarily. Most patients go home the same evening or next morning. Only mild discomfort for 1–2 days.

05 Day 21

Stent removal & diet

A quick, painless OPD procedure removes the stent. A personalised diet plan is shared to prevent recurrence.

Dr. Mahendra Singh Punia — Urologist at Suvira Hospital, Jaipur
Director of
Urology
Meet your surgeon

Dr. Mahendra Singh Punia

MBBS · MS (General Surgery) · MCh (Urology)
Director — Urology & Renal Transplant, Suvira Hospital

A renowned urologist & renal transplant surgeon in Rajasthan with over 20 years of clinical experience and 10,000+ urology procedures. Completed MCh (Urology) from Seth GS Medical College & KEM Hospital, Mumbai, regarded as one of India's most prestigious urology training institutes.

1995–2000 MBBS SMS Medical College, Jaipur
MS General Surgery SS Medical College, Rewa
MCh Urology Seth GS / KEM, Mumbai
Now Director – Urology Suvira Hospital, Jaipur

Areas of expertise

RIRS & Endourology PCNL / Mini-PCNL URS & Laser Lithotripsy TURP / HoLEP Renal Transplant Laparoscopic Urology Reconstructive Urology Urodynamic Studies
Our hospital

A 150-bedded hospital built for modern care

Guided by our philosophy "Har Ek Jaan Anmol" — every life is invaluable.

Suvira Hospital — aerial view
Suvira Hospital Mansarovar, Jaipur · 150-bedded multispeciality
Suvira Hospital — entrance
Modular OT
Modular operation theatre
Waiting Area
ICU critical care
24×7 ICU & CCU
In-house diagnostic lab
Ambulance Service Available
Other specialities at Suvira:
Cardiology Orthopaedics Neurology Gastroenterology Laparoscopic Surgery
Patient reviews

What patients say about Suvira Hospital

AJ
Ajay Jangid Local Guide · 14 reviews
a month ago

My mother had stones in both kidneys. Dr. Punia performed bilateral RIRS in a single sitting. She was walking in 3 hours, home next morning. Staff treated us like family.

RS
Rakesh Sharma 3 reviews
2 weeks ago

Unbearable stone pain for 3 months. Surgery took 45 minutes. I was home the same evening, back to office in 4 days. No cuts, no stitches. Highly recommend Suvira.

MV
Parmod Kumar 7 reviews
1 month ago

Highly recommended Suvira hospital jaipur. Dr Mahendra Singh Punia and Dr Sandeep are empathetic, professional and patient-centric. Staff is courteous and facilities are also top-notch.

SP
Sunita Poonia 2 reviews
3 weeks ago

Recurring stones for years. Other doctors suggested open surgery. Dr. Punia made me stone-free in one sitting, no cut. Even gave a diet plan. Thankful to the team.

PK
Priya Kulkarni Local Guide · 31 reviews
2 months ago

Clean hospital, punctual appointments, clear communication about cost before surgery. Dr. Punia explains everything in simple terms. My father's 18mm stone removed in under an hour.

DS
Deepak Singh 5 reviews
6 weeks ago

Emergency brought my wife in with severe pain — 12mm stone blocking ureter. Team acted fast, RIRS done same day. Very grateful to Dr. Punia and the night staff.

Based on verified Google Business Profile reviews. Read all reviews
Frequently asked

Your questions, answered

Still have a question? Call us on 917014723521.

About the procedure
What exactly is RIRS surgery?

RIRS (Retrograde Intrarenal Surgery) is an advanced, incision-free technique to remove kidney stones. A slim flexible ureteroscope is guided through the body's natural urinary passage up to the kidney, and a Holmium laser breaks the stone into dust-fine particles that pass out naturally in urine. No external cuts, no stitches, no scars.

Is RIRS painful?

The surgery itself is painless — performed under spinal or general anaesthesia. After surgery, most patients experience only mild discomfort for 1–2 days, easily managed with oral medication.

How long does the surgery take?

A standard RIRS takes 45–90 minutes, depending on stone size and count. Complex bilateral cases may take 90–120 minutes.

What stone sizes can RIRS handle?

RIRS is ideal for stones 5–20mm. For larger or staghorn stones, RIRS may be combined with mini-PCNL — still minimally invasive. The exact plan is finalised after your imaging scan.

Is RIRS safe? What's the success rate?

RIRS is one of the safest kidney stone procedures today. At Suvira, single-session stone-free rate is over 95%. Because there are no external incisions, complications are dramatically rarer than traditional or open surgery.

Recovery, cost & insurance
When can I be discharged?

Most patients are discharged the same evening or next morning. Complex cases may need a 2-day stay. Back to office work in 3–4 days; full physical activity in 10–14 days.

Will stones come back after RIRS?

Around 30–40% of stone patients recur if lifestyle remains unchanged. Every RIRS patient at Suvira receives a personalised diet plan based on stone composition analysis, which significantly reduces recurrence risk.

Can both kidneys be treated at once?

Yes. Bilateral RIRS in a single sitting is often possible, saving you time, cost and a second hospitalisation. Your fitness for this is assessed during the pre-op visit.

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