Sheatless, Fluoroless, Tubeless Bilateral Retrograde Intrarenal Surgery (RIRS): A Case Report

Authors

  • Eko Arianto Universitas Sam Ratulangi
  • Ari Astram Universitas Sam Ratulangi
  • Christof Toreh Universitas Sam Ratulangi
  • Frendy Wihono Universitas Sam Ratulangi
  • Stivano R. V. Torry Universitas Sam Ratulangi
  • Ronald J. Datu Universitas Sam Ratulangi

DOI:

https://doi.org/10.35790/ss9rq978

Keywords:

retrograde intrarenal surgery; bilateral kidney stones; ureteral stenosis; Holmium laser

Abstract

Abstract: This case report presents the management of bilateral urinary tract stones through Retrograde Intrarenal Surgery (RIRS) performed in a single surgical session. We reported a 30-year-old male patient with a history of right flank pain and hematuria diagnosed with bilateral kidney stones with a history of right ureteral DJ stent placement. The RIRS procedure was performed under spinal anesthesia. Multiple ureteral stenoses and stones were found in both kidneys. The stones were fragmented using a Holmium laser and evacuated. Bilateral ureteral catheters were placed at the end of the procedure. The patient recovered well without complications. In conclusion, this case report demonstrates that sheathless, fluoroless, tubeless bilateral RIRS can be a safe and effective treatment option for multiple kidney stone cases in appropriately selected patients.

Keywords: retrograde intrarenal surgery; bilateral kidney stones; ureteral stenosis; Holmium laser

Author Biographies

  • Eko Arianto, Universitas Sam Ratulangi

    Department of Surgery, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia

    Division of Urology, Department of Surgery, Prof. Dr. R. D. Kandou General Hospital, Manado, Indonesia

  • Ari Astram, Universitas Sam Ratulangi

    Department of Surgery, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia

    Division of Urology, Department of Surgery, Prof. Dr. R. D. Kandou General Hospital, Manado, Indonesia

  • Christof Toreh, Universitas Sam Ratulangi

    Department of Surgery, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia

    Division of Urology, Department of Surgery, Prof. Dr. R. D. Kandou General Hospital, Manado, Indonesia

  • Frendy Wihono, Universitas Sam Ratulangi

    Department of Surgery, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia

    Division of Urology, Department of Surgery, Prof. Dr. R. D. Kandou General Hospital, Manado, Indonesia

  • Stivano R. V. Torry, Universitas Sam Ratulangi

    Department of Surgery, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia

    Division of Urology, Department of Surgery, Prof. Dr. R. D. Kandou General Hospital, Manado, Indonesia

  • Ronald J. Datu, Universitas Sam Ratulangi

    Department of Surgery, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia

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Published

2026-10-02

How to Cite

Sheatless, Fluoroless, Tubeless Bilateral Retrograde Intrarenal Surgery (RIRS): A Case Report. (2026). Medical Scope Journal, 8(2), 414-419. https://doi.org/10.35790/ss9rq978