ECIRS is a minimally invasive urological procedure that combines two endoscopic approaches:
- Retrograde approach using a flexible ureteroscope (through the urethra and bladder)
- Antegrade approach using percutaneous nephroscope (direct access to the kidney through the back)
These two approaches are performed simultaneously to manage complex or large kidney stones, especially staghorn calculi or multiple stones in different calyces.
Who Needs ?
- Patients with large or complex renal stones
- Stones located in multiple calyces
- Failed previous stone treatments
- Anatomically challenging kidneys (e.g., malrotated kidney, horseshoe kidney)
How the Procedure Works:
- Patient Positioning
- Retrograde Access
- Percutaneous Access
- Stone Visualization & Fragmentation
- Stone Removal
- Drainage & Completion
Advantages:
- Better stone clearance rate in a single session
- Minimally invasive with less tissue damage
- Shorter hospital stay compared to traditional surgeries
- Improved visualization of the entire collecting system
- Reduced need for multiple procedures
Limitations / Risks:
- Technical Complexity
- Special Equipment Needed
- Longer Operating Time
- Patient Positioning Challenges
- Higher Cost