Kidney stones that grow to a large size, especially those measuring 2 cm or more, generally require more complex management compared to smaller stones. In many cases, large kidney stones have traditionally been treated with surgery that involves making an incision in the patient’s body to directly remove the stone. However, advances in medical technology now offer a more modern approach, where large kidney stones can be treated without open surgery and without any incision, resulting in a faster recovery so patients can return to their daily activities more comfortably.
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This scarless treatment approach is now available at Mandaya Royal Hospital Puri through the use of the Zamenix robot. Regarding its various advantages, dr. Maruto Harjanggi, BSc(Hons), Sp.U, FICS, urology specialist at Mandaya Royal Hospital Puri, explains how this robotic technology helps manage large kidney stones with a more minimally invasive procedure and a faster recovery period.
Contents
What Is Zamenix and Its Advantages?
1. Stone Removal and Fragmentation in a Single Procedure
The Zamenix robot is not only used to break kidney stones using advanced laser technology, but it is also equipped with a special gripping instrument that can directly retrieve stone fragments from the urinary tract. With this capability, stone fragmentation and removal can be completed in a single procedure, allowing more thorough cleansing and reducing the risk of residual stone fragments.
2. Smart Navigation System with Automatic Memory
Zamenix features an intelligent navigation system that can record and store the pathway and location of the kidney stone during the procedure. If the instrument needs to be temporarily withdrawn, the system allows the doctor to return precisely to the same position quickly and accurately. This feature improves procedural efficiency and supports better treatment outcomes.
3. Reaching Difficult-to-Access Areas
The flexible robotic arm allows Zamenix to reach kidney stones located in difficult areas of the urinary tract. Combined with a high-resolution camera that provides clearer visualization, doctors can perform stone fragmentation and removal with greater precision.
4. Faster Recovery and Lower Risk of Complications
Because the procedure is performed without any incision and minimizes tissue trauma, patients generally recover faster compared to open surgery. Hospital stays are shorter, and the risk of post-procedural complications is also lower with this robotic approach.
Complications If Kidney Stones Are Not Treated Promptly
If left untreated, kidney stones can lead to various health complications ranging from mild conditions to serious kidney damage:
1. Hydronephrosis
Kidney stones can block urine flow, causing urine to accumulate in the kidney. This leads to swelling of the kidney, known as hydronephrosis, which may gradually reduce kidney function if left untreated.
2. Kidney Infection
Obstruction caused by kidney stones may trigger infections in the kidney. Symptoms include fever, chills, lower back pain, and discomfort during urination. Immediate treatment is necessary to prevent more serious complications.
3. Acute Kidney Injury
In some cases, kidney stones can cause complete blockage that disrupts the kidney’s ability to filter waste and fluid, leading to a sudden decline in kidney function known as acute kidney injury.
4. Recurrent Urinary Tract Infections (UTI)
Kidney stones can promote bacterial growth and obstruct normal urine flow, increasing the risk of recurrent urinary tract infections.
5. Chronic Kidney Disease
If left untreated over time, kidney stones may cause permanent kidney damage. Ongoing obstruction, recurrent infections, and inflammation can gradually lead to chronic kidney disease and increase the risk of kidney failure.
When Should You Be Aware of Kidney Stones?
Kidney stones typically cause pain in the lower back, side, or abdomen. The pain may radiate to the groin and can range from mild to severe. In some cases, it comes and goes in waves and may worsen over time.
Other symptoms that may indicate kidney stones include:
- Nausea and vomiting
- Blood in the urine
- Pain or burning sensation during urination
- Difficulty passing urine or reduced urine flow
- Increased frequency of urination
- Fever and chills
- Cloudy or foul-smelling urine
It is important to note that small kidney stones may not cause any symptoms at all. As a result, many cases are only discovered during routine health check-ups or after complications have already developed.
Profile and Practice Schedule of dr. Maruto at Mandaya Royal Hospital Puri
dr. Maruto Harjanggi, BSc(Hons), Sp.U, FICS is a urology specialist with international training and experience. Before completing his urology specialization at the University of Indonesia, he studied in the United Kingdom. He also further developed his expertise in laparoscopic surgery through a University Diploma of Laparoscopic Surgery in France.
In his practice, dr. Maruto treats various urinary tract diseases and urological conditions. With his expertise in laparoscopic and minimally invasive techniques, he is able to offer modern treatment options with faster patient recovery.
Practice schedule of dr. Maruto Harjanggi, BSc(Hons), Sp.U, FICS at Mandaya Royal Hospital Puri:
- Monday: 09.00 – 13.00
- Tuesday: 09.00 – 13.00
- Wednesday: 09.00 – 13.00
- Thursday: 09.00 – 13.00
- Friday: 09.00 – 13.00
- Saturday: 09.00 – 13.00
To make your visit easier, you can use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter app available on Google Play and the App Store to check queue numbers and access complete information.
The information on this page is intended for educational purposes and general understanding only and does not represent the full range of medical services provided by each doctor. For appropriate treatment based on your condition, a direct consultation with a specialist is recommended.
For further questions or assistance, please contact our call center at 0811-1900-2000.
