Many patients ask, is laser kidney stone surgery dangerous? This concern is understandable, as urinary tract procedures are often associated with pain, bleeding risks, or the possibility of stone recurrence. However, with the rapid advancement of medical technology, kidney stone treatment has become increasingly modern, minimally invasive, and more comfortable for patients. One of these innovations is the Zamenix robotic arm at Mandaya Royal Puri Hospital, which enables highly precise kidney stone treatment with enhanced stability and optimal safety standards to protect patients during and after the procedure.
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Getting to Know the Zamenix Robotic Arm for Kidney Stone Treatment at Mandaya Royal Puri Hospital



Zamenix is a multifunctional robotic arm designed to assist doctors in detecting, fragmenting, and removing kidney stones with high accuracy. This technology was developed to enhance procedural precision while maintaining patient safety throughout the treatment process.
Within one integrated system, the Zamenix robotic arm offers several advanced features, including:
- High-resolution camera, providing clear and detailed visualization of kidney stone locations, even in narrow or hard-to-reach urinary tracts.
- Advanced laser technology, capable of breaking down kidney stones — including hard stones — into smaller fragments for easier removal from the body.
- Specialized retrieval forceps, used to extract and clean up remaining stone fragments after the fragmentation process is completed.
The entire robotic system is fully operated by a urology specialist through a dedicated control console. This system allows every movement of the robotic arm to be stable, precise, and well-controlled, resulting in more accurate and safer procedures.
The integration of camera, laser, and retrieval instruments into a single technology platform makes kidney stone treatment more effective while minimizing risks.
Advantages of the Zamenix Kidney Stone Robotic Arm at Mandaya Royal Puri Hospital
As part of its commitment to safer kidney stone treatment, Mandaya Royal Puri Hospital provides the Zamenix robotic arm, designed to deliver more precise procedures with minimal risk. This modern technology not only enhances medical accuracy but also improves patient comfort and therapeutic outcomes compared to conventional methods.
Here are some of the key advantages of the Zamenix robotic arm:
1. No Incisions, Minimal Bleeding
The procedure is performed using a small-diameter scope inserted through the natural urinary tract, eliminating the need for surgical incisions. This technique significantly reduces the risks of bleeding and infection compared to open surgery, while improving overall patient comfort.
2. Respiratory Synchronization Technology
Zamenix is equipped with a respiratory synchronization feature that allows the laser to follow the patient’s breathing rhythm. This technology helps maintain stability and precision during stone fragmentation while minimizing potential injury to surrounding healthy tissue.
3. Smart Navigation System with Automatic Memory
Another advantage is its intelligent navigation system, which can record and store the exact location of the kidney stone. If the instrument needs to be temporarily withdrawn, the system can automatically return to the previous point. This feature helps shorten procedure time and improves overall effectiveness.
4. Faster Recovery and Lower Risk of Complications
Because the procedure is incision-free and involves minimal bleeding, patients generally experience faster recovery times. Most patients can resume daily activities sooner, with a lower risk of post-procedure complications compared to conventional techniques.
Kidney Stone and Robotic Technology Specialist at Mandaya Royal Puri Hospital
Kidney stone treatment using robotic technology at Mandaya Royal Puri Hospital is handled by Ponco Birowo, Sp.U(K), Ph.D, a consultant urology specialist widely recognized for his expertise in the field. He has extensive experience managing various kidney stone cases, including complex urinary tract conditions.
Prof. Ponco completed his medical and urology specialist training at the University of Indonesia, followed by advanced training as a Consultant in Andro-Urology. He earned his Ph.D. from Hannover Medical School, Germany, graduating Magna Cum Laude in 2009. In addition to treating patients, he serves as a Professor at the University of Indonesia and actively contributes to the advancement of urology in Indonesia.
Medical conditions that can be treated include:
- Kidney stones, including robotic kidney stone procedures and PCNL
- Bladder disorders
- Prostate enlargement and abnormalities
- Various kidney-related disorders and conditions
Practice Schedule at Mandaya Royal Puri Hospital
Prof. dr. Ponco Birowo, Sp.U(K), Ph.D practices at Mandaya Royal Puri Hospital on:
- Tuesday: 4:00 PM – 6:00 PM (WIB)
- Thursday: 4:00 PM – 6:00 PM (WIB)
To make your visit easier, you can use the Chat via WhatsApp feature, Book Appointment service, or download the Care Dokter application available on Google Play and App Store to check queue numbers and access complete information.

