Kidney stone symptoms—such as sudden, sharp pain in the back or waist radiating to the lower abdomen and groin, along with burning sensations or pain during urination—can be extremely disruptive. This is why proper medical treatment is crucial to relieve these symptoms and maintain quality of life.
This was exactly the case for a patient from Surabaya who came to Mandaya Royal Hospital Puri to undergo RIRS treatment.
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Early Symptoms and Diagnosis
In early 2023, the patient underwent a health check-up. The results revealed a 1 cm kidney stone in the left kidney. Initially, the patient tried natural remedies and herbal medicine. However, after several months, the stone size remained unchanged.
Follow-up examinations with ultrasound and CT scans confirmed the same result: the stone did not shrink. Concerned that the stone might grow larger and cause complications, the patient began seeking medical solutions.
Although considering treatment abroad, the patient eventually searched for hospitals in Indonesia with advanced technology. This search led him to Mandaya Royal Hospital Puri, one of the hospitals equipped with RIRS (Retrograde Intrarenal Surgery).
After a teleconsultation via video call, the patient felt reassured, as all questions and concerns were addressed clearly.
What is RIRS and Its Advantages?
RIRS is a minimally invasive procedure to break kidney stones using a flexible endoscope and laser energy. The procedure is performed through the urinary tract without incisions, leaving no surgical scars.
Key advantages of RIRS include:
- No incisions: performed through the natural urinary tract.
- Minimal risks: complications such as infection are rare.
- Fast recovery: most patients can go home the next day.
- High precision: kidney stones are effectively broken down with laser technology.
In this patient’s case, the treatment was carried out in two stages. First, a stent was placed to prepare the urinary tract. After 1–2 weeks, the RIRS procedure was performed to break the stone, followed by stent removal.
Results of the RIRS Procedure
The RIRS procedure went smoothly. After treatment, the patient experienced no significant pain—only mild discomfort, which was managed with pain medication. The catheter and IV line were quickly removed, and recovery was fast.
Today, the patient has fully recovered and feels relieved that the kidney stone, once feared to become a serious health issue, was successfully treated without major surgery.
From this experience, the patient also learned the importance of maintaining a healthy lifestyle—especially drinking plenty of water and not holding back urination—to prevent kidney stones from recurring.
Kidney Stone Specialists at Mandaya Royal Hospital Puri
1. Prof. dr. Ponco Birowo, Sp.U(K), Ph.D
Prof. dr. Ponco Birowo, Sp.U(K), Ph.D is one of Indonesia’s leading consultant urologists with extensive experience in treating various urological conditions, including kidney stones.
He completed his general medical and urology training at Universitas Indonesia, followed by a subspecialty in androurology. In 2009, he earned his Ph.D. from Hannover Medical School, Germany, with Magna Cum Laude honors.
Aside from practicing medicine, he is also a Professor at Universitas Indonesia and actively contributes to the development of urology in Indonesia.
His areas of expertise include:
- Kidney stone management with RIRS and PCNL
- Bladder disorders
- Prostate conditions
- Kidney-related diseases
Consultation schedule at Mandaya Royal Hospital Puri:
- Tuesday: 16.00 – 18.00 WIB
- Thursday: 16.00 – 18.00 WIB
2. dr. Maruto Harjanggi, BSc(Hons), Sp.U, FICS
dr. Maruto Harjanggi, BSc(Hons), Sp.U, FICS is a urologist with a strong educational background both in Indonesia and abroad. He earned his medical degree at Universitas Indonesia and a Bachelor of Science (Honours) from the Faculty of Medical Sciences, Newcastle University, UK.
As a urologist, he is skilled in handling various urological conditions for both men and women. His medical expertise includes:
- Kidney stone surgery
- Prostate disorder management
- Vasectomy procedures
Consultation schedule at Mandaya Royal Hospital Puri:
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Monday – Saturday: 09.00 – 13.00 WIB
For easier access to Mandaya Royal Hospital Puri and its specialists, you can use the WhatsApp Chat, Book Appointment, or the Care Dokter app—available on Google Play and the App Store—to simplify visits, check queue numbers, and access complete hospital information.