Pain during urination is often considered a minor complaint. However, this condition can be a sign of kidney stones. Stones that form in the urinary tract can irritate surrounding tissues and obstruct urine flow, causing pain, burning sensations, and discomfort when urinating. If not treated properly, kidney stones may lead to complications that interfere with kidney function.
As a modern and minimally invasive treatment option, Mandaya Royal Puri Hospital presents advanced laser robotic technology for kidney stone management. This method allows urologists to break down kidney stones with greater precision, effectiveness, and safety, helping to reduce pain, speed up recovery, and improve patient comfort.
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Painful Urination Caused by Kidney Stones: What Are the Causes?
Kidney stones usually do not cause symptoms until they move within the kidney or enter the ureter—the tube that connects the kidney to the bladder.
When a kidney stone becomes lodged in the ureter, urine flow can be blocked, leading to kidney swelling and ureteral spasms. This condition triggers severe pain. At this stage, patients may experience various symptoms, including pain during urination.
Other symptoms that should be monitored include:
- Sharp and severe pain on the side of the body and lower back, just below the ribs
- Pain that radiates to the lower abdomen and groin
- Pain that comes and goes with varying intensity
- Pain or a burning sensation during urination
Additional accompanying symptoms may include:
- Pink, red, or brown-colored urine
- Cloudy or foul-smelling urine
- Persistent urge to urinate, urinating more frequently than usual, or passing small amounts of urine
- Nausea and vomiting
- Fever and chills, especially if an infection is present.
Kidney Stone Treatment with Laser Robot Technology at Mandaya Royal Puri Hospital

Mandaya Royal Puri Hospital offers a modern solution for kidney stone treatment without open surgery through the Zamenix laser robotic kidney stone technology. This advanced system enables precise stone fragmentation from inside the urinary tract using robotic assistance, eliminating the need for invasive conventional surgery.
The Zamenix robot uses an ultra-thin endoscope measuring 2.8 mm in diameter, which is inserted through the urinary tract to reach the kidney. Through this endoscope, high-powered thulium laser energy is precisely directed to break kidney stones into extremely fine particles that can be naturally passed through urine. As a minimally invasive procedure, this method offers minimal pain, lower risk, and faster recovery compared to traditional treatment methods.
Key advantages of laser robotic kidney stone treatment at Mandaya Royal Puri Hospital include:
- No open surgery, as the procedure is performed through the urinary tract using a very small endoscope
- High precision, capable of reaching the deepest areas of the kidney with robotic system support
- High-powered thulium laser, effective in breaking hard kidney stones comparable to granite
- Minimal pain and lower risk, preserving healthy kidney tissue
- Optimal results with no residual stone fragments that may cause recurrence
- Faster recovery, allowing patients to resume daily activities sooner
- Performed directly by an experienced robotic urology specialist, Prof. dr. Ponco Birowo, Sp.U(K), PhD
Kidney Stone Specialist at Mandaya Royal Puri Hospital

Mandaya Royal Puri Hospital features a Kidney Stone Center as a flagship service dedicated to managing various urological conditions, particularly kidney stones. This center is led by Prof. dr. Ponco Birowo, Sp.U(K), PhD, a professor and leading urology expert in Indonesia.
Prof. Ponco is widely recognized as a consultant urologist with extensive experience and an international reputation. He completed his general medical and urology specialist education at the University of Indonesia and pursued subspecialty training as a Consultant in Andro-Urology.
He also earned his PhD from Hannover Medical School, Germany, graduating Magna Cum Laude in 2009. Currently, he serves as a Professor at the University of Indonesia and continues to play an active role in advancing urology services and innovation in Indonesia.
With his extensive expertise, Prof. Ponco provides comprehensive urological care, including:
- Kidney stone management, including RIRS, PCNL, and various modern urological techniques
- Bladder disorders
- Prostate conditions, including benign prostatic enlargement
- Kidney abnormalities
Prof. dr. Ponco Birowo, Sp.U(K), PhD is available at Mandaya Royal Puri Hospital on:
- Tuesday: 4:00 PM – 6:00 PM WIB
- Thursday: 4:00 PM – 6:00 PM WIB
For easier access to services, use the Chat via WhatsApp, Book Appointment feature, or the Care Dokter app, available for download on Google Play and the App Store, to schedule visits, view queue numbers, and access complete information.

