Kidney stone treatment has entered a new era with the introduction of non-surgical robotic technology—an innovation that enables highly precise, minimally painful stone removal compared to traditional methods. In the past, patients often had to undergo open surgery or invasive procedures that required long recovery periods. Today, robotic laser technology can break kidney stones from within the urinary tract without any incisions.
At Mandaya Royal Hospital Puri, this cutting-edge procedure is performed by one of Indonesia’s leading urologists, Prof. Dr. Ponco Birowo, Sp.U(K), Ph.D, a highly experienced professor and robotic surgery specialist who has treated countless kidney stone cases using advanced technologies.
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Understanding Robotic Non-Surgical Kidney Stone Treatment at Mandaya Royal Hospital Puri
The Zamenix robotic laser system at Mandaya Royal Hospital Puri is one of the newest innovations in urology, combining the precision of a robotic platform with high-power thulium laser technology. Using an ultra-thin 2.8 mm endoscope, the device is inserted through the urinary tract and navigated all the way to the kidney—eliminating the need for surgical incisions.
The procedure uses a robotic navigation system that allows the doctor to control the camera, laser, and stone grasper with extremely smooth, steady, and highly precise movements. This level of control enables complete fragmentation and removal of stones without damaging surrounding healthy tissue.
Unlike shockwave therapy (ESWL), which often leaves residual fragments, robotic technology can break stones down completely—even large stones or those located in hard-to-reach areas.
The system also features respiratory synchronization, enabling the robotic instruments to adjust to the patient’s breathing pattern for enhanced safety, stability, and procedural accuracy.
Advantages of Robotic Kidney Stone Treatment at Mandaya Royal Hospital Puri
With its high-precision robotic platform, the Zamenix laser system offers numerous benefits over conventional kidney stone treatments. Key advantages include:
1. Incision-free and scar-free procedure
The entire treatment is performed through the urinary tract using an ultra-thin endoscope, eliminating the need for open surgery and avoiding visible scars.
2. High precision and safety for surrounding tissues
The flexible robotic “arm” can reach all areas of the kidney with exceptional stability, minimizing the risk of injury to healthy tissue.
3. Complete stone fragmentation
The thulium laser can break stones with hardness up to 6 on the Mohs scale—equivalent to granite—ensuring all fragments are thoroughly removed.
4. Faster recovery time
Because the procedure is minimally invasive, patients generally recover more quickly and can return to daily activities sooner than with traditional surgery.
5. Higher success rate
The intelligent robotic navigation system accurately detects stone size and location, making the procedure more effective and safer.
6. Lower risk of recurrence
The system’s precision helps ensure no stone fragments remain, reducing the likelihood of kidney stones returning.
Profile and Clinic Schedule of Prof. Ponco — Robotic Urology Specialist at Mandaya Royal Hospital Puri
A key figure behind the success of robotic kidney stone treatment at Mandaya Royal Hospital Puri is Prof. Dr. Ponco Birowo, Sp.U(K), Ph.D, a consultant urologist and one of Indonesia’s most respected robotic surgeons.
Prof. Ponco is widely recognized as a pioneer of robotic urologic surgery in Indonesia. In 2024, he made history as the first doctor in the country to perform a real-time long-distance telerobotic surgery between Bali and Jakarta.
At Mandaya Royal Hospital Puri, he plays a crucial role in developing robotic kidney stone services designed to deliver procedures that are safer, more precise, and minimally complicated.
His expertise in robotic surgery has established Mandaya Royal Hospital Puri as a modern, internationally-standard urology center capable of managing a wide range of kidney stone cases—including complex conditions that previously required major surgery.
Clinic Schedule of Prof. Dr. Ponco Birowo, Sp.U(K), Ph.D
You can meet Prof. Ponco at Mandaya Royal Hospital Puri on:
- Tuesday: 16:00 – 18:00 WIB
- Thursday: 16:00 – 18:00 WIB
To simplify your visit, use the WhatsApp Chat feature, Book Appointment, or the Care Dokter application—available on Google Play and the App Store—to check queue numbers, schedule visits, and access complete information.
