Kidney stones are a condition in which hard deposits made of minerals and salts form in the kidneys or urinary tract. Their size can vary from very small to large enough to obstruct urine flow. If left untreated, kidney stones can lead to various complications, one of which is kidney swelling or hydronephrosis. This condition occurs when urine flow is blocked by stones, causing urine to accumulate in the kidney. Over time, continuously swollen kidneys are at risk of decreased function and even permanent damage.
Unfortunately, many people choose to leave kidney stones untreated due to concerns about surgery or invasive procedures. However, advances in medical technology now allow large kidney stones to be treated in a more comfortable way. At Mandaya Royal Puri Hospital, Zamenix robotic technology is available to break down and remove kidney stones larger than 2 cm through the natural urinary tract, without open surgery and without any incisions. This technology offers a modern solution for patients seeking effective kidney stone treatment with minimal risk and faster recovery.
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Why Can Untreated Kidney Stones Cause Kidney Swelling?
One of the most common causes of kidney swelling is a blockage in the urinary tract. When kidney stones are not treated promptly, they can obstruct urine flow, causing urine to build up in the kidney and leading to swelling.
Some mechanisms of hydronephrosis caused by kidney stones include:
- Kidney stones block the urinary tract, especially the ureter (the tube connecting the kidney to the bladder).
- Urine flow becomes obstructed, preventing smooth drainage from the kidney.
- Urine accumulates in the kidney, increasing internal pressure.
- The rising pressure can cause kidney swelling (hydronephrosis) and, if left untreated for too long, may lead to permanent kidney damage.
Therefore, kidney stones should not be ignored, especially if they are large or already cause symptoms such as flank pain, pain during urination, or difficulty in urine flow.
Other Complications of Untreated Kidney Stones
In addition to causing kidney swelling, untreated kidney stones can also lead to:
- Kidney infection (pyelonephritis)
- Acute kidney injury, a sudden decline in kidney function that may be reversible in some cases
- Recurrent urinary tract infections (UTIs)
- Chronic kidney disease (CKD) or long-term kidney damage
When Should You See a Doctor?
Some people delay treatment due to fear of surgery, while others are unaware that they have kidney stones.
The most common symptom of kidney stones is pain in the lower back, abdomen, or side of the body (flank pain). The pain may radiate from the groin area to the side of the body and can feel dull or very sharp. In some cases, the pain comes and goes with varying intensity.
Other symptoms include:
- Nausea and vomiting
- Blood in urine (hematuria)
- Pain or burning sensation during urination
- Difficulty urinating or inability to urinate
- Frequent urge to urinate
- Fever or chills, especially if infection is present
- Cloudy or foul-smelling urine
It is important to note that small kidney stones may not cause any pain or symptoms at all and are often only discovered during routine medical check-ups or when they begin to move and obstruct the urinary tract.
Non-Surgical Kidney Stone Treatment with Zamenix at Mandaya Royal Puri Hospital
Zamenix is an advanced robotic technology designed to break and remove kidney stones through the urinary tract without any incisions. The robot features a flexible arm that can reach difficult areas of the kidney, supported by a high-resolution camera that helps doctors visualize and target stones more accurately.
The procedure also utilizes a Thulium laser, which breaks stones into very small particles, as well as a specialized retrieval device to remove stone fragments from the body. With an endoscope measuring only 2.8 mm in diameter, access to the kidney is achieved directly through the urinary tract, eliminating the need for open surgery or incisions.
Advantages of the Zamenix Robot:
- No incisions, as the procedure is performed through the natural urinary tract
- Minimal bleeding and tissue trauma compared to conventional surgery
- Ability to reach difficult kidney stone locations using a flexible robotic arm
- High-resolution camera for precise identification and treatment
- Thulium laser effectively breaks stones into very fine fragments
- Stone fragments can be directly removed using a specialized retrieval tool
- Lower post-procedure pain due to the absence of incisions
- Faster recovery time, allowing patients to return to normal activities sooner
- Reduced risk of residual stones that may cause recurrence
- Highly precise and efficient procedure combining robotic, endoscopic, and laser technologies
Kidney Stone Specialists at Mandaya Royal Puri Hospital
1. Prof. dr. Chaidir Arif Mochtar
Prof. dr. Chaidir Arif Mochtar, Sp.U(K), PhD is a senior urology specialist with extensive experience in urinary tract and male reproductive system diseases. He has a special interest in prostate cancer, urinary tract stones, and prostate disorders, using modern and technology-based medical approaches.
He has handled many complex urological cases requiring high precision and advanced care. His clinical experience and academic contributions make him one of the leading urology references.
He completed his medical and urology specialist training at Universitas Indonesia, and later pursued subspecialty training and a PhD abroad.
Schedule at Mandaya Royal Puri Hospital:
- Monday: 16.00 – 18.00 WIB
- Thursday: 16.00 – 18.00 WIB
2. Prof. dr. Ponco Birowo
Prof. dr. Ponco Birowo, Sp.U(K), PhD is a urology specialist known for his expertise in kidney transplantation. With experience in managing complex urological cases, he has assisted many patients through surgical and tailored therapies.
His expertise in kidney transplantation makes him a trusted physician for multidisciplinary and comprehensive care cases.
Schedule:
- Tuesday: 16.00 – 18.00 WIB
- Thursday: 16.00 – 18.00 WIB
3. dr. Sigit Sholichin
dr. Sigit Sholichin, Sp.U, FICRS is a urology specialist experienced in urinary tract disorders and kidney transplantation procedures. He graduated from Universitas Diponegoro and completed his urology specialization at Universitas Indonesia.
He performs various procedures such as kidney surgery, prostate surgery, prostate biopsy, urinary tract surgery, and uroflowmetry.
Schedule:
- Monday: 13.30 – 16.00 WIB
- Wednesday: 13.30 – 16.00 WIB
- Saturday: 12.30 – 15.00 WIB
4. dr. Hendy Mirza
dr. Hendy Mirza, Sp.U(K) is a urology specialist who treats urinary tract and male reproductive system disorders. He graduated from Universitas Sumatera Utara and completed his urology specialization at Universitas Indonesia.
In addition to adult patients, he also has expertise in pediatric urology. He actively participates in national and international medical seminars, workshops, and symposia.
Schedule:
- Monday: 16.00 – 19.00 WIB
- Wednesday: 16.00 – 19.00 WIB
- Friday: 16.00 – 19.00 WIB
5. dr. Maruto Harjanggi
dr. Maruto Harjanggi, Sp.U, FICS has an international educational background. He studied in the UK before completing urology specialization at Universitas Indonesia and later trained in laparoscopic surgery in France.
He specializes in minimally invasive urological procedures that offer faster recovery.
Schedule:
- Monday to Saturday: 09.00 – 13.00 WIB
6. dr. Ima Nastiti Setyaningsih
dr. Ima Nastiti Setyaningsih, Sp.U is a female urology specialist at Mandaya Royal Puri Hospital. She completed her medical and urology education at Universitas Indonesia and regularly attends scientific conferences and training programs.
She provides comprehensive consultation and treatment for various urological conditions.
Schedule:
- Tuesday: 14.00 – 16.00 WIB
- Thursday: 14.00 – 16.00 WIB
To make your visit easier, you can use the WhatsApp Chat feature, Book Appointment, or the Care Dokter app, available on Google Play and the App Store, to check queues and access complete information.
The information provided on this page is intended for educational and general informational purposes only and does not represent the full range of medical services that each doctor may provide. For proper medical management tailored to your condition, direct consultation with the relevant doctor is recommended.
If you have any questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.
