Kidney & Stone Services in Kuala Lumpur
Specialist assessment and management of kidney stones, ureteric stones, bladder stones, recurrent stone disease, urinary obstruction, and related urinary tract conditions.
Kidney and urinary tract stones are among the most frequently encountered conditions in urological practice. While some stones remain silent and are discovered incidentally during imaging, others may cause severe pain, recurrent urinary tract infections, blood in the urine, urinary obstruction, or deterioration in kidney function.
Management is not determined by stone size alone. The location of the stone, degree of obstruction, risk of infection, stone composition, symptom burden, and overall condition of the urinary tract all influence treatment decisions. Some stones can be safely monitored, while others require intervention to relieve obstruction, control infection, preserve kidney function, or reduce the risk of future complications.
This service area covers the assessment and management of kidney stones, ureteric stones, bladder stones, recurrent stone disease, and the procedures commonly used in modern stone treatment.
Conditions Commonly Assessed
Kidney Stones
Kidney stones may remain asymptomatic for years or present with pain, bleeding, infection, or obstruction. Treatment decisions are influenced not only by stone size, but also by location, growth pattern, symptom burden, and the potential impact on kidney function.
Ureteric Stones
When a stone enters the ureter, it can obstruct urine drainage from the kidney and may cause severe pain, infection, or swelling of the kidney. In selected situations, urgent intervention may be required to restore urine flow and protect kidney function.
Bladder Stones
Bladder stones are often associated with underlying urinary problems such as incomplete bladder emptying, bladder outlet obstruction, or recurrent infection. Successful treatment frequently involves addressing both the stone and the underlying cause.
Recurrent Stone Disease
For individuals who develop stones repeatedly, management extends beyond stone removal alone. Stone analysis, metabolic assessment, dietary review, and preventive strategies may help reduce the likelihood of future stone formation.
Treatment Approaches
Not every stone requires surgery. Management may range from observation and preventive measures to minimally invasive procedures designed to remove or fragment stones.
The most appropriate approach depends on factors such as stone size, location, composition, symptoms, infection risk, anatomy of the urinary tract, and kidney function.
Observation & Conservative Management
Selected small stones may pass spontaneously with time. Careful monitoring, symptom management, hydration advice, and follow-up imaging may be appropriate in suitable cases.
Extracorporeal Shock Wave Lithotripsy (ESWL)
ESWL uses externally generated shock waves to fragment selected stones into smaller pieces that can pass naturally through the urinary tract.
Ureteroscopy (URS)
URS is a minimally invasive procedure performed through the natural urinary passage to identify and treat stones within the ureter.
Retrograde Intrarenal Surgery (RIRS)
RIRS uses a flexible endoscope to access the kidney through the urinary tract and treat selected kidney stones without creating an incision through the skin.
Percutaneous Nephrolithotomy (PCNL)
PCNL is commonly considered for larger, more complex, or multiple kidney stones where other treatment approaches may be less effective.
Supine Mini-PCNL
A minimally invasive treatment for selected kidney stones, performed while the patient lies on their back during the procedure.
Urinary Drainage Procedures
Ureteric Stents
Ureteric stents are temporary tubes used to maintain urine drainage between the kidney and bladder. They may be required when a stone causes obstruction, following stone surgery, or in other situations where urinary drainage needs to be protected.
Nephrostomy Tubes
A nephrostomy tube provides direct drainage of urine from the kidney when normal urine flow is blocked. This may be required in selected situations involving obstruction, infection, or impaired kidney drainage.
About Dr Roger Anthony Idi
Dr Roger Anthony Idi is a Consultant Urologist with clinical interests in kidney stone disease, minimally invasive stone surgery, paediatric urology, prostate conditions, and robotic urological procedures.
Learn more about his background, training, and areas of clinical practice.
Need Specialist Assessment for a Stone Condition?
Appointments with Dr Roger Anthony Idi are arranged through Prince Court Medical Centre.
Whether you have a newly diagnosed stone, recurrent stone disease, urinary obstruction, or require a second opinion regarding treatment options, specialist assessment can help clarify the most appropriate management approach.