{"id":10884,"date":"2026-07-16T18:29:32","date_gmt":"2026-07-16T11:29:32","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?page_id=10884"},"modified":"2026-07-24T04:12:09","modified_gmt":"2026-07-23T21:12:09","slug":"%d0%bb%d0%b5%d1%87%d0%b5%d0%bd%d0%b8%d0%b5-%d0%ba%d0%b0%d0%bc%d0%bd%d0%b5%d0%b9-%d0%b2-%d0%bf%d0%be%d1%87%d0%ba%d0%b0%d1%85-%d0%b2-%d0%b1%d0%b0%d0%bd%d0%b3%d0%ba%d0%be%d0%ba%d0%b5","status":"publish","type":"page","link":"https:\/\/drsoaraweeurology.com\/ru\/services\/kidney-stone-treatment-bangkok\/","title":{"rendered":"\u041b\u0435\u0447\u0435\u043d\u0438\u0435 \u043a\u0430\u043c\u043d\u0435\u0439 \u0432 \u043f\u043e\u0447\u043a\u0430\u0445 \u0432 \u0411\u0430\u043d\u0433\u043a\u043e\u043a\u0435"},"content":{"rendered":"<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top: 60px; padding-bottom: 60px;\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family: Playfair Display; font-size: 42px; font-weight: 600;\">Kidney Stone Treatment in Bangkok<\/h2>\n<p class=\"has-text-align-center\" style=\"font-size: 18px;\">Advanced, minimally invasive kidney stone care \u2014 from non-invasive 3rd-generation shockwave (ESWL) and laser stone removal to long-term prevention \u2014 at Bangkok Hospital Headquarters.<\/p>\n<p class=\"has-text-align-center\"><em>Medically reviewed by Dr. Soarawee Weerasopone, MD \u2014 Board-Certified Urologist &amp; Endourology Specialist \u00b7 Research Scholar &amp; Clinical Observer, Scott Department of Urology, Baylor College of Medicine<\/em><\/p>\n<div class=\"wp-block-spacer\" style=\"height: 30px;\" aria-hidden=\"true\">\u00a0<\/div>\n<div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" style=\"background-color: #c8102e;\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top: 60px; padding-bottom: 60px;\">\n<h2 class=\"wp-block-heading\" style=\"font-family: Playfair Display; font-size: 32px; font-weight: 600;\">What Are Kidney Stones?<\/h2>\n<p>Kidney stones (renal calculi) are hard mineral deposits that form inside the kidneys when the urine becomes concentrated, allowing minerals to crystallize and stick together. They are extremely common, affecting roughly <strong>1 in 10 people<\/strong> in their lifetime, and once you have had one stone your risk of forming another rises significantly \u2014 which is why prevention is as important as treatment.<\/p>\n<p>A stone may sit silently in the kidney for years, but when it moves into the ureter it can cause sudden, severe pain (renal colic), blood in the urine, nausea, and \u2014 if it blocks urine flow or triggers infection \u2014 a urological emergency requiring urgent drainage.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color: #1a2e5a; font-family: Playfair Display; font-size: 24px; font-weight: 600;\">Common Types of Kidney Stones<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Calcium oxalate<\/strong> \u2014 by far the most common; linked to diet, dehydration, and metabolic factors<\/li>\n<li><strong>Uric acid<\/strong> \u2014 the one type often dissolvable with oral medication; linked to high-purine diets, gout, and acidic urine<\/li>\n<li><strong>Struvite (infection) stones<\/strong> \u2014 form with certain urinary infections and can grow large (staghorn)<\/li>\n<li><strong>Cystine<\/strong> \u2014 rare, inherited, and tends to recur from a young age<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color: #1a2e5a; font-family: Playfair Display; font-size: 24px; font-weight: 600;\">Warning Signs<\/h3>\n<ul class=\"wp-block-list\">\n<li>Sharp, cramping pain in the back or side that comes in waves<\/li>\n<li>Pain radiating to the lower abdomen or groin<\/li>\n<li>Blood in the urine (pink, red, or brown)<\/li>\n<li>Nausea, vomiting, or a frequent urge to urinate<\/li>\n<li>Fever and chills \u2014 a red flag for infection that needs urgent care<\/li>\n<\/ul>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n<div class=\"wp-block-group has-background is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color: #1a2e5a; padding-top: 60px; padding-bottom: 60px;\">\n<h2 class=\"wp-block-heading has-text-align-center has-white-color has-text-color\" style=\"font-family: Playfair Display; font-size: 32px; font-weight: 600;\">Diagnostic Evaluation<\/h2>\n<p class=\"has-text-align-center has-white-color has-text-color\">Accurate diagnosis pinpoints the stone and reveals why it formed:<\/p>\n<div class=\"wp-block-columns is-layout-flex wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-block-group-is-layout-constrained\" style=\"border-color: #c9a84c; border-width: 2px; border-radius: 10px; padding: 24px;\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family: Playfair Display; font-size: 20px; font-weight: 600;\">\ud83e\ude7b Low-Dose CT Scan<\/h3>\n<p class=\"has-white-color has-text-color\">The gold standard for detecting stones \u2014 pinpoints exact size, location, and density to guide the best treatment, with minimal radiation.<\/p>\n<\/div>\n<\/div>\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-block-group-is-layout-constrained\" style=\"border-color: #c9a84c; border-width: 2px; border-radius: 10px; padding: 24px;\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family: Playfair Display; font-size: 20px; font-weight: 600;\">\ud83d\udd2c Metabolic Evaluation<\/h3>\n<p class=\"has-white-color has-text-color\">Blood and 24-hour urine testing to uncover the root cause \u2014 so we can build a prevention plan, not just remove the stone in front of us.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-columns is-layout-flex wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-block-group-is-layout-constrained\" style=\"border-color: #c9a84c; border-width: 2px; border-radius: 10px; padding: 24px;\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family: Playfair Display; font-size: 20px; font-weight: 600;\">\ud83e\uddea Stone Composition Analysis<\/h3>\n<p class=\"has-white-color has-text-color\">Analyzing a passed or removed stone reveals its type \u2014 the single most useful piece of information for preventing the next one.<\/p>\n<\/div>\n<\/div>\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-block-group-is-layout-constrained\" style=\"border-color: #c9a84c; border-width: 2px; border-radius: 10px; padding: 24px;\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family: Playfair Display; font-size: 20px; font-weight: 600;\">\ud83e\ude7a Ultrasound &amp; KUB<\/h3>\n<p class=\"has-white-color has-text-color\">Radiation-free monitoring \u2014 ideal for follow-up, for younger patients, and for tracking known stones over time.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top: 60px; padding-bottom: 60px;\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family: Playfair Display; font-size: 32px; font-weight: 600;\">Treatment Options<\/h2>\n<p class=\"has-text-align-center\">The right treatment depends on the stone&#8217;s size, location, and type \u2014 following international (AUA\/EAU) guidelines, always favoring the least invasive option that will work.<\/p>\n<div class=\"wp-block-spacer\" style=\"height: 40px;\" aria-hidden=\"true\">\u00a0<\/div>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color: #1a2e5a; font-family: Playfair Display; font-size: 24px; font-weight: 600;\">1 \u2014 Watchful Waiting &amp; Medical Expulsive Therapy<\/h3>\n<p>Small stones (usually under 6 mm) often pass on their own with plenty of fluids, pain control, and medication that relaxes the ureter to help the stone move along. <a href=\"https:\/\/drsoaraweeurology.com\/medical-ureteric-stone-expulsive\/\">Learn about medical expulsive therapy \u2192<\/a><\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color: #1a2e5a; font-family: Playfair Display; font-size: 24px; font-weight: 600;\">2 \u2014 Oral Dissolution (Uric Acid Stones)<\/h3>\n<p>Uric acid stones are unique \u2014 they can often be dissolved with oral medication that makes the urine less acidic, avoiding surgery altogether. <a href=\"https:\/\/drsoaraweeurology.com\/uric-acid-kidney-stone\/\">Read about dissolving uric acid stones \u2192<\/a><\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color: #1a2e5a; font-family: Playfair Display; font-size: 24px; font-weight: 600;\">3 \u2014 ESWL (Non-Invasive Shockwave Lithotripsy)<\/h3>\n<p>Focused shockwaves break the stone into tiny fragments that pass naturally \u2014 with no incision and no scope inside the body. Dr. Soarawee currently operates <strong>3rd-generation ESWL<\/strong> in Thailand. <a href=\"https:\/\/drsoaraweeurology.com\/2023\/11\/21\/3rd-gen-eswl-patient-instruction\/\">The 3rd Generation ESWL Patient Instruction \u2192<\/a><\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color: #1a2e5a; font-family: Playfair Display; font-size: 24px; font-weight: 600;\">4 \u2014 Flexible Ureteroscopy (RIRS) with Holmium Laser<\/h3>\n<p>A thin flexible scope is passed through the natural urinary passage to reach the stone, which is then vaporized with a Holmium laser \u2014 no incisions, high success rates, even for harder stones. <a href=\"https:\/\/drsoaraweeurology.com\/holmium-laser-kidney-stone\/\">Learn about Holmium laser surgery \u2192<\/a><\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color: #1a2e5a; font-family: Playfair Display; font-size: 24px; font-weight: 600;\">5 \u2014 PCNL for Large or Staghorn Stones<\/h3>\n<p>For very large or complex stones, percutaneous nephrolithotomy (PCNL) removes the stone through a small keyhole in the back in a single, highly effective procedure.<\/p>\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\">\u00a0<\/div>\n<p class=\"has-text-align-center\"><a href=\"https:\/\/drsoaraweeurology.com\/category\/kidney-stone\/\"><strong>Browse all kidney stone patient guides \u2192<\/strong><\/a><\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top: 60px; padding-bottom: 60px;\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family: Playfair Display; font-size: 32px; font-weight: 600;\">Preventing Stones From Coming Back<\/h2>\n<p class=\"has-text-align-center\">Removing a stone treats today&#8217;s problem; a prevention plan protects your future. Based on your metabolic results, we tailor a strategy that may include:<\/p>\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\">\u00a0<\/div>\n<ul class=\"wp-block-list\">\n<li><strong>Hydration goals<\/strong> \u2014 enough fluid to keep urine pale and dilute, the single most powerful preventive step<\/li>\n<li><strong>Dietary adjustments<\/strong> \u2014 tailored sodium, oxalate, animal-protein, and citrate guidance based on your stone type<\/li>\n<li><strong>Targeted medication<\/strong> \u2014 such as potassium citrate or others, when the metabolic profile calls for it<\/li>\n<li><strong>Regular monitoring<\/strong> \u2014 periodic imaging and urine testing to catch new stones early<\/li>\n<\/ul>\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\">\u00a0<\/div>\n<p class=\"has-text-align-center\"><a href=\"https:\/\/drsoaraweeurology.com\/kidney-stone-prevention-management-guide\/\"><strong>Read the complete kidney stone prevention guide \u2192<\/strong><\/a><\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n<div class=\"wp-block-group has-background is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color: #f5f7fa; padding-top: 60px; padding-bottom: 60px;\">\n<h2 class=\"wp-block-heading has-text-align-center has-text-color\" style=\"color: #1a2e5a; font-family: Playfair Display; font-size: 32px; font-weight: 600;\">Why Choose Dr. Soarawee for Kidney Stones<\/h2>\n<div class=\"wp-block-spacer\" style=\"height: 30px;\" aria-hidden=\"true\">\u00a0<\/div>\n<ul class=\"wp-block-list\">\n<li><strong>\ud83e\udea8 Endourology experience<\/strong> \u2014 extensive use of ESWL, Holmium laser, and flexible ureteroscopy (RIRS) across Thailand and Cambodia<\/li>\n<li><strong>\ud83c\udfaf Full treatment range under one specialist<\/strong> \u2014 from medication and ESWL to laser surgery and PCNL, matched to your specific stone<\/li>\n<li><strong>\ud83d\udd2c Prevention-focused<\/strong> \u2014 metabolic evaluation to stop stones returning, not just remove the one you have<\/li>\n<li><strong>\ud83c\udfe5 Bangkok Hospital Headquarters<\/strong> \u2014 internationally accredited (JCI) facility with complete stone-treatment technology<\/li>\n<li><strong>\ud83c\udf10 International experience<\/strong> \u2014 over 8 years caring for expatriate and medical-tourism patients<\/li>\n<\/ul>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top: 60px; padding-bottom: 60px;\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family: Playfair Display; font-size: 32px; font-weight: 600;\">Frequently Asked Questions<\/h2>\n<div class=\"wp-block-spacer\" style=\"height: 30px;\" aria-hidden=\"true\">\u00a0<\/div>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color: #1a2e5a;\">Q1: What are the warning signs of a kidney stone?<\/h3>\n<p>The classic sign is sudden, severe pain in the back or side that comes in waves and may radiate to the lower abdomen or groin, often with blood in the urine, nausea, or a frequent urge to urinate. Fever and chills alongside these symptoms suggest infection and require urgent medical care.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color: #1a2e5a;\">Q2: Do all kidney stones need surgery?<\/h3>\n<p>No. Many small stones pass naturally with fluids, pain relief, and medication, and uric acid stones can often be dissolved with oral therapy. Surgery or shockwave treatment is reserved for stones that are too large to pass, cause blockage or infection, or fail to move on their own.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color: #1a2e5a;\">Q3: What is the best treatment for a large kidney stone?<\/h3>\n<p>It depends on size and location. Flexible ureteroscopy (RIRS) with Holmium laser handles many kidney and ureteric stones without incisions, while very large or staghorn stones are usually treated most effectively with percutaneous nephrolithotomy (PCNL). A CT scan guides the choice.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color: #1a2e5a;\">Q4: How can I stop kidney stones from coming back?<\/h3>\n<p>Prevention starts with staying well hydrated so your urine is pale, plus dietary adjustments and \u2014 when needed \u2014 targeted medication based on your stone type and metabolic testing. Once you have had a stone, a personalized prevention plan can substantially lower the chance of another.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color: #1a2e5a;\">Q5: Is ESWL painful, and how soon can I recover?<\/h3>\n<p>ESWL is non-invasive and performed with sedation or light anesthesia, so it is generally well tolerated. Most people return to normal activities within a day or two, passing stone fragments over the following days to weeks. Some may need more than one session for larger stones.<\/p>\n<\/div>\n\n\n<script type=\"application\/ld+json\">\n{\"@context\":\"https:\/\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What are the warning signs of a kidney stone?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The classic sign is sudden, severe pain in the back or side that comes in waves and may radiate to the lower abdomen or groin, often with blood in the urine, nausea, or a frequent urge to urinate. Fever and chills suggest infection and require urgent care.\"}},{\"@type\":\"Question\",\"name\":\"Do all kidney stones need surgery?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"No. Many small stones pass naturally with fluids, pain relief, and medication, and uric acid stones can often be dissolved with oral therapy. 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A personalized prevention plan can substantially lower the chance of another stone.\"}},{\"@type\":\"Question\",\"name\":\"Is ESWL painful, and how soon can I recover?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"ESWL is non-invasive and performed with sedation or light anesthesia, so it is generally well tolerated. Most people return to normal activities within a day or two, passing stone fragments over the following days to weeks.\"}}]}\n<\/script>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:34px;font-weight:600\">Book Your Consultation<\/h2>\n<p class=\"has-text-align-center\">Get an accurate diagnosis and a clear treatment plan for your kidney stones.<br \/>Online video consultations available for international patients.<\/p>\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok Hospital \u2014 Online Booking<\/a><\/div>\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link wp-element-button\" href=\"tel:088-022-1445\">Samitivej Sriracha \u2014 Call 088-022-1445<\/a><\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Comprehensive kidney stone care in Bangkok \u2014 from 3rd-generation ESWL and flexible ureteroscopy (RIRS) with Holmium laser to metabolic prevention \u2014 by Dr. Soarawee Weerasopone, MD, an endourology specialist.<\/p>","protected":false},"author":185281453,"featured_media":10926,"parent":10357,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"","meta":{"advanced_seo_description":"Kidney stone treatment in Bangkok \u2014 3rd-generation ESWL, flexible ureteroscopy (RIRS) with Holmium laser, and metabolic prevention to stop stones returning. 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