Non-invasive
ESWL shockwave lithotripsy
Focused shockwaves break the stone into fragments you pass naturally. No incisions, usually done in a single visit.
Explore ESWL →Men's urology
Kidney stones
About 1 in 10 people form a kidney stone, and men get them more often than women. Here's why they hurt so much, when they pass on their own, and when they need help.
1 in 10
Form a stone in life
~50%
Recur in 5–10 years
45 min
Private consult
TH·EN·ZH
Spoken here
Medically reviewed by Dr. Cheevathun Theeraratvarasin (Big)
MOPH-licensed clinic
4.6 from 158 Google reviews
92% five-star ratings
Private & confidential
Signs
Sudden, severe pain in the side or lower back
Pain that comes in waves and moves to the groin
Blood in the urine, pink or brown
Burning or urgency when you urinate
Nausea that arrives with the pain
Common causes
Not drinking enough water, the biggest one
A diet heavy in salt and animal protein
Family history of stones
Gout and high uric acid
Obesity, diabetes and some medications
When to see a doctor
Pain so severe you can't sit still
Fever or chills alongside the pain
You can't keep fluids down
You can see blood in your urine
You've had a stone before and this feels familiar
Understanding the condition
It's chemistry, and you can change it
A kidney stone forms when urine gets too concentrated for its minerals to stay dissolved, and they crystallise. Most stones are calcium oxalate; some are uric acid, often alongside gout. Bangkok's heat makes dehydration, the biggest driver, very easy to miss.
Size decides what happens next. Stones under about 5 mm usually pass on their own with fluids and proper pain control. Larger stones can lodge in the ureter and block it, and that's when the pain becomes unforgettable and a procedure becomes the safer path.
The stone itself is only half the problem. Around half of stone formers make another within 5–10 years, so the workup that explains why yours formed matters as much as getting it out.
Passing the stone is the part everyone celebrates. The real work is finding out why it formed, so you're not back in this room next year.
Our solutions for kidney stones
Options, matched to the stone
Many stones pass without a procedure. When one doesn't, the right approach depends on its size, position and hardness. Each links to the full page.
No incisions
Ureteroscopy & RIRS
A thin scope reaches the stone through the urinary tract and a laser breaks it up. High clearance rates for stones in the ureter and kidney.
Explore ureteroscopy →For large stones
PCNL keyhole removal
A keyhole through the back clears large or complex kidney stones in one session. The standard approach for stones over 2 cm.
Explore PCNL →Compare approaches
Kidney stone surgery
The full picture of every removal approach, side by side, and how a urologist matches one to your stone.
Compare options →Prevention
Allopurinol
For uric acid stones and gout. Lowers the uric acid that feeds new stones, monitored by your doctor.
Read the guide →Your journey
What happens when you come in
1. Private consult
45 minutes, one to one. Bring your pain history, any previous scans, and every question you have.
2. Imaging & urine tests
Ultrasound or low-dose CT locates and sizes the stone; urine and blood work look for the reason it formed.
3. Your plan
Pass it with support, or a removal approach matched to the stone's size and position. Honest options, your decision, never pressured.
4. Stone-free check & prevention
Follow-up imaging confirms you're clear, and a prevention plan targets your cause so the next stone is far less likely.
Meet the doctors
Who you'll see
Board-certified urologists who assess and clear kidney stones every week, trained internationally. The same doctor from first scan to stone-free check.
/)
/)
/)
What our patients say
/)
Book your consultation today.
Health checkups
“The advanced health checkup at Menscape was incredibly comprehensive. Blood panels, hormone levels, PSA, liver and kidney function, everything covered. Dr. Ping took time to explain every result. Much better than hospital checkups.”
Tom Richardson · Verified patient review
Learn more about men's health
Explore the latest posts on men's health, including trends in wellness, fitness, and nutrition.
Prevention
Allopurinol: Lowering Uric Acid to Prevent Stones
Pain relief
Etoricoxib for Stone Pain: What It Does and When It Helps
Frequently asked questions
Can I just wait for the stone to pass?
Sometimes, yes. Stones under about 5 mm usually pass within a few weeks with fluids and proper pain control. Stones over 6–7 mm rarely pass on their own, and fever, vomiting or unrelenting pain means you should be seen the same day, not wait.
How do you know how big my stone is and where it sits?
Imaging. Ultrasound gives a first look, and a low-dose CT scan sizes and places the stone precisely. That one scan usually decides everything: whether to wait, and if not, which approach fits.
Does every stone need a procedure?
No. Many pass with fluids, pain relief and sometimes a medication that relaxes the ureter to help the stone through. A procedure is for stones that are too large, stuck, causing infection, or threatening the kidney.
Will I get another one?
Around half of stone formers do within 5–10 years if nothing changes. Urine and blood tests show why yours formed, and the right mix of fluids, diet changes and sometimes medication cuts that risk substantially.
Is blood in my urine always serious?
With stone pain it's common, because the stone scrapes the ureter on its way down. But visible blood always deserves a proper check, since it can also point to infection or other conditions a urologist should rule out.
Don't wait for the next attack
Don't wait for
the next attack
/)