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All Journal Indonesian Journal of Urology
Tandi, Adi Putra
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Health Professions Medicine & Pharmacology Public Health

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LOW-INTENSITY EXTRACORPOREAL SHOCKWAVE THERAPY (LI-ESWT) IN PATIENTS WITH TYPICAL DIABETES MELLITUS ERECTILE DYSFUNCTION: A SYSTEMATIC REVIEW AND META-ANALYSIS Ferdinand, Charles; Puspitasari, Juwita; Tarigan, Rehulina BR; Tandi, Adi Putra; Davin, Darian; Fitra, Ahmad Fathira
Indonesian Journal of Urology Vol 33 No 2 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i2.1001

Abstract

Introduction: Erectile dysfunction and diabetes mellitus present a challenging condition to treat due to the involvement of vasculogenic, endocrinogenic, and neurogenic factors. Although PDE5I is usually the treatment of choice, not all patients are suitable or respond to it. Currently, Low-Intensity Extracorporeal Shockwave Therapy (Li-ESWT), known as a vasculogenic erectile dysfunction treatment, tends to be safe, non-invasive, and effective. Objective: This study aims to determine the efficacy of Li-ESWT on patients with erectile dysfunction and diabetes mellitus. Material & Methods: RCT data were collected from PubMed, Science Direct, and Cochrane databases. Patients with erectile dysfunction and diabetes who underwent Li-ESWT assessed through the International Index of Erectile Function (IIEF) were included. In this study, we used RevMan 5.4, Cochrane Risk of Bias 2.0, and the PRISMA checklist. Out of 603 records identified, four RCTs were identified for qualitative synthesis. Three of these studies met the criteria for inclusion in the meta-analysis. Results: All four studies reported a statistically significant increase in the Li-ESWT group compared to the control group, with the average pre-therapy IIEF score increasing from 11.68 to 17.50 after treatment (p < 0.05). Moreover, Li-ESWT combined with other therapy was found more superior than monotherapy. Meta-analysis showed that Li-ESWT was effective to improve erectile function in diabetic patients (SMD 1.24; 95% CI: 0.85-1.63; p < 0.00001; I2 = 0%). Conclusion: Li-ESWT was effective for mild to moderate erectile dysfunction patients with Diabetes Mellitus. Keywords: Shockwave therapy, diabetes mellitus, erectile dysfunction.
A RARE CASE OF TESTICULAR TUBERCULOSIS IN THE MIDDLE-AGED¬ MALE: CASE REPORT Fitra, Ahmad Fathira; Aspitriani; Sandria; Tandi, Adi Putra
Indonesian Journal of Urology Vol 33 No 3 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i3.1002

Abstract

Introduction: Tuberculosis is an infection that involves multiple organs. Testicular tuberculosis is a rare type of extra-pulmonary tuberculosis, accounting for only 3% of total genital tuberculosis cases. Objective: We report a case of testicular tuberculosis in a 40 year old male patient with severe pain in the right testicle for the last one month. Case(s) Presentation: Patients with a history of pulmonary tuberculosis and undergoing intensive phase anti-tuberculosis drug therapy. The patient has a fever accompanied by redness, swelling, and puffiness in the scrotal area. Laboratory examination, leukocytosis and no increase in ESR. Testicular ultrasound examination showed swelling in the right scrotum area as well as normal size and hydrocele in the left testicle. Discussion: The patient was diagnosed with testicular tuberculosis and underwent orchidectomy on the right testicle, followed by anti-tuberculosis drug treatment for six months, then continued with an anatomical pathology examination. Anatomical pathology results showed specific chronic granulomatous inflammation due to tuberculosis in the right testicle. Conclusion: The combination of discontinuation and OAT needs to be done immediately to prevent further complications. Keywords: Tuberculosis, testicles, urogenital, orchidectomy.
Co-Authors Aspitriani Davin, Darian Ferdinand, Charles Fitra, Ahmad Fathira Juwita Puspitasari Sandria Tarigan, Rehulina BR