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Sari, Yulia Margaretta
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Biochemistry, Genetics & Molecular Biology Immunology & microbiology Nursing Public Health

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Anal Incontinence in Chronic Total Perineal Rupture : A Case Report Roby Putrama; Sari, Yulia Margaretta; Utama, Bobby Indra
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.145-152.2025

Abstract

Objective: Obstetric anal sphincter injury is a complication of vaginal delivery that, if inadequately managed, can lead to total perineal rupture and fecal incontinence, significantly impacting a patient's quality of life. This case report aims to describe the management of long-standing total perineal rupture in a patient with fecal incontinence. Method: A 37-year-old woman with a 1-year history of fecal incontinence and 15-year history of uncontrolled flatus following an unattended perineal tear during her first delivery was referred for evaluation. Physical examination and transperineal ultrasound revealed a perineal defect involving the external and internal anal sphincter. The patient was managed with sphincteroplasty and perineorrhaphy. Postoperative care included cleansing, catheterization, and medications, along with dietary modifications. Result: The patient’s Wexner score of 14 indicated moderate to severe fecal incontinence. After surgical management, the patient experienced improved control over bowel movements and enhanced quality of life. Conclusion: Vaginal lacerations can cause severe injuries to the perineal body and anal sphincters. Early identification and appropriate surgical intervention, such as sphincteroplasty and perineorrhaphy, are essential in improving outcomes and restoring quality of life in patients with obstetric anal sphincter injuries. Keywords: Obstetric anal sphincter injury, fecal incontinence, sphincteroplasty, perineorrhaphy, perineal rupture
PERBANDINGAN KEJADIAN KEHAMILAN PREEKLAMPSIA BERDASARKAN KOMPONEN METABOLIK Sari, Yulia Margaretta; Serudji, Joserizal; Machmud, Rizanda
Andalas Obstetrics And Gynecology Journal Vol. 3 No. 2 (2019)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.3.2.116-129.2019

Abstract

In preeclampsia occurring carbohydrate and fat metabolism disorders. Components of the metabolic syndrome such as insulin resistance, obesity, and dyslipidemia contributes to the occurrence of preeclampsia. This was an obser-vational analytic study with Kohort design and has been performed in Obgyn Department of M. Djamil Hospital Padang, primary health care in Koto Berapak, Private Practice Midwive in Lintau from July 2013 to May 2014. 60 samples of second trimester of pregnancy with positive Roll over test. Each subject was examined BMI, fasting blood glucose, LDL, HDL, triglycerides, and insulin levels. Then divided into two groups, positive metabolic components group and negative metabolic components group. Statistical analysis to assess significance using the unpaired t test and chi square on SPSS 18.0 for windows. There was no significant association between metabolic components and preeclampsia (p> 0.05). Other metabolic components such as HDL level and insulin resistance were not statistically significant with preeclampsia (p> 0.05). HOMA IR examination also showed no significant association with the in-cidence of preeclampsia. However, the subgroup analysis showed a mean insulin levels higher in preeclampsia patients compared with normal pregnancies (p <0.05). BMI showed a significant association with preeclampsia (p <0.05). subgroup analysis showed a mean insulin levels higher in preeclampsia patients compared with normal pregnancies (p <0.05). BMI showed a significant association with preeclampsia (p <0.05). subgroup analysis showed a mean insulin levels higher in preeclampsia patients compared with normal pregnancies (p <0.05). BMI showed a significant association with preeclampsia (p <0.05).Keywords: Preeclampsia, metabolic syndrome, fasting blood glucose, LDL, HDL, triglycerides, HOMA-IR, BMI
Skene Duct Cyst in Childhood: A Case Report Kusuma, Agung Wijaya; Utama, Bobby Indra; Sari, Yulia Margaretta
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.446-452.2023

Abstract

Introduction. Vaginal cysts are uncommon and may be either congenital or acquired. the most common vaginal cysts is a urothelial cyst or a paraurethral cyst. With an incidence of 1 in every 2000–7000 live births, paraurethral cysts are an uncommon cause of interlabial mass in newborns and account for less than 0.5 per cent of all congenital urinary system anomalies. Study Purpose. This report describes a rare Vaginal cyst in a child at the posterior vaginal wall.. Results.this is a case report study about a girl 1-year-8-months old with vaginal cyst since the age of 2 months. Physical examination and ultrasound finding revealed a cystic mass size 3x3x1 cm in posterolateral of the right vaginal wall extended to right periurethral. Management of this case was extirpation of the vaginal cyst.Conclusion. A vaginal cyst is an uncommon case in a child. Vaginal cysts have several possible etiologies, such as possibly embryological origin, ectopic inclusion tissue or possibly due to urological abnormalities. Diagnosis requires a thorough understanding of diagnostic possibilities and a systematic evaluation. This patient has been treated with surgical excision due to a high success rate.
Treatment of Prepubertal Labial Adhesion: A Case Report Khalilullah, Ibnuzaer; Utama, Bobby Indra; Sari, Yulia Margaretta
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.1.179-186.2026

Abstract

Introduction : Labial adhesion is a condition in which the labia minora adhere to each other, either partially or completely, and is most commonly observed in prepubertal girls. The highest incidence typically occurs between the ages of 3 months and 6 years, a period during which lower estrogen levels make the vulvar mucosa more susceptible to irritation and adhesion. Objective : To report and discuss a rare case of labial adhesion on prepubertal. Methods : A prepubertal girl diagnose with labial adhesion at Dr. M. Djamil Central Hospital was reported and discuss the management. Result : A four-year-old girl was referred to the outpatient urogynecology clinic by a network hospital for labial adhesion. Upon general assessment, the child's development appeared appropriate for her age. Her medical history did not reveal any significant illnesses, surgical procedures, or history of sexual abuse, and her general physical examination was normal. Upon inspection, the labia majora were normal, but he labia minora appeared fused with a 0.2 cm gap at the proximal area of the adhesion. The adhesions appear thick and non-transparent For this patient, we decided to proceed with excision of the labial area without first attempting estrogen therapy. Seven days post-operation, the patient returned for a follow-up visit in good condition. The surgical wound was dry, urination was normal, and the examination showed a normal vaginal opening. Conclusion: From this case report, we conclude that for long-standing labial adhesion characterized by tissue thickening, labial excision is the appropriate and effective treatment option.
Co-Authors Khalilullah, Ibnuzaer Kusuma, Agung Wijaya Rizanda Machmud Roby Putrama Utama, Bobby Indra