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All Journal Indonesian Journal of Urology Jurnal Medika Malahayati
Widia, Fina
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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PARTIAL VERSUS TOTAL UROGENITAL MOBILIZATION IN UROGENITAL RECONSTRUCTION: A META-ANALYSIS Putra, Prima Ciko Ade; Widia, Fina; Alam, Gampo; Wahyudi, Irfan; Rodjani, Arry
Indonesian Journal of Urology Vol 27 No 1 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i1.577

Abstract

Objective: Urogenital sinus, cloacal malformation and congenital adrenal hyperplasia are some of the congenital anomalies which comprehensive management should be done to achieve better outcomes. Total Urogenital Mobilization (TUM) and Partial Urogenital Mobilization (PUM) are the most widely used in term of surgical management. However, many researches showed different outcomes of those procedures. This meta-analysis aims to compare the outcome of TUM and PUM in urogenital reconstruction. Material & Methods: Studies were collected from five different search engines (PubMed, EBSCO, ProQuest, Science Direct, Google Scholar) with keyword as mentioned in the methods section of this paper. All full text articles were included. Critical appraisal for each study was done using the Oxford Center of Evidence Based Medicine Worksheet for therapy. Data were analyzed by Cochrane's Review Manager 5.3 for charts and plots builder. Results: Three studies were found with 81 participants divided into PUM or TUM group. All studies were analyzed by using the Mantel-Haenszel test to produce Forest plot. Overall, urinary incontinence event was more common found in patient who underwent TUM compare with PUM (OR 8.21; 95%CI: 1.1-61.11; p=0.04). Conclusion: PUM has a better urinary outcome in comparison with TUM. Further study with a better study design, follow-up and standardized evaluation is needed to achieve a better understanding on urogenital reconstruction and management.
PERAN LASER AKUPUNKTUR PADA SEORANG PASIEN ANAK DENGAN KANDUNG KEMIH OVERAKTIF : STUDI KASUS Nareswari, Irma; Gunarso, Hartono; Adriani Puspitasari, Henny; Widia, Fina
Jurnal Medika Malahayati Vol 7, No 4 (2023): Volume 7 Nomor 4
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jmm.v7i4.11887

Abstract

Abstrak: Peran Laser Akupunktur Pada Seorang Pasien Anak Dengan Kandung Kemih Overaktif: Studi Kasus. Kandung kemih overaktif (OAB) pada anak merupakan gangguan fungsi saluran kemih bagian bawah dengan perkiraan prevalensi 5-12% di seluruh dunia. Penatalaksanaan konservatif kurang mampu memberikan hasil yang memuaskan dan pengobatan pada anak masih terbatas dan sering menimbulkan efek samping yang merugikan. Berbagai modalitas akupunktur telah terbukti memperbaiki OAB pada orang dewasa, namun belum ada penelitian untuk anak-anak. Seorang anak perempuan berusia 13 tahun dirawat di rumah sakit dengan keluhan nyeri intermiten pada kedua sisi perut bagian bawah selama 2 tahun terakhir dan mengompol minimal 5 kali sehari. Skor gejala OAB (OABSS) pasien adalah 14 dan Skala Analog Visual (VAS) adalah 3. Diagnosis utama pasien adalah OAB basah. Terapi laser akupunktur dilakukan di titik LI4, ST36, SP6, dan KI3 secara bilateral. Sesi akupunktur dilakukan 3 kali seminggu, dengan total 6 sesi. Setelah sesi ketiga, gejala ngompol sudah berhenti, VAS sesudah terapi 1/10 dan OABSS 10. Setelah sesi kelima VAS sesudah terapi 0/10. Setelah sesi keenam, rasa sakitnya sudah tidak ada, skor OABSS 6. Hasil pada studi ini adalah pada satu kasus pasien anak dengan OAB, laser akupunktur dapat memberikan hasil terapi yang baik dalam meredakan gejala OAB dan meningkatkan kualitas hidup pasien.
Co-Authors Adriani Puspitasari, Henny Alam, Gampo Arry Rodjani Hartono Gunarso Irfan Wahyudi Nareswari, Irma Putra, Prima Ciko Ade