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All Journal Indonesian Journal of Urology Jurnal Kesehatan Andalas
Yunir, Peri Eriad
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Health Professions Medicine & Pharmacology Public Health

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EXTRAPERITONEAL LAPAROSCOPIC RADICAL PROSTATECTOMY: INITIAL EXPERIENCE AND LEARNING CURVE OF A VERY LOW VOLUME CENTER Yunir, Peri Eriad; Hamid, Agus Rizal AH; Umbas, Rainy; Mochtar, Chaidir Arif
Indonesian Journal of Urology Vol 24 No 2 (2017)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v24i2.319

Abstract

Objective: This study is aimed to report and evaluate the experience and learning curve of extraperitoneal Laparoscopic Radical Prostatectomy (LRP) performed in Cipto Mangunkusumo General Hospital Jakarta. Material & method: We collected all data of patients that had been performed extraperitoneal LRP from June 2013 until February 2016, retrospectively. We divided those data into 3 groups with equal number in each group. We compared the preoperative (age, prostate volume, PSA level and prostate cancer staging), intraoperative (surgery time, total blood loss, conversion to open surgery and other organ injury), and postoperative (postoperative length of stay) variables between those 3 groups using ANOVA and Kruskal-Wallis test. Results: We performed 15 extraperitoneal LRP from June 2013 until February 2016 with patient’s mean age was 64.40 (SD ± 5.30) years old and mean prostate volume was 42.39 (SD ± 29.21). In this study, we found significant differences in surgery time, total blood loss, and postoperative length of stay (LOS) in all group with decrease on each intraoperative and postoperative variables. We also found no conversion to open surgery or other organ injury in all patients. Conclusion: The increase of surgeon’s experience and the number of surgery, and the consistency undergo the procedure of LRP demonstrate a decrease in surgery time, intraoperative blood loss and LOS in LRP patients.
THE EFFECT OF TAMSULOSIN 0.4 MG ADMINISTRATION TOWARDS ALTERATION OF PROSTATE SPECIFIC ANTIGEN (PSA) LEVELS IN BENIGN PROSTATIC HYPERPLASIA (BPH) PATIENTS IN PADANG CITY Asril, Fadly; MYH, Etriyel; Yunir, Peri Eriad
Indonesian Journal of Urology Vol 31 No 2 (2024)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v31i2.870

Abstract

Objective: This study aims to determine the effect of tamsulosin administration on alteration in PSA levels in BPH patients in Padang. Material & Methods: This study employed an analytical method with a prospective cohort design. The research was conducted at M. Djamil General Hospital, BMC Hospital, Hermina Hospital, and Semen Padang Hospital in August - December 2022. Sampling was carried out by consecutive sampling. Results: At the end of the study, there were 23 patients with BPH. The mean age was 67.5 ± 7.7, which most of them having good education. Patients were mostly self-employed. The highest IPSS score is the severe stage. The PSA levels before and after tamsulosin administration were 1.7 ± 0.9 ng/ml and 1.6 ± 0.8 ng/ml, respectively. Bivariate analysis showed that tamsulosin administration affects PSA levels in benign prostatic hyperplasia patients in Padang. Conclusion: There is an effect of tamsulosin administration on PSA levels. Keywords: Benign prostatic hyperplasia, tamsulosin, prostate-specific antigen.
Tumor Testis Methachronous Bilateral Dengan Histopathology Berbeda Zirti, Siska Rama; Myh, Etriyel; Yunir, Peri Eriad
Jurnal Kesehatan Andalas Vol. 9 No. 1S (2020): Online January 2020
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v9i1S.1190

Abstract

Kanker testis adalah keganasan padat paling umum pada pria antara usia 15 hingga 35 tahun dan insidensinya telah meningkat secara signifikan selama dua dekade terakhir. Tumor sel germinal adalah jenis kanker testis yang paling umum terjadi. Namun, tumor testis kurang umum di Asia dibandingkan dengan negara-negara barat, kejadiannya sangat rendah yaitu 0,4 per 100.000 populasi. Mereka selanjutnya diklasifikasikan sebagai seminoma dan non-seminoma. 40% dari semua tumor sel germinal adalah seminoma. Pasien dengan kanker testis unilateral adalah 500 - 1.000 kali lebih mungkin untuk mengembangkan karsinoma testis di testis kontralateral. Tumor sel germinal testis bilateral adalah entitas yang sangat langka, dan insidensinya berkisar dari 1% hingga 5% seperti yang diterbitkan sebelumnya dalam seri besar. Mereka terjadi secara metakron pada 80- 85% kasus dan serempak pada 15-20% kasus. Kami menyajikan kasus tumor testis methachronous bilateral dengan histopatologi yang berbeda pada pria berusia 29 tahun dengan hasil hystopatologycal adalah skrotum seminoma kiri, dan skrotum kanan adalah tumor kantung kuning telur. Kata kunci: Tumor testis, tumor testis methacronous bilateral, histologi berbeda
LAPAROSCOPIC UROLOGIC SURGERY: INITIAL EXPERIENCES IN PADANG Yunir, Peri Eriad
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.v33i3.1102

Abstract

Introduction: Laparoscopic surgery is increasingly prevalent in urology due to improved surgical expertise. This minimally invasive procedure, popularized in the nineteenth century, offers advantages including reduced pain, less bleeding, shorter hospital stays, and improved cosmetic results compared to open surgery. Laparoscopy has expanded to various applications, including nephrectomies, pyeloplasty, ureteral stone removal, nonpalpable testes, and adrenal surgeries. Today, most urological procedures can be performed using laparoscopy, with oncological outcomes comparable to open surgery. Objective: In this retrospective study, we assess urological laparoscopic surgery results and complications in Padang, Indonesia. Material & Methods: A retrospective evaluation was conducted on patients who underwent laparoscopic surgery in Padang, Indonesia, between September 2017 and July 2023. The assessment encompassed preoperative diagnoses, laparoscopic procedure types, operation duration, hospital stays, blood loss, conversion to open surgery, and complications. Results: Of the 155 patients, 105 (67.7%) were male, with a median age of 37 years (range: 1-78). The common laparoscopic surgeries included simple nephrectomy (29%), laparoscopy undescended testis (UDT) (19.3%), renal cyst unroofing (13.5%), and radical nephrectomy (13.5%). Hospital stays ranged from 1 to 7 days, depending on the laparoscopic procedure type. Approximately 12.9% of patients required conversion to open surgery, and no major complications or fatalities were observed. Conclusion: The success and complication rates of laparoscopic surgeries in our city align with those reported in the literature. We firmly believe that technological advancements, increasing experience, and improved patient tolerance make laparoscopic surgery a secure and minimally invasive alternative to open procedures. Keywords: Laparoscopic surgery, minimally invasive surgery, urological surgery.
Co-Authors Agus Rizal Ardy Hariandy Hamid, Agus Rizal Ardy Hariandy Asril, Fadly Chaidir Arif Mochtar Etriyel Myh Rainy Umbas Zirti, Siska Rama