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All Journal Indonesian Journal of Urology SCRIPTA SCORE Scientific Medical Journal
Kadar, Dhirajaya Dharma
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Health Professions Medicine & Pharmacology Public Health

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CHARACTERISTICS OF RENAL CANCER PATIENTS IN HAJI ADAM MALIK GENERAL HOSPITAL MEDAN IN THE YEAR 2011 -2015 Kurnia, Riyan Adi; Kadar, Dhirajaya Dharma; Prapiska, Fauriski Febrian
Indonesian Journal of Urology Vol 25 No 1 (2018)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v25i1.328

Abstract

Objective: The aim of this study is to identity the characteristics of kidney cancer patients at Haji Adam Malik Hospital between 2011 and 2015. Material & methods: This is a retrospective descriptive study of all kidney cancer patients treated at Haji Adam Malik Hospital between 2011 and 2015. Individual patient data was collected from medical record and compiled. Results: Between 2011 and 2015, there were 38 patients diagnosed with kidney cancer treated at Haji Adam Malik Hospital. The patients mean age is 48.26 ± 14.68 years, with a male to female ratio 1.7:1. Histological type found in the study was RCC (57.15%), urothelium based (19.05%), sarcoma variant (14.28%) and benign kidney tumor (9.52%). Clear cell RCC (58.3%) is the most common type of RCC. Based on the TNM classification, patients with kidney tumor of stage II, stage III and stage IV are 15.8%, 10.5% and 73.7% respectively. The treatment modalities for kidney cancer are nephrectomy (44.7%), nephroureterectomy (2.6%), biopsy (8.0%) and inoperable patients or treatment refusal (44.7%). The mortality rate of kidney cancer patients was 81.5%. Conclusion: Mean age of kidney cancer patients at Haji Adam Malik Hospital was lower than that reported in literature. Gender ratio was found similar as seen in literature. The ratio of histological type was differ, but we still found RCC as the most common type of kidney malignancies. Higher number of patients presented at advance stage at diagnosis and refusal to treatment may contribute to the high mortality rate in this study.
PROSPECTIVE STUDY: COMPARISON OF PRONE AND SUPINE POSITION IN PERCUTANEOUS NEPHROLITHOTOMY (PCNL) AT ADAM MALIK HOSPITAL MEDAN Maharddhika, Manggala; Kadar, Dhirajaya Dharma; Prapiska, Fauriski Febrian
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.573

Abstract

Objective: This prospective study aims to compare the outcomes of PCNL with prone position compared to the supine position. Material & Methods: A total of 57 patients treated with PCNL from January 2017-December 2017 were included in the study. Inclusion criteria include patients with kidney stones greater than 20 mm in size measured with KUB imaging (Kidney-Ureter-Bladder) or abdominal NCCT (Non Contrast Computed Tomography) who were willing to be treated with PCNL. The exclusion criteria were patients younger than 17 years of age, patients who refused to surgery, patients with history of PCNL on the same side, patients with blood clotting disorders, pregnancy, and kidney stone in patients with congenital kidney disorders. Patients were randomized to undergo PCNL with prone or supine position. A total of 29 patients were treated with PCNL in prone position and 28 patients were treated in supine position. Data on patient characteristics, puncture location, number of puncture, use of post PCNL nephrostomy, duration of surgery, presence or absence of residual stones measuring ≥5 mm in size, total complications, postoperative fever, sepsis, bleeding requiring transfusion, retroperitoneal hematoma, pleural effusion, intestinal injury, and the difference between hemoglobin count before and after surgery was compared between the two groups. Results: There were no significant differences observed in terms of number, sex, age, BMI, stone size, hydronephrosis, and comorbidities in patients of both groups. Stone free rate in PCNL with prone position and supine position is 82.8% and 92.9% respectively. Significant comparisons were observed on differences in the mean duration of surgery in which PCNL duration of surgery with the prone position was 150 minutes whereas the supine position took 130 minutes (p=0.003). There were no significant differences between successful puncture, total complications, postoperative fever, sepsis, and bleeding requiring transfusion. There were no patients who had pleural effusion, intestinal injury, or death in this study. Conclusion: PCNL in supine position has the same effectiveness and safety as PCNL in prone position. The Stone free rate is higher in PCNL performed in supine position. The duration of PCNL surgery in supine position is significantly shorter than the PCNL prone position.
PROSPECTIVE STUDY: COMPARISON OF PRONE AND SUPINE POSITION IN PERCUTANEOUS NEPHROLITHOTOMY (PCNL) AT ADAM MALIK HOSPITAL MEDAN Maharddhika, Manggala; Kadar, Dhirajaya Dharma; Prapiska, Fauriski Febrian
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.573

Abstract

Objective: This prospective study aims to compare the outcomes of PCNL with prone position compared to the supine position. Material & Methods: A total of 57 patients treated with PCNL from January 2017-December 2017 were included in the study. Inclusion criteria include patients with kidney stones greater than 20 mm in size measured with KUB imaging (Kidney-Ureter-Bladder) or abdominal NCCT (Non Contrast Computed Tomography) who were willing to be treated with PCNL. The exclusion criteria were patients younger than 17 years of age, patients who refused to surgery, patients with history of PCNL on the same side, patients with blood clotting disorders, pregnancy, and kidney stone in patients with congenital kidney disorders. Patients were randomized to undergo PCNL with prone or supine position. A total of 29 patients were treated with PCNL in prone position and 28 patients were treated in supine position. Data on patient characteristics, puncture location, number of puncture, use of post PCNL nephrostomy, duration of surgery, presence or absence of residual stones measuring ≥5 mm in size, total complications, postoperative fever, sepsis, bleeding requiring transfusion, retroperitoneal hematoma, pleural effusion, intestinal injury, and the difference between hemoglobin count before and after surgery was compared between the two groups. Results: There were no significant differences observed in terms of number, sex, age, BMI, stone size, hydronephrosis, and comorbidities in patients of both groups. Stone free rate in PCNL with prone position and supine position is 82.8% and 92.9% respectively. Significant comparisons were observed on differences in the mean duration of surgery in which PCNL duration of surgery with the prone position was 150 minutes whereas the supine position took 130 minutes (p=0.003). There were no significant differences between successful puncture, total complications, postoperative fever, sepsis, and bleeding requiring transfusion. There were no patients who had pleural effusion, intestinal injury, or death in this study. Conclusion: PCNL in supine position has the same effectiveness and safety as PCNL in prone position. The Stone free rate is higher in PCNL performed in supine position. The duration of PCNL surgery in supine position is significantly shorter than the PCNL prone position.
Hubungan Kebiasaan Menahan Buang Air Kecil, Jumlah Air Minum Harian dan Kebersihan Diri Saat Menstruasi dengan Kejadian Infeksi Saluran Kemih Non Komplikata pada Mahasiswi Fakultas Kedokteran Universitas Sumatera Utara Angkatan 2017-2018 Nainggolan, Habib Fachrurraji; Kadar, Dhirajaya Dharma
SCRIPTA SCORE Scientific Medical Journal Vol. 3 No. 2 (2022): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v3i2.5497

Abstract

Background: Urinary tract Infection (UTI) is an infection in the urinary tract that caused by the microorganism such as fungi, virus, and bacteria. UTI is one the infectious disease that often be found in the general practice. Number of the UTI patient in Indonesia has been recorded around 180,000 new cases in every year, with the most frequent in female. Urinary restriction, lack amount of daily water intake and poor menstrual hygiene are the most frequent events of the UTI in young age female. Objective: To find out the relationship between urinary restriction habit, amount of daily water intake, and menstrual hygiene with the event of uncomplicated UTI. Methods: This study is an analytic-observational study with cross-sectional design. Sample was taken by using simple random sampling technique. Sample was collected through a questionnaire and bivariate analyzing and then be processed with computer by using SPSS. Results: There are  no relationship between urinary retention habit (p=0,484) and menstrual hygiene (p=1,000) with the event of uncomplicated UTI. There is relationship between amount of daily water intake (p=0,000) with the event of uncomplicated UTI. Conclusion: There are no significant relationship between urinary retention habit and menstrual hygiene with the event of uncomplicated UTI. There is significant relationship between amount of daily water intake with the event of uncomplicated UTI. Keywords: menstruation, Urinary Tract Infection (UTI), urination, water intake   Latar belakang: Infeksi saluran kemih (ISK) merupakan infeksi pada saluran kemih yang disebabkan oleh mikroorganisme seperti jamur, virus, dan bakteri. ISK merupakan salah satu penyakit infeksi yang sering ditemukan di praktik umum. Jumlah pasien ISK di Indonesia tercatat sekitar 180.000 kasus baru pertahun, dengan kejadian tersering pada jenis kelamin perempuan. Kebiasaan menahan buang air kecil (BAK), kurangnya konsumsi air minum harian dan kebersihan diri saat menstruasi yang buruk merupakan penyebab tersering kejadian ISK pada wanita usia muda. Tujuan: Mengetahui hubungan antara kebiasaan menahan BAK, jumlah air minum harian, dan kebersihan diri saat menstruasi dengan kejadian ISK non komplikata. Metode: Penelitian ini merupakan penelitian analitik-observasional dengan desain cross-sectional. Pengambilan sampel dilakukan dengan teknik simple random sampling. Pengumpulan data dilakukan melalui kuesioner dan dilakukan analisa bivariat serta pengolahan data dengan komputerisasi menggunakan SPSS. Hasil: Tidak terdapat hubungan antara kebiasaan menahan BAK (p=0,484) dan kebersihan diri saat menstruasi (p=1,000) dengan kejadian ISK non komplikata. Terdapat hubungan antara jumlah air minum harian (p=0,000) dengan kejadian ISK non komplikata. Kesimpulan: Tidak terdapat hubungan antara kebiasaan menahan BAK dan kebersihaan diri saat mentruasi dengan kejadian ISK non komplikata. Terdapat hubungan antara jumlah air minum harian dengan kejadian ISK non komplikata. Kata Kunci: air minum,  Buang Air Kecil (BAK), Infeksi Saluran Kemih (ISK), menstruasi
EFFECTIVENESS OF TRANEXAMIC ACID IN TRANSURETHRAL RESECTION OF THE PROSTATE (TURP) PROCEDURE ON BENIGN PROSTATE HYPERPLASIA (BPH): A SYSTEMATIC REVIEW AND META-ANALYSIS Manalu, Yustika Veronica; Warli, Syah Mirsya; Kadar, Dhirajaya Dharma; Amelia, Sri
Indonesian Journal of Urology Vol 29 No 3 (2022)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v29i3.759

Abstract

Objective: This study aims to determine the effectiveness of tranexamic acid in the TURP procedure in BPH patients. Material & Methods: This meta-analysis research was performed online literature from Pubmed, Google Scholar, Cochrane, and Science Direct with a data collection period from July 2020 to October 2020. The journals used are journals regarding all studies on the effectiveness of tranexamic acid in the TURP procedure on BPH with criteria inclusion were BPH patients receiving TURP-invasive therapy and receiving tranexamic acid before or after surgery vs. no intervention or placebo. The results assessed were in terms of the amount of bleeding, volume of irrigation fluid, duration of operation, and weight of the resected prostate tissue. The statistical analysis was performed in Review Manager v.5.4. Results: We found 6 studies that fitted into our criteria with 436 patients were identified. We found a significant difference of decreasing blood loss between tranexamic acid and control that tranexamic acid was more effective than control (MD -125.39, 95% CI: -247.21 - 3.36, P = 0.04). There was no significant difference of the amount of Hb (MD 0.06, 95%, CI: -0.17 – 0.28, P = 0.63). There was also no significant differences of volume irrigation fluid (MD 0.79, 95%, CI: -1.18 – 2.76, P=0.43), duration of operation (MD 14.55, 95%, CI: -32.56 – 3.47, P = 0.11) and weight of resected prostate tissue (MD 0.77, 95% CI: -1.06 – 2.6, P=0.77). Conclusion: Tranexamic acid is effective in decreasing blood loss in the TURP procedure.
Co-Authors Fauriski Febrian Prapiska, Fauriski Febrian Kurnia, Riyan Adi Maharddhika, Manggala Maharddhika, Manggala Manalu, Yustika Veronica Nainggolan, Habib Fachrurraji Sri Amelia, Sri Warli, Syah Mirsya