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All Journal Indonesian Journal of Urology Nusantara Science and Technology Proceedings Jurnal Pengabdian UNDIKMA
Yashar, Muhammad Adan
Department Of Surgery, Medicine Faculty, University Of Riau, Indonesia
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CHARACTERISTIC AND MANAGEMENT FOURNIER’S GANGRENE IN ARIFIN ACHMAD REGIONAL GENERAL HOSPITAL OF RIAU PROVINCE Zamzami, Zuhirman; Jaya, Indra; Yashar, Muhammad Adan; Zalena, Maria
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.v27i2.474

Abstract

Objective: To evaluate the characteristic and the management of Fournier’s gangrene. Material & Methods: We reviewed medical records of Fournier’s gangrene patients including age, etiology, invasion of bacteria, underlying disorders, clinical symptom, radiology and laboratory findings, management, and complication in Arifin Achmad General Hospital, Pekanbaru, Riau Province, in January 2012–December 2017. Statistical analysis of univariate was used. Approval of the study was obtained from the Ethical Review Board for Medicine and Health Research, Medical Faculty, University of Riau. Results: There were 19 patients in the study. The result showed that Fournier’s gangrene cases occurred mostly in age 56-65 year old age group in 8 (42.1%) patients. The etiology was from urogenital cause in 15 (78.9%) patients. Most invasion bacteria was Acinetobacter baumannii in 5 (26.3% ) patients. The most underlying disorder was elderly age in 10 (5.6%) patients. The most frequent symptom was puss on the scrotal in 10 (52.6%)patients. The most laboratory examination was puss bacterial culture in 14 (73.7%) patients. The most frequent treatment for Fournier’s gangrene was initial and preoperative management in 19 (100%) patients. The acute complication of Fournier’s gangrene was sepsis in 5 (26.3%) patients. Conclusion: Fournier’s gangrene occurred mostly in elderly age in which Acinetobacter baumannii was the most invasion bacteria and sepsis was the most complication.
CHARACTERISTIC AND MANAGEMENT FOURNIER’S GANGRENE IN ARIFIN ACHMAD REGIONAL GENERAL HOSPITAL OF RIAU PROVINCE Zamzami, Zuhirman; Jaya, Indra; Yashar, Muhammad Adan; Zalena, Maria
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.v27i2.474

Abstract

Objective: To evaluate the characteristic and the management of Fournier’s gangrene. Material & Methods: We reviewed medical records of Fournier’s gangrene patients including age, etiology, invasion of bacteria, underlying disorders, clinical symptom, radiology and laboratory findings, management, and complication in Arifin Achmad General Hospital, Pekanbaru, Riau Province, in January 2012–December 2017. Statistical analysis of univariate was used. Approval of the study was obtained from the Ethical Review Board for Medicine and Health Research, Medical Faculty, University of Riau. Results: There were 19 patients in the study. The result showed that Fournier’s gangrene cases occurred mostly in age 56-65 year old age group in 8 (42.1%) patients. The etiology was from urogenital cause in 15 (78.9%) patients. Most invasion bacteria was Acinetobacter baumannii in 5 (26.3% ) patients. The most underlying disorder was elderly age in 10 (5.6%) patients. The most frequent symptom was puss on the scrotal in 10 (52.6%)patients. The most laboratory examination was puss bacterial culture in 14 (73.7%) patients. The most frequent treatment for Fournier’s gangrene was initial and preoperative management in 19 (100%) patients. The acute complication of Fournier’s gangrene was sepsis in 5 (26.3%) patients. Conclusion: Fournier’s gangrene occurred mostly in elderly age in which Acinetobacter baumannii was the most invasion bacteria and sepsis was the most complication.
Characteristics of Hypospadias Cases at the Arifin Achmad Riau General Hospital Joko Pitoyo; Muhammad Adan Yashar; Fahreza Syukri
Nusantara Science and Technology Proceedings 4th Riau Medical Scientific and Expo 2022
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/nstp.2022.2828

Abstract

Cases of hypospadias were found to vary in specific periods, but There is currently no data on hypospadias cases handled at the Arifin Achmad Riau general hospital. Therefore, the researchers conducted this study which is a descriptive retrospective study, by taking data from the medical records of hypospadias patients at Arifin Achmad Hospital, Riau Province, for four years from 2017 to 2021. The data taken included the patient's age, type of hypospadias, whether there is a penis chordee, and the surgical technique performed. From the results of this study, there were 60 cases of hypospadias for four years (2017-2021) with a mean age of 11.73 (plus minus 11). Of the 60 hypospadias cases, 8 cases of anterior hypospadias (13.3%) were found. There were 26 cases (43.33%) of middle hypospadias. There were 24 cases (40%) of posterior hypospadias. There were 2 cases with cripples hypospadias (3.34%). The surgical technique performed is also different for each type. The surgical methods performed include Urethroplasty with Mathieu technique in 8 cases (13.33%), Urethroplasty with TIP technique in 9 (15%), Urethroplasty with SLAM technique in 16 (26,66%), Stage urethroplasty in 17 (28,33%), other procedure in 10 (16,67%). Prospective studies need to be carried out to compare the success rates of each surgical procedure related to the type of hypospadias and the degree of chordee.
Characteristics of Hypospadias Cases at the Arifin Achmad Riau General Hospital Joko Pitoyo; Muhammad Adan Yashar; Fahreza Syukri
Nusantara Science and Technology Proceedings 4th Riau Medical Scientific and Expo 2022
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/nstp.2022.2828

Abstract

Cases of hypospadias were found to vary in specific periods, but There is currently no data on hypospadias cases handled at the Arifin Achmad Riau general hospital. Therefore, the researchers conducted this study which is a descriptive retrospective study, by taking data from the medical records of hypospadias patients at Arifin Achmad Hospital, Riau Province, for four years from 2017 to 2021. The data taken included the patient's age, type of hypospadias, whether there is a penis chordee, and the surgical technique performed. From the results of this study, there were 60 cases of hypospadias for four years (2017-2021) with a mean age of 11.73 (plus minus 11). Of the 60 hypospadias cases, 8 cases of anterior hypospadias (13.3%) were found. There were 26 cases (43.33%) of middle hypospadias. There were 24 cases (40%) of posterior hypospadias. There were 2 cases with cripples hypospadias (3.34%). The surgical technique performed is also different for each type. The surgical methods performed include Urethroplasty with Mathieu technique in 8 cases (13.33%), Urethroplasty with TIP technique in 9 (15%), Urethroplasty with SLAM technique in 16 (26,66%), Stage urethroplasty in 17 (28,33%), other procedure in 10 (16,67%). Prospective studies need to be carried out to compare the success rates of each surgical procedure related to the type of hypospadias and the degree of chordee.
CHARACTERISTICS OF PRIAPISM PATIENTS AT ARIFIN ACHMAD HOSPITAL RIAU PERIOD 2017-2021 Yashar, Muhammad Adan; Permata sari, Wulan; Zamzami, Zuhirman; Jaya, Indra
Indonesian Journal of Urology Vol 32 No 1 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i1.895

Abstract

Objective: To find out the description of the characteristics of Priapism patients. Material & Methods: This research used a total priapism patients in Arifin Achmad Hospital, Riau Province from January 2023 to February 2023. Results: From 7 patients with priapism who met the inclusion and exclusion criteria, most age group were from the 36-45 year age group in 3 (42.9%) patients. History of disease in patients with most priapism was leukemia in 3(42.9%) patients. Conclusion: Classification of ischemic priapism were in 4 (57.1%) patients and non-ischemic priapism was 3 (42.9%) patients and all management of priapism patients was carried out by surgery (100%). Keywords: Priapism, leukemia, management of priapism.
Community-Based Tele-Mentored Ultrasound for Urological Screening in Rural Primary Care Afdal; Jaya, Indra; Hardiansyah, Muhammad Teguh; Yashar, Muhammad Adan; Prihartomo, Gatot Aji; Deviandri, Romy; Maulanisa, Sinta Chaira
Jurnal Pengabdian UNDIKMA Vol. 7 No. 2 (2026): May (IN PRESS)
Publisher : LPPM Universitas Pendidikan Mandalika (UNDIKMA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/jpu.v7i2.20028

Abstract

This community service activity aims to assess the feasibility and impact of the community-based HHUS tele-mentoring program for urological screening in rural primary healthcare centers in Indonesia. A prospective quasi-experimental study was conducted from August to October 2025 at Pangkalan Baru Primary Health Center, Riau, Indonesia. Four general practitioners (GPs) underwent a one-day HHUS training session, followed by one month of tele-mentoring using the UroSono Mentor app, a telemedicine platform that supports both real-time video consultation and asynchronous image review, and one additional month of independent practice. Confidence, usability, feasibility, mentor responsiveness, patient satisfaction, and behavioral intention were assessed using structured questionnaires. Data were analyzed using the Friedman test (p < 0.05). Confidence scores improved significantly across all phases (p = 0.018), increasing from 2.06 (pre-training) to 4.37 (tele-mentoring) and 3.81 (independent practice). Training satisfaction was high (3.81 ± 0.19), with positive ratings for mentor responsiveness (4.44 ± 0.24) and usability (4.13 ± 0.14). Patient satisfaction averaged 4.49 ± 0.54. Of the 26 patients examined, 69.2% had normal findings, while 30.8% required referral. Community-based tele-mentored HHUS effectively enhanced GPs’ competence and confidence, achieving strong acceptance among both healthcare providers and patients. The UroSono Mentor model shows promise for scalable integration into rural urological screening programs.
Co-Authors Afdal Deviandri, Romy Fahreza Syukri Hardiansyah, Muhammad Teguh Indra Jaya Indra Jaya Joko Pitoyo Maulanisa, Sinta C. Permata sari, Wulan Prihartomo, Gatot Aji RR. Ella Evrita Hestiandari Zalena, Maria Zamzami, Zuhirman