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All Journal Indonesian Journal of Urology
Rahmita, Maulidina Medika
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Health Professions Medicine & Pharmacology Public Health

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The LOWER URINARY TRACT SYMPTOMS IN ANURIA AND NON-ANURIA PATIENTS AFTER RENAL TRANSPLANTATION: A COMPARATIVE STUDY Rahmita, Maulidina Medika; Harrina Erlianti Rahardjo; Arry Rodjani; Nur Rasyid
Indonesian Journal of Urology Vol 28 No 2 (2021)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v28i2.661

Abstract

Objective: The purpose of this study is to examine the difference of lower urinary tract (LUT) symptoms in anuric and non-anuric individuals after renal transplantation (RT). Material & Methods: LUT function and symptoms were assessed in subjects who had undergone RT at Cipto Mangunkusumo General Hospital, Jakarta, from November 2016 to June 2017. Subjects were divided into anuric and non-anuric groups. We excluded patients with surgical complications that could not undergo uroflowmetry. Results: Thirty-two (21 male, 11 female) subjects were recruited in this study. The anuric subjects were younger than the non-anuric ones (47 ± 12.82 vs. 51.31 ± 16.33, p < 0.001) There were no significant differences in the International Prostate Symptoms Score (IPSS) (6.5 ± 3.67 vs. 6.25 ± 2.95, p = 0.567), Overactive Bladder Symptoms Score (OABSS) (4.06 ± 2.01 vs 4.12 ± 2.39, p = 1.000), maximum urinary flow rate (Qmax) (20.32 ± 9.04 vs. 22.32 ± 10.31, p = 0.956), post-void residual (PVR) (41.12 ± 37.63 vs. 47.62 ± 38.63, p = 0.361) and voided volume (227.88 ± 112.30 vs 251.06 ± 126.75, p = 0.588) between anuric and non-anuric subjects, respectively. IPSS-voiding symptom, IPSS-storage symptom, and OAB symptom did not differ significantly between both groups (p > 0.05). Thirteen (13/16) and seven (7/16) subjects of the anuric and non-anuric groups were both pleased with their quality of life, respectively. Conclusion: LUT symptoms do not differ between anuric and non-anuric patients.
ASSESSING THE EFFICACY OF HIGH INTENSITY FOCUSED ELECTROMAGNETIC (HIFEM) STIMULATION IN ALLEVIATING URINARY INCONTINENCE SYMPTOMS: INDONESIAN-BASED COMMUNITY Rahmita, Maulidina Medika; Dhaifullah, Althaf; Umran, Amrizal; Makshoem, Ahmad Asroruddin; Hudaya, Syamsu; Hutasoit, Yonas Immanuel; Syahputra, Firtantyo Adi; Wallad, Caesar Khairul
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.v33i3.1086

Abstract

Introduction: Urinary incontinence (UI) is common in women and may impair quality of life. Pelvic floor muscle dysfunction contributes to stress and mixed urinary incontinence. High-Intensity Focused Electromagnetic (HIFEM) therapy is a promising non-invasive modality for improving pelvic floor muscle function. Objective: This study aims to evaluate whether HIFEM can offer a more effective alternative for managing urinary incontinence. Material & Methods: 31 women were enrolled in this cohort study. Patients are assessed before and after intervention using the International Consultation on Incontinence Questionnaire—Urinary Incontinence—Short Form (ICIQ-UI-SF). The intervention is a 28-minute HIFEM stimulation with 33 sequences and intensities between 50 to 100% and sequential amplitude modulation, once a week within 4 weeks. Results: 26 participants (83.8%), dominated by mixed-type UI (17 patients), followed by 7 stress-type and 2 urge-type, have experienced an improvement in UI symptoms and showed improvement in ICIQ scores, while the other 5 participants (16.2%) showed insignificant progress after the intervention. The enhanced group reported a transition from moderate-severe symptoms to mild symptoms or complete recovery, and statistical analysis showed a significance value of p = 0.001 (p < 0.05). Conclusion: The HIFEM stimulation procedure significantly alleviates urinary incontinence patients, particularly the mixed-type. Keywords: HIFEM, urinary incontinence, pelvic floor muscles training.
Co-Authors Arry Rodjani Caesar Khairul Wallad, Caesar Khairul Dhaifullah, Althaf Firtantyo Adi Syahputra Harrina E. Rahardjo Hudaya, Syamsu Makshoem, Ahmad Asroruddin Nur Rasyid Umran, Amrizal Yonas Immanuel Hutasoit, Yonas Immanuel