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All Journal BALI MEDICAL JOURNAL (BMJ) Medicina
Bowolaksono *
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Medicine & Pharmacology

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The Clinical Features of Penile Cancer Patients at Sanglah General Hospital Bali-Indonesia Kusmawan, E; *, Bowolaksono; Widiana, R
BALI MEDICAL JOURNAL Volume 1, Number 1, January-April 2012
Publisher : BALI MEDICAL JOURNAL

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Abstract

Objectives: To explore clinical characteristics, treatment modalities and outcomes after the follow-up of penile cancer patients. Method: We reviewed penile cancer patients during 8 years, started from April 1993 to March 2001. The data collected through medical record consisted of patient identities, history takings, physical and pathological findings, treatment modalities and their follow-up after  3±4  years Results:  During eight years of study there were 46 patients aged 58+3 years. Out of 46 patients, 33 patients (72%) have history of urogenital infection and 40 patients (87%) with phymosis. With regard to physical examination, 24 patients (52%) presented as stage III (Jackson classification). Pathological findings showed that 100% patients were keratinizing squamous cell carcinoma. Partial penectomy alone was carried out in 21 patients (46%),  total penectomy alone was done in 17 patients (37%), and total penectomy with lymph node dissection was done in 8 patients (17%). During the follow-up, majority of the patients (42) showed no complications or recurrence, only 2 patients showed recurrent tumor and the rest 2 were lost to follow-up. Conclusions: During eight years at Sanglah General Hospital there were 46 penile cancer patients, mean of age was 58±3 years. Predispositioning factors were urogenital infection and phymosis. All of them were keratinizing squamous cell carcinoma. Total or partial penectomy with or without lymph node dissection was carried out with good results.
MALE TERM NEONATE WITH BLADDER EXSTROPHY–EPISPADIAS COMPLEX Utami Budha, Made Indah Nastiti; Retayasa, I Wayan; Kardana, I Made; *, Bowolaksono; Kawiyana, Ketut Siki
Medicina Vol 40 No 1 (2009): Januari 2009
Publisher : Medicina

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Bladder exstrophy is a malformation of the bladder, in which the bladder and related structures are turned inside out. Bladder exstrophy affects one in approximately 50,000 livebirths. Male to female ratio is 2.3 : 1. Epispadias is commonly seen with exstrophy of the bladder. The cause and nature of the faulty development is not yet clear. The diagnosis is generally immediately apparent. Bladder exstrophy is a surgical correctable birth defect. In this case, bladder exstrophy–epispadias complex founded in male term neonate. On inspection was founded bladder everted through a midline lower abdominal wall defect, widening of the pubic symphisis and epispadias. Urology ultrasound revealed absent of the right kidney at right fossa renalis or in pelvic cavity, slight hydronephrosis of left kidney, no appearance of bladder in pelvic cavity. Patient underwent surgery during hospitalized in Sanglah Hospital - Denpasar. This patient was referred to the Congenital Anomaly Team in Dr. Soetomo Hospital - Surabaya because there was wound dehiscence during post operation care.[MEDICINA 2009;40:60-4].
Co-Authors E Kusmawan I Made Kardana I Wayan Retayasa Ketut Siki Kawiyana Made Indah Nastiti Utami Budha R Widiana