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All Journal Indonesian Journal of Urology
Kuncoro Adi
Sub Bagian Urologi, FK Universitas Padjadjaran/RS. Hasan Sadikin. Jl. Pasteur No. 38 Bandung.
Health Professions Medicine & Pharmacology Public Health

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CHARACTERISTIC OF IATROGENIC BLADDER TRAUMA PATIENT IN HASAN SADIKIN GENERAL HOSPITAL FROM JANUARY 2013 - JANUARY 2018 Karim, Muhammad Ilhamul; Adi, Kuncoro
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.v27i2.612

Abstract

Objective: This study was conducted to determine the characteristics of iatrogenic bladder trauma in Hasan Sadikin General Hospital from January 2013 – January 2018. Material & Methods: The study was conducted by retrospective descriptive methods. We reviewed iatrogenic bladder trauma from medical record at Hasan Sadikin General Hospital from January 2013 to January 2018. The data obtained is subsequently recapitulated and processed using a spreadsheet. Results: Most of the cases were found in female patients. There were 30 cases (73.17%) are recorded. Whilst on male patients, there were only 11 cases (26.83%). The average age was 42.35±2.35 years old. According to AAST grading, a total of 2 patients (4.88%) experienced AAST grade V, 28 patients (68.29%) experienced AAST grade IV, 8 patients (19.51%) experienced AAST grade III, and 3 patients (7.31%) experienced AAST grade I. In addition, there were 31 (75.61%) iatrogenic injuries due to gynecologic surgery, 6 (14.63%) iatrogenic injuries due to digestive surgery, and 4 (9.76%) iatrogenic injuries due to endourology surgery. Of all cases, 30 patients (73.17%) underwent immediate intraoperative reconstruction surgery, whilst the other 11 (26.83%) underwent delayed reconstruction surgery. As for the management, 33 (80.49%) patients underwent bladder repair, 1 (2.44%) patients underwent palliative cystectomy, 2 (4.88%) patients underwent damage control surgery, 3 (7.32%) patients underwent bladder exploration, and 2 (4.88%) patients underwent urethral catheter insertion. From all of 41 cases of patients with iatrogenic bladder injury, there were 3 (7.32%) mortality cases due to prolonged bleeding and sepsis. Conclusion: In this study, iatrogenic bladder trauma mostly affected female patients that underwent gynecologic surgery on the age group of 41-50 years old. Almost all of the cases were treated by bladder repair. By knowing the epidemiology of iatrogenic bladder injury and perform prompt treatment then we can take precautions to reduce the level of morbidity and mortality.
FIVE YEARS CHARACTERISTIC OF URETHRAL TRAUMA IN TERTIARY HOSPITAL IN WEST JAVA FROM 2013-2017 Agung Nugroho, Tri Sunu; Adi, Kuncoro
Indonesian Journal of Urology Vol 28 No 1 (2021)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v28i1.619

Abstract

Objective: In this study, we try to describe the characteristics of patients with urethral trauma in Hasan Sadikin Hospital Bandung from 2013 to 2017. Material & Methods: The data were taken retrospectively from medical records in the Department of Urology with the permission of the ethical committee. The patient characteristics were then classified according to their age, etiology of trauma, location of trauma, grade of trauma, associated trauma, and initial management. Results: The number of trauma cases in Hasan Sadikin Hospital during 2013-2017 was 20.489, 477 of which (2.33%) were urogenital trauma. Of the total urogenital trauma, there were 124 patients with urethral trauma, male patients were more common (84.67%), with an average age of 34.67 (1-82) years. Seventy two patients (58.06%) were iatrogenic trauma (catheter instrumentation 44.35%, circumcision 6.45%, and others 7.25%), and fifty two patients (41.94%) were non-iatrogenic trauma (traffic accident 31.45%, falls from a height 7.25%, and occupational accident 3.22%). In non-iatrogenic trauma group, 40 patients (76.92%) had posterior urethral trauma and 12 patients (23.08%) had anterior urethral trauma. We found 22 (42.31%) of 52 patients with non-iatrogenic trauma were AAST grade I-II and 30 patients (57.69%) were AAST grade III-V. In patients with posterior urethral trauma, 25 patients (62.5%) had pelvic fractures. There were 10 patients (19.23%) who underwent primary endoscopic realignment within the first 72 hours while 30 patients (57.69%) underwent delayed urethroplasty 3 months after trauma, and the rest (23.08%) were treated conservatively. Conclusion: Urethral trauma in males occurs more frequently than in females. with the most common cause were catheter instrumentation (iatrogenic) and traffic accidents (non iatrogenic). Posterior urethral traumas had higher incidence than anterior urethral traumas, which were commonly associated with pelvic fractures.
FIVE YEARS CHARACTERISTIC OF URETERAL TRAUMA IN TERTIARY HOSPITAL IN WEST JAVA FROM 2013-2017 Tambah, Adi Bachtiar; Adi, Kuncoro
Indonesian Journal of Urology Vol 28 No 1 (2021)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v28i1.620

Abstract

Objective: This study aims to determine the characteristics of trauma patients, especially ureteral trauma in Hasan Sadikin General Hospital and expected to be used as data for trauma nationally. Material & Methods: This study was descriptive. Retrospective data collection is taken from medical records of ureteral trauma from 2013 until August 2017 at Hasan Sadikin General Hospital, Bandung. The data obtained are gender, mechanism of trauma, and management of ureteral trauma. Results: A total of 20489 cases of trauma handled in Hasan Sadikin General Hospital, 2.3% is a case of urogenital trauma and 40 of which are cases of ureteral trauma (0.19%). Most ureteral trauma patients are female (90%). Based on the trauma mechanism, 39 patients iatrogenic trauma (97.5%) and 1 patient gunshot wounds (2.5%). From iatrogenic ureteral trauma, 36 patients (90%) had iatrogenic trauma from the gynecological procedure, 5% as a result of the urological procedure, and 2.5% due to gastrointestinal procedure. Management of ureteral trauma is 47.5% ureteroureterostomy and 25% ureteroneocystostomy. Conclusion: Most cases of ureteral trauma are experienced by women, and most commonly due to iatrogenic trauma. Iatrogenic ureteral trauma caused by gynecology procedure is the most common.
TEN YEARS EXPERIENCE IN MANAGEMENT OF BLADDER TRAUMA AT TERTIARY HOSPITAL IN WEST JAVA INDONESIA Indra Firdaus, Gugum; Wijayanti, Zola; Mustafa, Akhmad; Adi, Kuncoro
Indonesian Journal of Urology Vol 31 No 1 (2024)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v31i1.834

Abstract

Objective: The aim of this study is to provide the characteristics, management, and outcome of bladder trauma at the center of trauma referral hospital in West Java, Indonesia. Material & Methods: This is a retrospective and descriptive study. The data of bladder trauma were collected from the medical records from January 2010 to December 2019. The data were presented using descriptive statistics in frequency and percentage. Results: Over a ten-year period, there were 1,174 cases of urogenital trauma, with 170 cases (14.48%) involving bladder injuries. The majority of the was 21-30 years old and were men (55.88%). The most common cause was blunt abdominal trauma (68.82%), which was caused by traffic accidents (91.45%). With 42.24% pelvic fracture as the most common associated injury. The most common type of bladder injury (45.88%) was bladder contusion. Iatrogenic trauma was the second leading causes (29.42%) with obstetrics and gynecology operations accounted for 84% of iatrogenic bladder trauma cases. The majority of bladder injuries were identified using a computed tomography (CT) scan. In 59.41% of cases, surgical intervention was required. The mortality rate was 2.94% during post-operative treatment due to coexisting or associated multiple injuries. Conclusion: We discovered that bladder trauma most commonly affects males of reproductive age with blunt abdominal trauma as the most common etiology and pelvic fractures as the most common associated injury. Surgical intervention often was required. Keywords: Bladder injury, blunt abdominal trauma, iatrogenic bladder injury.
Co-Authors Aaron T Sihombing, Aaron T Aaron Tigor Sihombing Abu Surur, Abu Agung Nugroho, Tri Sunu Akhmad Mustafa, Akhmad Bambang S Noegroho Betthy S Hernowo, Betthy S Caesar Khairul Wallad, Caesar Khairul Ferry Safriadi Indra Firdaus, Gugum Isdianto Septiadi, Isdianto Jumadi Santoso Karim, Ilhamul Karim, Muhammad Ilhamul Karim, Muhammad Ilhamul Ken Ramadhan Makmuri Yusuf Muhammad Rivai Ricky Adriansjah Safendra Siregar Sawkar V Pramod, Sawkar V Septian, Regi Suwandi Sugandi Tambah, Adi Bachtiar Tjahjodjati Zola Wijayanti, Zola Zulhardi Haroen, Zulhardi