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All Journal Majalah Kedokteran Bandung Indonesian Journal of Urology Cermin Dunia Kedokteran
Kusumajaya, Christopher
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Health Professions Medicine & Pharmacology Public Health

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Diagnosis dan Tatalaksana Torsio Testis Kusumajaya, Christopher
Cermin Dunia Kedokteran Vol 45, No 10 (2018): Muskuloskeletal
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (240.756 KB) | DOI: 10.55175/cdk.v45i10.582

Abstract

Keluhan akut skrotum merupakan kasus kegawatdaruratan urologi dengan diagnosis banding meliputi torsio testis (torsio korda spermatika), torsio apendiks testis, epididimoorkitis, edema skrotum idiopatik, kista epididymis, dan hernia inguinalis strangulasi. Torsio testis merupakan kasus yang paling sering. Eksplorasi skrotum harus dilakukan. Pemeriksaan fisik dan radiologis yang tepat diperlukan sebelum eksplorasi surgikal. Diagnosis dan tatalaksana cepat merupakan hal terpenting untuk menghindari kehilangan testis dan infertilitas di kemudian hari,.Acute scrotal pain is a urological emergency with differential diagnoses of torsion of the testis (torsion of the spermatic cord), torsion of testicular appendages, epididymoorchitis, idiopathic scrotal oedema, epididymal cysts and strangulated inguinal herniae. Testicular torsion is the most frequent cause. Scrotal exploration is mandatory. Doppler Ultrasound (DUS) may present variations, and clinical evaluation is important to justify surgical exploration. Prompt diagnosis and immediate surgery are the most important issues to avoid testicular loss and eventual impaired fertility.
Diagnosis dan Tatalaksana Priapismus Kusumajaya, Christopher
Cermin Dunia Kedokteran Vol 45, No 1 (2018): Suplemen
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (670.881 KB) | DOI: 10.55175/cdk.v45i1.163

Abstract

Priapismus adalah kondisi memanjangnya waktu ereksi selama 4 jam atau lebih. Priapismus terdiri dari jenis iskemik, non iskemik, dan intermiten. Priapismus iskemik merupakan kondisi gawat darurat. Penatalaksanaan bertujuan menghilangkan nyeri dan mengembalikan penis ke kondisi detumesen. Tatalaksana penyakit yang mendasari tidak boleh menunda terapi akut. Disfungsi ereksi merupakan komplikasi terburuk, terutama pada priapismus yang lama. Diagnosis dan tatalaksana yang cepat dapat mencegah komplikasi.
Teknik Reduksi untuk Parafimosis Kusumajaya, Christopher
Cermin Dunia Kedokteran Vol 44, No 11 (2017): Kardiovaskuler
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (141.985 KB) | DOI: 10.55175/cdk.v44i11.709

Abstract

Parafimosis merupakan kasus kegawatdaruratan urologi jika kulit prepusium, setelah diretraksi, tidak dapat dikembalikan menutupi glans penis, menyebabkan nyeri pada penis. Penanganan cepat di Unit Gawat Darurat dibutuhkan karena keterlambatan penanganan akan menyebabkan iskemi glans penis. Dalam sebagian besar kasus, teknik non invasif reduksi manual sangat efektif. Berbagai macam teknik reduksi dapat menjadi pilihan.Paraphimosis is a urologic emergency, if the foreskin retracted over the glans penis is irreducible, potential for serious penile injury if left unattended. Paraphimosis must be treated immediately in the emergency department. In most cases, manual reduction, a noninvasive technique, is effective. A variety of reduction techniques are available
Diagnosis dan Tatalaksana Batu Uretra Kusumajaya, Christopher
Cermin Dunia Kedokteran Vol 45, No 2 (2018): Urologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v45i2.168

Abstract

Batu Saluran Kemih (BSK) merupakan penyakit tersering di bidang urologi. Di negara berkembang seperti Indonesia angka BSK terus meningkat. Kebanyakan pasien memiliki batu saluran kemih bagian atas, sehingga penanganan batu saluran kemih bagian bawah seperti batu uretra sering terlupakan. Keluhan utama nyeri pada retensi urin akut yang disebabkan oleh batu uretra membutuhkan tindakan segera. Terbatasnya fasilitas endoskopi menambah pentingnya penanganan akut kasus batu uretra di Unit Gawat Darurat.
Diagnosis dan Tatalaksana Ruptur Uretra Kusumajaya, Christopher
Cermin Dunia Kedokteran Vol 45, No 5 (2018): Nutrisi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (152.809 KB) | DOI: 10.55175/cdk.v45i5.675

Abstract

Ruptur uretra merupakan salah satu kasus kegawatdaruratan urologi karena adanya trauma lain yang lebih mengancam nyawa. Penatalaksanaan yang terlambat dan tidak tepat akan mengurangi kualitas hidup dan meningkatkan mortalitas.Genitourinary trauma is often overlooked in the setting of acute trauma; other more life-threatening injuries often take precedence for immediate management. Radiology imaging plays a key role in diagnosis. Rapid diagnosis and appropriate management is crucial in limiting mortality and morbidity. 
Impact of Covid-19 Pandemics on Urology Practices and Residency Training in an Indonesian Tertiary Hospital Kusumajaya, Christopher; Tjahjodjati, Tjahjodjati
Majalah Kedokteran Bandung Vol 56, No 1 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v56.2657

Abstract

The World Health Organization (WHO) declared Covid-19 as a global pandemic on March 11, 2020. Alterations in health service provisions must be applied to maintain prime services and decrease the number of healthcare workers exposure to Covid-19 by reducing the number of patients and workload, as well as cancelling elective surgeries. This study aimed to describe the urological services and residency training program during a Covid-19 year at Dr. Hasan Sadikin General Hospital, Bandung, which is a tertiary health center and teaching hospital in Indonesia. This was a comparative retrospective study conducted from January 2019 to December 2020 that compared the number of patients in inpatient and outpatient settings and emergency department, as well as surgical procedures performed before and during Covid-19 pandemic. Data were obtained from the administration department of the hospital, showing a reduction of 40,94%, 7.39%, 32.3%, and 53.89% of total inpatients, outpatients, emergency cases, and surgical procedures, respectively, in the urology department of the hospital when compared to the previous year. The number of surgeries that could be performed by residents was reduced by 30-60%. This current study showed the decreased number of patients and urological operative procedures during COVID-19 pandemic. This is assumed to give negative impacts to the urological residency training due to the limited exposure to variety of cases and surgical skill procedures.
COMPARISON OF CONTINUOUS AMBULATORY PERITONEAL DIALYSIS TENCKHOFF CATHETER INSERTION (OPEN SURGERY VS LAPAROSCOPIC) – A CASE CONTROL STUDY Kusumajaya, Christopher; Tjahjodjati
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.v32i1.902

Abstract

Objective: This study aims to investigate post-operative complication rate of Tenckhoff catheter placement methods between open surgery and laparoscopic. Material & Methods: This is a case control comparative study reviewed from the medical records of patients who required insertion, removal, or repairment of Tenckhoff catheter for the provision of CAPD at Hasan Sadikin Bandung general hospital between January 2015 to December 2020. Clinical outcome and complication were compared between the open surgery and laparoscopic group. Results: We obtained 30 patients who required insertion of a Tenckhoff catheter for the provision of CAPD, 15 patients by open surgery and 15 patients by laparoscopic technique. Insertion of Tenckhoff catheter using open surgery have a higher risk of catheter migration (p=0.049; O R=3.25) and infection (p=0.014; OR=12.25) compared to laparoscopic. Discussion: Laparoscopic technique facilitates omentectomy, allows better fixation under direct visualisation, and for lysis of adhesions to increase peritoneal surface. Conclusion: Tenckhoff catheter insertion by using laparoscopic surgery tend to have better outcome compared to open surgery, with lower risk of catheter migration and infection. Keywords: Tenckhoff catheter, laparoscopic, CAPD.
Co-Authors Tjahjodjati