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All Journal Indonesian Journal of Urology Cermin Dunia Kedokteran
Wahyudi, Yuvi
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Health Professions Medicine & Pharmacology Public Health

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Tatalaksana Retensi Kateter Foley dari Sudut Pandang Dokter Umum Wahyudi, Yuvi
Cermin Dunia Kedokteran Vol 47, No 9 (2020): Neurologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (139.782 KB) | DOI: 10.55175/cdk.v47i9.916

Abstract

Urethral catheterization with a Foley catheter is one of the most common invasive measures performed in an Emergency Dept. Many potential complications related to catheterization, are infections, catheter encrustation, catheter blockage, bladder spasms, balloon rupture, leakage, and retained catheter. These complications occur more commonly with chronic indwelling catheters, but can happen in short-term use as well. A case of complication in a young woman due to a non-deflating balloon was reported. The catheter was successfully evacuated with cystoscopy procedure.Kateterisasi urethral dengan kateter Foley adalah salah satu tindakan invasif yang umum di Instalasi Gawat Darurat. Risiko dan komplikasi dapat terjadi. Kasus seorang wanita datang dengan kateter Foley sudah dalam kondisi terpotong, dan ujung kateter terbelah dua berada persis di mulut ostium urethra eksterna (OUE). Evakuasi kateter cito dengan sistoskopi.
SECONDARY BLADDER CARCINOMA METASTASIS FROM OTHER ORGAN: A LITERATURE REVIEW Wahyudi, Yuvi; Mustafa, Akhmad
Indonesian Journal of Urology Vol 32 No 2 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i2.945

Abstract

Objective: This review article discusses the importance of considering metastasis malignancy in the differential diagnosis of high-grade urothelial lesions. Material & Methods: The review presents a summary of metastasis of bladder carcinoma from various organs. The most common sources of secondary bladder tumors are stomach, breast, colon cancer, and melanoma. The article highlights the need for careful evaluation and further workup in patients being treated for metastatic cancer who present with hematuria and symptomatic anemia. Results: Diagnosis of secondary bladder carcinoma involves imaging, cystoscopy, and transurethral resection. Biopsies should be collected from patients with suspected urothelial bladder metastasis from other cancer origins or those with suggestive symptoms. The article emphasizes the importance of differentiating metastatic adenocarcinoma of the lung from primary bladder adenocarcinoma, especially when bladder examination does not correlate with imaging results. It also discusses the increased risk of secondary bladder carcinoma in rectal cancer survivors who have undergone radiation therapy. Conclusion: In conclusion, secondary bladder carcinoma metastasis from other organs presents a diagnostic dilemma and requires comprehensive evaluations. Healthcare professionals should consider metastasis malignancy in the differential diagnosis of high-grade urothelial lesions, especially in the absence of readily available clinical history of primary cancer. Keywords: Bladder cancer, secondary tumors, metastasis, differential diagnosis, primary cancer.
QUALITY OF LIFE OF ADVANCED CERVICAL CANCER PATIENTS WITH PERCUTANEOUS NEPHROSTOMY IN HASAN SADIKIN HOSPITAL BANDUNG FROM 2018-2020 Wahyudi, Yuvi; Tjahjodjati
Indonesian Journal of Urology Vol 32 No 3 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i3.947

Abstract

Objective: This study aims to assess the quality of life patients with advanced stage of cervical cancer in RSUP Dr. Hasan Sadikin Bandung from 2018-2020. Material & Methods: This is a retrospective cohort study. The data collected from woman with advanced stages of cervical cancer without history of mental health problems or recurrent cancer, and interviewed using a validated EORT CQLQ-C30 questionnaire to assess their quality of life, and functional status based Karnofsky Performance Score (KPS) and Eastern Cooperative Oncology Group (ECOG) Performance Scale. Scores are calculated into raw score and linear transformation to standardized the range of 1-100. Results: 77 women were included in this study. The average age was 47.98 ± 8.46 years. Cervical cancer predominated by stage IIIa and IV (37,66%) with bilateral nephrostomy (58.44%). This study revealed an average of 63.1 in overall health status, which means there is an improvement over patient’s symptoms resulted from the insertion of nephrostomy, and a poor quality of life with an average score of 48.3 which shows the progression of cervical cancer conditions suffered by patients. Conclusion: The use of nephrostomy in patients with advanced-stage cervical cancer (IIIa, IIIb, and IV) could help alleviate patient’s symptoms, but the progressive condition of cervical cancer has made the patient's quality of life continue to decline. This is shown by the poor quality of life score in the advanced stages of cervical cancer patients, even with nephrostomy insertion. A better understanding of the complexity of the relationship between patient’s quality of life, cervical cancer staging, and the use of nephrostomy is necessary to help cervical cancer patients deciding the best consent before any actions taken. Keywords: EORTC QLQ-C30, cervical cancer, quality of life.
LATERAL PERCUTANEOUS NEPHROLITHOTOMY IN HORSESHOE KIDNEY: AN ALTERNATIVE APPROACH WITH HIGH SUCCESS RATE Wahyudi, Yuvi; Pramod, Sawkar Vijay; Safriadi, Ferry
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.v32i1.884

Abstract

Objective: This case report was aimed to present a lateral percutaneous nephrolitotomy (PCNL) approach for a patient with horseshoe kidney, few comorbidities, and the outcome of this procedure. Case(s) presentation: A 70 years old obese male came into our hospital with pain in the left flank. Upon CT scan examination, we found that the patient has Horseshoe kidney with left hydronephrosis. The hydronephrosis resulted from obstruction caused by left kidney pelvic stone with a size of 25 x 20 mm. We decided to do lateral PCNL for this case with an excellent result. Discussion: With newer advancements in urology, different minimally invasive treatment modalities are available to manage stone disease in HSKs. PCNL has shown the better result with fewer complications to remove calculi from HSKs and is accepted as a routine treatment of large calculi in HSK, showing a high SFR ranging from 71% to 88%. Lateral percutaneous access of the renal collecting system is safe, as it is gained on the opposite side to where the renal blood vessels enter the kidney. Conclusion: Stone management in patients with horseshoe kidneys is a challenging procedure in endourology, however percutaneous nephrolithotomy is considered a safe and effective treatment option in patients with renal stones in a horseshoe kidney with acceptable result. Keywords: Horseshoe kidney, percutaneous nephrolithotomy, lateral PCNL.
Co-Authors Akhmad Mustafa, Akhmad Ferry Safriadi Sawkar Vijay Pramod Tjahjodjati