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All Journal Indonesian Journal of Urology Journal Of World Science
Taufik Indrawan
Department of Urology, Faculty of Medicine/Airlangga University, Soetomo Hospital, Surabaya.
Computer Science & IT Economics, Econometrics & Finance Engineering Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences

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CORRELATION OF ROUTINE URINE CULTURE AND STONE CULTURE TO POST-OPERATIVE SIRS Indrawan, Taufik; Hardjowijoto, Sunaryo; Soebadi, Doddy M.; Juniastuti, Juniastuti; Budiono, Budiono
Indonesian Journal of Urology Vol 21 No 1 (2014)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v21i1.21

Abstract

Objective: This study evaluated the correlation between preoperative urine culture and intraoperative stone culture and the impact of stone culture findings on post-operative systemic inflammatory response syndrome. Material & Method:Patients with kidney stones who underwent percutaneous nephrolithotomy (PCNL) from February to May 2012 were prospectively analyzed. A pre-operative urine culture was obtained in the morning before the operation, fragmented stone collected were cultured in Departement of Microbiology. Patients were monitored closely in the postoperative period for signs of systemic inflammatory response syndrome (SIRS). Results:A total of 33 patients underwent PCNL and examined for urine cultures, stone culture and postoperative SIRS, 15 (45.45%) patients with positive urine culture, 18 patients (54.54%) with positive stone culture but only 1 patient (3.03%) had same pathogen (p = 0.629). Ten patients (55.6%) with positive stone cultures had evidence of systemic inflammatory respose syndrome postoperatively. The calculated stone culture value for sensitivity, specificity, positive predictive value and negative predictive value were 100%, 65.2%, 55.6%, and 100%. Preoperative hydronephrosis (p = 0.003) and operative time (p = 0.001) are identified as the key risk factors for SIRS after PCNL.Conclusion: Positive stone culture are better predictors for SIRS after PCNL. Stone culture examination is an essential in directing the proper antibiotic therapyin patients with SIRS after PCNL.  Keywords: Percutaneous nephrolithotomy (PCNL), urine culture, stone culture, systemic inflammatory response syndrome after PCNL.
Mucinous Tubular and Spindle Cell Carcinoma of Kidney: A Case Report of a Rare Tumor Pranesdha Putra, Antonius Galih; Indrawan, Taufik
Journal of World Science Vol. 2 No. 9 (2023): Journal of World Science
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jws.v2i9.425

Abstract

The objective of this research is to enhance the understanding and recognition of Mucinous Tubular and Spindle Cell Carcinoma of the Kidney (MTSCC-K), a rare renal tumor occurring in less than 1% of all renal tumors. The focus is on improving clinical diagnosis, understanding the tumor's characteristics, and exploring the prognosis and implications for patients. The method used in this research is a case study. The results of this research indicate that Clinical Presentation: MTSCC-K predominantly occurs in women and often presents with flank pain, similar to other renal tumors. However, it may lack other typical symptoms such as significant weight loss or urinary problems. Imaging Characteristics: CT scans may reveal solid masses with patchy calcification, often protruding outside the renal contour. These specific imaging features can aid in the differential diagnosis of MTSCC-K Histopathological Features: MTSCC-K is characterized by small, elongated cords or tubules arranged densely, with interspersed myxoid stroma. The presence of slender tubular spindle cell-like structures is a distinctive feature Prognosis: Patients with MTSCC-K, especially when diagnosed early and treated with radical nephrectomy, have a comparatively good prognosis compared to other renal cell carcinomas. The lack of identified metastases in the presented case also supports a positive prognosis. Implications of this research include: Increased awareness among doctors and radiologists about the unique clinical and imaging features of MTSCC-K can lead to faster and more accurate diagnoses.
Co-Authors A.A. Ketut Agung Cahyawan W Doddy M. Soebadi Juniastuti Juniastuti Pranesdha Putra, Antonius Galih Sunaryo Hardjowijoto