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Characteristics of Obstructive Anuria Patients in a Tertiary Hospital in East Java, Indonesia Wicaksono, Fandy; Rizaldi, Fikri; Soebadi, Doddy M
Folia Medica Indonesiana Vol. 57, No. 3
Publisher : Folia Medica Indonesiana

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Abstract

Obstructive uropathy is an obstruction of urinary passage which may lead to anuria, a condition where urine production is less than 50 to 100 ml in 24 hours. The varying etiologies and underlying pathophysiology among different cases based on different demographics can make it difficult for physicians to decide the proper management. Therefore, we aimed to evaluate the clinical profile and management of anuria patients in Dr. Soetomo General Academic Hospital over a four-year period. This was a descriptive study with a retrospective approach evaluating all patients with anuria admitted from January 2016 to December 2019. Patient data taken from the medical record were presented descriptively. A total of 176 patients were obtained. Only 161 patients were included. Most of the patients were female (n=100, 62.11%) aged 51 to 60 years old (n=63, 39.1%). Postrenal obstruction due to urinary stone was the most frequent etiology (n=86, 53.4%). Consequently, some patients developed hydronephrosis, which was mostly dominated by the bilateral (n=130, 80.8%) and severe types (n=75, 46.6%). A total of 129 patients (80.1%) underwent hemodialysis. Most of the patients were treated with definitive treatment (n=46, 38.7%). Normalization of renal function mostly occurred in patients who underwent percutaneous nephrostomy (PNS) before giving a definitive treatment.
TESTICULAR TORSION INDUCED BY EPIDIDYMO-ORCHITIS: A RARE CASE REPORT Febriansyah, Nafis Audrey; Djatisoesanto, Wahjoe; Rizaldi, Fikri
Indonesian Journal of Urology Vol 33 No 1 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i1.1132

Abstract

Objective: We report a case of an episode of acute scrotum within 4 days. To our knowledge, this is a rare case of epididymo-orchitis predisposing to testicular torsion. This paper has been reported in line with the SCARE 2023 criteria. Case(s) Presentation: This case involves a 17-year-old male with worsening scrotal pain and swelling following minor trauma, accompanied by intermittent fever. Physical examination revealed left testicular enlargement and tenderness, with a negative Prehn’s test. Doppler ultrasound indicated decreased blood flow and a whirlpool sign, suggesting torsion. Discussion: Emergency scrotal exploration confirmed a 180-degree spermatic cord torsion with partial testicular necrosis, necessitating orchiectomy and orchidopexy. The patient had a smooth recovery. Conclusion: Testicular torsion requires prompt diagnosis and intervention for optimal outcomes. Keywords: Testicular torsion, epididymo-orchitis, case report.
The Impact of Electronic Cigarettes on Male Fertility : A Literature Review Vianita Rizky Ardiantari; Fikri Rizaldi
Indonesian Andrology and Biomedical Journal Vol. 6 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/iabj.v6i2.66546

Abstract

The use of e-cigarettes has become a trend in populations recently, even though the effects caused by e-cigarettes are not much different from traditional cigarettes. Male infertility caused by stressful social factors and addictive disorder such as alcoholism, drug addiction, and smoking also has been increased. E-cigarettes lead to increased sympathetic activation and oxidative stress it can cause significant damage to endothelial cells. Nicotine exposure acutely raises sympathetic nervous system activity, causing vasoconstriction through the release of norepinephrine and epinephrine, which reduces penile blood flow. The well-known equation endothelial dysfunction equals erectile dysfunction clearly illustrates how ischemia and hypoxia lead to endothelial dysfunction and increased collagen synthesis, resulting in vasculogenic ED. some of the additives used in e-cigarettes could affect spermatogenesis.