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All Journal Jurnal Kedokteran Brawijaya Indonesian Journal of Urology Journal of Biomedicine and Translational Research Majalah Kesehatan FKUB Molecular and Cellular Biomedical Sciences (MCBS) Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Biomolecular and Health Science Journal Indian Journal of Forensic Medicine & Toxicology
Kurnia Penta Seputra
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Infected Urachal Cyst in Adult Ekaputra, Aditya Airlangga; Daryanto, Besut; Seputra, Kurnia Penta
Jurnal Kedokteran Brawijaya Vol. 32 No. 3 (2023)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.03.10

Abstract

Infected urachal cyst is one of urachal spectrum abnormalities. It usually presents in children because obliteration normally happened at early infancy. Rare case occurs in adult either can be small incidence or unrecognized symptoms until adulthood. Only small numbers of literature reported. The urachus is a tube extending from the anterior roof of the vesica urinaria to the umbilicus along the midline. The urachus is a vestigial fibromuscular structure located anterior to the fascia transversalis and posterior to the peritoneum. The presence of an embryonic urachal remnant can result in a variety of clinical complications. Due to the rarity of urachal residual disorders and the possibility of vague stomach or urinary symptoms, it is difficult to make a firm preoperative diagnosis. A 32-year-old female was referred to Saiful Anwar General Hospital after suffering abdominal pain for two months; the perineum felt the pain. There was a history of dysuria and nausea since the previous month, but no history of fever or change in bowel habits. Abdominal ultrasound showed an abscess at the anterior bladder and MRI showed an infected cyst mass in the suprapubic pointing to the left umbilical. Partial cystectomy and uterus biopsy were performed. The histopathologic result showed chronic inflammation tissue, and no malignancy was found. Misdiagnosis may lead to many complications such as progressive infection until malignancy therefore early detection of this case is important.
Calculus Formation in Bladder from Migrated Intrauterine Devices Wijaya, Mangkubumi Putra; Seputra, Kurnia Penta; Daryanto, Besut; Budaya, Taufiq Nur
Jurnal Kedokteran Brawijaya Vol. 32 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.02.11

Abstract

Migration of the intrauterine device (IUD) into the bladder has been a rare case. There were reported 31 cases of IUD migration into the bladder until 2006. Although IUD migration is asymptomatic, it should be removed to prevent complications such as pelvic abscess, bladder or intestinal rupture, and adhesion. A 52-year-old woman came to the urology clinic with pyuria since the previous 3 months. She had a history of IUD insertion in 1982; and two months later, she got pregnant. Since 2015, she has suffered from dysuria but has never been treated and has worsened in the past 3 months. On physical examination, tenderness was found in the suprapubic region. The results of urinalysis showed pyuria and hematuria. The ultrasonography findings, there were large bladder stones. An abdominal x-ray revealed the presence of a bladder stone with the IUD tail. Vesicolithotomy was performed and the IUD was found attached to an 11x7 cm bladder stone. The patient had a good postoperative condition without any special complications. The IUD in the bladder is a medium for forming secondary bladder stones. Most cases of IUD migration are caused by a lack of evaluation after the installation procedure. This case suggested that the physician should be more careful in carrying out the installation procedure. It is necessary to evaluate the location of the IUD after installation to prevent further patient complications.
Comparisons of Karnofsky Score, Quality of Life, and Glomerular Filtration Rate in Cervical Cancer Patients with Bilateral Obstructive Uropathy before and after DJ Stent Insertion Daryanto, Besut; Wijaya, Mangkubumi Putra; Seputra, Kurnia Penta
Jurnal Kedokteran Brawijaya Vol. 34 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2026.034.01.2

Abstract

Cervical cancer is the second most common cancer in Indonesia, and it can lead to urinary tract obstruction. Obstructive uropathy can progress to hydronephrosis and kidney failure with a poor prognosis and can lead to several complications such as sepsis and uremia.  This study aims to compare outcomes of advanced-stage cervical cancer patients with obstructive uropathy who underwent DJ stent insertion versus those who did not at Saiful Anwar Malang General Hospital in Indonesia. An observational study conducted with a prospective cohort approach. Data collection was done through purposive sampling. Inclusion criteria include cervical cancer patients with bilateral obstructive uropathy who undergo DJ stent insertion and who failed or refused DJ stent insertion at the Saiful Anwar General Hospital. Paired T-tests were conducted to compare patients before and after DJ stent insertion, and unpaired T-tests were performed to compare patients who underwent DJ stent insertion and who did not. Glomerular Filtration Rate (GFR), Karnofsky Score (KS), and Quality of Life (QoL) Values before DJ stent insertion were 0.382, 0.454, and 0.246, respectively. After 3 months, these values were found to be 0.002, 0.000, and 0.002, respectively. DJ stent insertion has been proven to improve the quality of life, performance status, and kidney function in patients with cervical cancer and obstructive uropathy.
Co-Authors Aina Angelina Akbar, Fariz Kemal Basuki B. Purnomo Chaerul , Harry Achsan Dewi, Rose Khasana Dhani, Fauzan Kurniawan Doddy M Soebadi Ekaputra, Aditya Airlangga Eviana Norahmawati Fabrianta, Dio Mafazi Hakim, Muhammad Baihaqy Ibnu Hamdan Yuwafi Naim Husain, Gladwyn Ayudia Husein, Rahmat Johanes Dwi Meiyanto Kenty Wantri Anita, Kenty Wantri Kustono, Andri Medianto Mega Memory Rahasa Putra Nurhadi, Pradana Paksi Satyagraha Prabowo, Satria Adji Hady Prasetyo Nugroho Putra, Mega Memory Rahasa Rachmad Sarwo Bekti Rainy Umbas Rofifa, Amira Fithri Samudra, Fathan Satria Satria, Hikmat Soetojo Soetojo Taufiq Nur Budaya Ulfaningtyas, Kiki Wijaya, Mangkubumi Putra Zen A Prasetyo Zen Ary Prasetyo