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All Journal Althea Medical Journal Indonesian Journal of Urology Jurnal Ilmu Bedah Indonesia
Sawkar Vijay Pramod
Department Of Urology, Faculty Of Medicine/Padjajaran University, Hasan Sadikin General Hospital, Bandung.
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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ASSOCIATION OF SMOKING STATUS, TYPE OF CIGARETTES AND OBESITY AS RISK FACTORS AMONG RENAL CELL CARCINOMA HISTOLOGICAL SUBTYPES Pramod, Sawkar Vijay; El Haq, Faris; Safriadi, Ferry
Indonesian Journal of Urology Vol 31 No 2 (2024)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v31i2.882

Abstract

Objective: This study aims to know the relationship between smoking and obesity as a risk factor among renal cell carcinoma histological subtypes. Material & Methods: This was a retrospective case-control study, with 67 patients with Renal Cell Carcinoma (RCC) at the Department of Urology, Hasan Sadikin Academic Medical Center Bandung from January 2012 to December 2021 as the case group, and 13 patients with benign tumors as the control group. The odds ratio and its significance were calculated. Results: In clear cell RCC, smokers (p-value=0.008), showed strong relationship to cigarette types (p-value=0.013), and obesity (p-value=0.042). In papillary RCC, smokers (p-value=0.035) showed a strong relationship to cigarette types (p-value=0.041). Cloves have a higher risk compared to filtered cigarettes (OR 2.25, 95% CI [0.54-9.25]). Conclusion: Clear cell RCC is most prevalent in smokers. Obesity is associated with clear cell RCC. Cloves pose the greatest risk of clear cell and papillary RCC. Keywords: Obesity, RCC, smoking, cigarette.
SURVIVAL IN PATIENTS WITH HISTOLOGIC VARIANTS OF UROTHELIAL TYPE BLADDER CANCER Hartanto, Richard; Pramod, Sawkar Vijay
Indonesian Journal of Urology Vol 31 No 3 (2024)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v31i3.885

Abstract

Objective: This study aims to determine the life expectancy of patients with histologic variants in urothelial type bladder cancer and the highest or lowest mortality rate in Hasan Sadikin Academic Medical Centre. Material & Methods: A cross-sectional study with total sampling. The samples in this study were patients with histologic variants of urothelial cell carcinoma bladder who received treatment at Hasan Sadikin Academic Medical Centre during the period of 2011 to 2022. Results: A total of 470 patients with a diagnosis of urothelial bladder cancer, 62 patients (13.19%) with histologic variants of urothelial bladder cancer treated with radical cystectomy or TURBT + intravesical chemotherapy at Hasan Sadikin Academic Medical Centre. The highest survival rate was in patients diagnosed with giant cell (66.7%) followed by small cell (50%) and glandular differentiation (40.0%). The 5-yearr survival rate of patients treated with radical cystectomy alone had a higher survival rate of 75.3% followed by radical cystectomy and adjuvant therapy, which was 75.2%. Conclusion: Histologic variants of bladder carcinoma that have the highest mortality rate are tropoblastic differentiation, nested type, micropappilary, and sarcomatoid with the lowest survival rate of 0%. Also, histologic variant of bladder carcinoma that has the lowest mortality rate is giant cell with a survival rate of 66.7%. Keywords: Bladder carcinoma, chemotherapy, trophoblastic differentiation.
COMPLICATION AND SAFETY OF TRANSPERINEAL PROSTATE BIOPSY USING NOVEL AFFORDABLE VY PROBE (TPPB-VY) IN CLINICAL PRACTICE : A PILOT STUDY Ali Ridho Al Haddar; Pramod, Sawkar Vijay; Ferry Safriadi
Indonesian Journal of Urology Vol 30 No 2 (2023)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v30i2.781

Abstract

Objective: This study was aimed to know the complication and safety of TPPB-VY in clinical practice. Material & Methods: TPPB were performed in 34 patients between January 2019 and Juni 2021. Ethical approval of this study was sought from the hospital authorities (IRB number: LB.02.01/X.6.5/ 55/2020). Patients underwent systematic 10-12 core TPPB depend on the prostate volume with intravenous light sedation. The patient was included to the study if PSA ≥ 4 ng/ml and/or Digital Rectal Examination (DRE) results suggestive of prostate cancer. Procedures were performed without any antibiotic prophylaxis or an enema before the procedure and post procedure the patients just get an oral fluoroquinolones and low potent analgetics (if needed). The complication include pain level post procedure (using VAS), perineal hematoma, fever and retention post biopsy were recorded. Results: In all, 34 patients were included in the study. The result showed that perineal pain perceived by patients post procedure were 76.47% (26 out of 34 patients) but the VAS score just mild around 0-2. There were 23.53% (8 out of 34 patients) hematuria, 5.88% (2 out of 34 patients) acute urinary retention and 2.9 % (1 out of 34 patients) perineal hematoma. No fever or clinical infection was observed and 82.35% (28 out of 34 patients) patients presented with minor complications (ClavienDindo I). Only one of the patients were hospitalized due to the post-biopsy complication that need intervention. Conclusion: This is the first study TPPB using Novel Affordable VY probe. The results show clinically insignificant complication without infection. TPPB using Novel Affordable VY probe is feasible and safe.
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.
COST ANALYSIS OF TRANSPERINEAL PROSTATE BIOPSY WITH VY DEVICE AND TRANSRECTAL PROSTATE BIOPSY AT HASAN SADIKIN ACADEMIC MEDICAL CENTER BANDUNG: A RETROSPECTIVE STUDY Pramod, Sawkar Vijay; Muhamad, Prasojo
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.v33i1.1029

Abstract

Objective: This study aimed to determine the analysis for the cost of Transperineal Prostate Biopsy using the VY device (VY-TPPB) and Transrectal Prostate Biopsy (TRPB). Material & Methods: This study is a retrospective descriptive study with the sample being patients who underwent TRPB or TPPB at Hasan Sadikin Academic Medical Center, Bandung for the period of January 2019 to December 2023. The total sample was 108 patients, with 53 patients having undergone TPPB and 55 patients having undergone TRPB. The cost for each procedure are then analyzed and divided into pre-procedure, intra-procedure, and post-procedure costs. Results: The average cost per patient is Rp 8.005.356 (USD 507.4) for VY-TPPB procedures and Rp 11.748.976 (USD 744.7) for TRPB procedures. Comparison of the average costs of VY-TPPB with TRPB was higher in the TRPB group (p < 0.05). Comparison of the average intra-procedure and post-procedure costs was also significantly higher in the TRPB group (p < 0.05). There was no significant difference in pre-procedure costs. Conclusion: The TPPB-VY technique is more cost-effective compared to TRPB, although further research is needed to understand the advantages of each method. Keywords: Prostate biopsy, VY device, cost.
TESTICULAR TORSION IN AN ADULT: A CASE REPORT OF AN UNCOMMON CLINICAL IN A 43-YEAR-OLD MALE Fazri, Akhmad Miftahudin; Pramod, Sawkar Vijay
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.v33i1.1044

Abstract

Objective: This report aims to document the occurrence of testicular torsion in adult males, explicitly highlighting a case involving a 43-year-old man. It emphasizes the importance of maintaining awareness of this condition within the productive age group. Case(s) Presentation: We present a rare unilateral late-onset left testicular torsion case in a 43-year-old male. Testicular torsion is predominantly observed in youth and teenagers, making its diagnosis infrequent in mature individuals. The patient experienced acute testicular pain along with atypical symptoms, which are crucial for the accurate diagnosis of adult testicular torsion. Discussion: Testicular torsion is the most prevalent surgical emergency concerning the testis, primarily affecting younger populations. This case underscores that adult males are also susceptible to this condition, necessitating a high index of suspicion among healthcare providers. Notably, acute testicular pain in adults may not always manifest in a typical manner, complicating timely diagnosis and treatment. Conclusion: This case serves as an essential reminder for healthcare professionals to remain vigilant regarding the potential for testicular torsion in adult males, particularly those in the productive age group. Early recognition and intervention are critical to preventing complications associated with ischemia, underscoring the need for heightened awareness and prompt assessment in such scenarios. By doing so, healthcare providers can significantly improve outcomes for affected patients. Keywords: Adult, testicular torsion, left testicular.
CARDIOVASCULAR RISK FACTORS AMONG NEWLY DIAGNOSED PROSTATE CANCER PATIENTS Warman, Putri Liana; Pramod, Sawkar Vijay
Indonesian Journal of Urology Vol 33 No 2 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i2.1100

Abstract

Introduction: Patients with prostate cancer (PCa) are less likely to die of prostate cancer than of non-prostate causes such as cardiovascular disease (CVD). Recently, Jakarta Cardiovascular Risk score prediction models were developed and validated with good reliability in predicting 10-year cardiovascular events in the Indonesian population. Objective: This study aims to describe cardiovascular risk factors among newly diagnosed prostate cancer patients. Material & Methods: This is a cross-sectional, retrospective study of patients with newly diagnosed prostate cancer at Hasan Sadikin Academic Medical Center from 2013 to 2023. The Jakarta CV Risk score was calculated on all populations and among groups according to tumor extension: local (T1-T2), locally advanced (T3-T4), and metastatic. A score of -7 to 1 was considered a low risk for CV event, 2 – 4 was intermediate risk, and >4 was considered high-risk. Results: There were a total of 118 subjects included in this study. The mean age was 67.5 ± 9.7 years, the mean BMI was 22.3 ± 2.79 kg/m2. The average Jakarta cardiovascular score in this population was 7.25 ± 2.24. In the local PCa group (T1-T2) was 6.97 ±1.99 (high risk); in the locally advanced PCa group (T3-T4) was 7.30 ± 1.70 (high risk); and in the metastatic group was 7.14 ± 2.08 (high risk). Unfortunately, there are 22 (19.5%) patients who will be planned to receive Androgen-deprivation therapy based on staging. Conclusion: Patients with newly diagnosed PCa commonly have high cardiovascular risk and it should be our consideration for giving ADT treatment. Keywords: Prostate cancer, cardiovascular disease, Jakarta cardiovascular risk score, androgen-deprivation therapy.
Co-Authors Aaron T. Sihombing Aaron Tigor Sihombing Aga Parardya, Aga Ali Ridho Al Haddar Arifin Soenggono Arifin Soenggono, Arifin Bacilius Agung Priyosantoso Bacilius Agung Priyosantoso Bethy S Hernowo, Bethy S Davis Roland Gustav Jouwena, Davis Roland Gustav El Haq, Faris Fazri, Akhmad Miftahudin Ferry Safriadi Hartanto, Richard Ivan Mangunsong, Albert Jumadi Santoso Jumadi Santoso Jupiter Sibarani Makmuri Makmuri Marselina Tan Muhamad, Prasojo Nanda Daniswara, Nanda Palgunadi, I Nyoman Pramana, Henry Rosadi Putra, Rosadi Safendra Siregar See Woan Shian Shian, See Woan Suwandi Sugandi vera vera, vera Vicky Ferdian, Vicky Wahyudi, Yuvi Warman, Putri Liana Zola Wijayanti