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Nuring Pangastuti
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Health Professions Medicine & Pharmacology Nursing Public Health

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Perubahan Nilai BA pada Pelvic Organ Prolaps Quantification (POPQ) terhadap Kualitas Berkemih Pre dan Pasca Opreasi Kolporafi Anterior paa Pasien Sistokel Izwin Ramadona; Rukmono Siswishanto; Nuring Pangastuti
JURNAL KESEHATAN REPRODUKSI Vol 4, No 2 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.641 KB) | DOI: 10.22146/jkr.35427

Abstract

Background: Anterior colporrhaphy is used to correct anatomical abnormalities of POP, especially cystocele. In the cystocele, POPQ is focused on Ba point. However, no reference value has been established during evaluation on the changes of Ba’s pre and post operation. A measurement is required to describe the value of Ba in POPQ to the quality of patients’s micturition who have undergone anterior colporrhaphy on cystocele indication.Objective: To determine whether a change of Ba value more than 4 cm post anterior colporrhapy can improve voiding quality.Method: This study used a pretest-posttest design by measuring the value of Ba and voiding quality (UDI6 score) in cystocele patients before and after anterior colporrhapy. Ba value changes compared with changes in postoperative voiding quality.Result and Discussion: There were 20 subjects recruited from January until July 2016 who met the inclusion criteria. There were significant differences between the voiding quality and changes of Ba value before and after surgery for 2nd and 6th week (p<0.001). From the bivariate analysis there were no differences in changes of voiding quality for Ba> 4 cm compared ≤4 cm (p = 0.34; RR 1.43; 95% CI 0.61-3.37). Age, BMI and parity had no significant affects the voiding quality before and after surgery (p= 0.12, p= 0.62, p=0.27). From a logistic regression analysis of variables change in value of Ba and external variables of age, BMI and parity were not statistically significant influence the voiding quality.Conclusion: Changes in the value of Ba more than 4 cm from baseline in patients who undergo anterior colporrhapy does not improve the voiding quality.Keywords: Ba value, voiding quality, anterior colporrhapy.
Karakteristik Pasien Prolaps Uteri di RSUP Dr. Sardjito Yogyakarta Tahun 2013 Jefi Hamamah; Nuring Pangastuti
JURNAL KESEHATAN REPRODUKSI Vol 4, No 1 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.35430

Abstract

Background: Uterine prolaps suffer by nearly half population of women. Many factors related to the causes of prolaps. The pattern varies in different country and ages.Objective: To evaluate the characteristic of uterine prolaps patient in Sardjito Hospital in the period January – December 2013.Method: This is an analytic descriptive study that reviewed medical record of Sardjito Hospital within January - December 2013. Data was reported, tabulated dan presented in the form of risk factors, chief complains, grade of uterine prolaps and treatment, finally analysed.Result and Discussion: There were 30 cases of uterine prolaps from Obstetrics and Gynecology Sardjito Hospital within January-December 2013. Most of the patient age were 45-64 year (48.4%), parity more than 2 (73.3%), menopause (73%), vaginal delivery more than 2 (73%). Symptoms that mostly revealed was lump on the delivery passage (73.3%). Patient were mostly suffered from grade 4 uterine prolaps (43%). There were two types of treatment i.e. conservative and operative. Conservative treatment used Kegel exercises and pessarium. Operative treatment used total vaginal hysterectomy, colpocleisis, anterior and posterior colporaphy.Conclusion: The risk factors for uterine prolaps were older age, menopause, multiparity, vaginal delivery. The treatment mostly used total vaginal hysterectomy.Keywords: uterine prolaps, risk factors, vaginal hysterectomy
Co-Authors Izwin Ramadona Jefi Hamamah Rukmono Siswishanto