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All Journal Indonesian Journal of Urology
Wendi Rachman
Department of Urology, Faculty of Medicine/Padjadjaran University, Hasan Sadikin Hospital, Bandung, Indonesia
Health Professions Medicine & Pharmacology Public Health

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PERIPROSTATIC NERVE BLOCK AND INTRAPROSTATIC INFILTRATION ON TRUS-P GUIDED BIOPSY Rachman, Wendi; Safriadi, Ferry
Indonesian Journal of Urology Vol 20 No 2 (2013)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v20i2.6

Abstract

Objective: This study is aimed to determine the effectiveness and complications of periprostatic block and intraprostatic infiltration anesthesia for transrectal prostate biopsy. Material & Method: Two consecutive group of patients, periprostatic block (group A) and intraprostatic infiltration (group B), underwent transrectal ultrasound (TRUS) guided prostate biopsy were entered into the study. Exclusion criteria were severe systemic infection, local infection (prostatitis, proctitis, anorectal abscess, and fissure), hemorrhoid (external and/or internal), and chronic pelvic pain (bladder pain syndrome (BPS) or other pelvic disease. Each group enrolled 58 patients. The patients were requested to choose indicate degree of pain on visual analog score (VAS) 3 times, during probe insertion (VAS1), during anesthesia (VAS2), and during the biopsy (VAS3). Complications from the procedures were recorded. The data were analyzed using Mann-Whitney and independent t-test. Results: There were no significant difference in average age of groups, 65,69 ± 7,019 years for group A and 65,34 ± 7,633 years for group B (p = 0,647). The VAS3 score of group B 5,17 ± 0,653 was significantly lower than group A 5,9 ± 0,612 (p < 0,001). The change in VAS score (VAS3-VAS2) in group B 0,55 ± 0,535 also significantly lower than group A 1,00 ± 0,530 (p = 0,004). The average days with pain were not significant on both group, group A 1,16 ± 0,362 day and group B 1,12 ± 0,329 day (p = 0,594). The duration of bleeding was significantly higher on group B 1,32 ± 0,562 day than group A 1,10 ± 0,307 day (p = 0,026). Conclusion: Intraprostatic infiltration resulted in less pain during prostate biopsy, but also reported more bleeding after the procedure than the periprostatic block.Keywords: Intraprostatic infiltration, periprostatic nerve block, transrectal ultrasound guided prostate biopsy.
EFFECT OF TESTOSTERONE DEPRIVATION ON SMOOTH MUSCLE COLLAGEN RATIO IN BLADDER WALL OF WISTAR RATS Rachman, Wendi
Indonesian Journal of Urology Vol 18 No 2 (2011)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v18i2.167

Abstract

Objective : To evaluate the smooth muscle-collagen fibers ratio in the bladder wall of castrated male wistar rats. Material & Method : Sixteen wistar rats were equally assigned to castrated group (n=8) and sham group (n=8). All wistar rats were subjected to a one-week acclimatization period before undergoing treatment. After 60 days, cystectomy was performed in all rats in both groups and subsequent specimens of the bladder were taken to semi quantitative pathology analysis using haematoxylineosin (HE) staining under Olympus CX20 microscope by a uropathologist. Results were then grouped into parametric data and analyzed using independent T-test. Results: Smooth muscle fibers were significantly lower in the castrated group 0,615±0,13 (p=0,01). There was higher amount of collagen fibers in the castrated group 0,385±0,18 (p=0,04). Smooth muscle to collagen ratio in the castrated group was also significantly lower compared to the control group 1,597±0,25 (p=0,03). Conclusion : Testosterone deprivation significantly reduces the smooth muscleand smooth muscle to collagen fibers ratio in bladder wall of castrated rats.
PROFILE OF NEPHROLITHIASIS PATIENTS TREATED WITH MINI-PERCUTANEOUS NEPHROLITHOTOMY (MINI-PCNL): A SINGLE CENTER EXPERIENCE IN JAMBI, INDONESIA Ingratoeboen, Wyckmell Octof; Herman, Hendra; Rachman, Wendi; Fauzan, Randy; Ardiansyah
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.v31i2.857

Abstract

Objective: This study aims to describe the characteristics of patients undergoing mini-PCNL at our center in Jambi, Indonesia. Material & Methods: This is a descriptive study involving patients with kidney stones treated with mini-PCNL during 2017 – 2021 in Jambi. The selection of the study subjects was using total sampling method. All patients had a medical history taken and a physical examination performed prior to surgery. The procedure was performed by three operators in one referral district hospital. Results: From 2017 to 2021, a total of 188 mini-PCNL procedures were performed at our center for the removal of kidney stones. However, only 186 cases were included in this study after excluding 2 due to incomplete data. The mean age of patients in this study was 49.3 years old (ranging from 12–87 years old) with the majority being male (101/165 [61.21%]). Of 186 cases, a total of 175 cases had no residual stone and only 11 had residual stone (stone-free rate [SFR] 94.08%). Most patients presented with hydronephrosis, and DJ stent placement was performed in 44 out of 186 cases. The SFR decreased as the stone size increased. Conclusion: Mini-PCNL proves to be a valuable choice for managing kidney stones, especially for medium-sized and hard stones, leading to enhanced patient results and reduced post-operative complications. Keywords: Kidney stone, mini-PCNL, stone free rate.
THE CORRELATION OF LOWER URINARY TRACT SYMPTOMS (LUTS) ON BENIGN PROSTATIC HYPERPLASIA (BPH) PATIENTS AND ERECTILE DYSFUNCTION IN RADEN MATTAHER HOSPITAL JAMBI Ismiyanti, Anissa; Fauzan, Randy; Periadi, Ardiansyah; Herman, Hendra; Rachman, Wendi; Herlambang; Dewi, Hasna
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.v30i2.793

Abstract

Objective: This study aims to determine the relationship between Lower Urinary Tract Symptoms (LUTS) in patients with Benign Prostatic Hyperplasia (BPH) and erectile dysfunction at Raden Mattaher Hospital Jambi. Material & Methods: This research is an observational analytic with a cross sectional approach. The sample of this study includes 48 people using total sampling technique. Data analysis was carried out to test the hypothesis by the Spearman correlation test. Results: Based on the results of the Spearman correlation test analysis showed that there was a statistically significant relation (p=0.000) between Lower Urinary Tract Symptoms (LUTS) in patients with Benign Prostatic Hyperplasia (BPH) and erectile dysfunction. Conclusion: There is a significant relation between Lower Urinary Tract Symptoms (LUTS) in patients with Benign Prostatic Hyperplasia (BPH) and erectile dysfunction at Raden Mattaher Hospital Jambi.
PREVALENCE AND CHARACTERISTICS OF END-STAGE RENAL DISEASE REQUIRING HEMODIALYSIS IN JAMBI PROVINCE: IS KIDNEY TRANSPLANTATION WORTH CONSIDERING? Rahmadi, Rio; Oktavia, Aulianisa; Basri, Hasan; Herman, Hendra; Rachman, Wendi; Fauzan, Randy; Sitompul, Ardiansyah Periadi
Indonesian Journal of Urology Vol 33 No 3 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i3.1094

Abstract

Introduction: Chronic kidney disease may progress to ESRD, requiring renal replacement therapy. Updated data on ESRD incidence and mortality in Jambi Province remain limited, highlighting the need for current epidemiological data to guide treatment planning. Objective: To determine whether kidney transplantation services need to be developed in Jambi Province and to determine the prevalence and characteristics of ESRD patients who underwent hemodialysis in Jambi Province. Material & Methods: This descriptive observational study was conducted using secondary data and questionnaire instruments. The secondary data were taken from a total of six hospitals with hemodialysis facilities in Jambi Province, Indonesia. The study sample included 100 people from the two largest hemodialysis centers in Jambi Province. Results: The total of ESRD patients who underwent hemodialysis in Jambi from 2022 increased to 1.306 patients in 2023, with an increase of hemodialysis procedures in 2023(9.2%). The patients who deceased during the hemodialysis phase has also increased, from 259 people in 2022 to 317 people in 2023, with a mortality rate of 25.7%. The results of the questionnaire from 100 respondents revealed that 69% of patients wished to undergo kidney transplant, only 14% were willing to be referred to other provinces due to socioeconomic barriers, 87% of patients agreed that if there is a kidney transplant service in Jambi, it would give them additional hope during hemodialysis, because it might be their turn to undergo a kidney transplant. Conclusion: The incidence of ESRD and the number of hemodialysis procedures in Jambi Province increase annualy, followed by an increase of deceased patients and high mortality rates. This study also revealed that the majority of respondents who underwent hemodialysis hope can undergo kidney transplantation in Jambi Province. Keywords: ESRD, renal replacement therapy, hemodialysis, kidney transplantation, Jambi province.
Co-Authors Ardiansyah dewi, hasna Fauzan, Randy Ferry Safriadi Hasan Basri Herlambang Ingratoeboen, Wyckmell Octof Ismiyanti, Anissa Oktavia, Aulianisa Periadi, Ardiansyah Rahmadi, Rio Sitompul, Ardiansyah Periadi