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All Journal Medical Journal of Indonesia Indonesian Journal of Urology Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Plexus Medical Journal

Nur Rasyid

Department of Urology Faculty of Medicine Universitas Indonesia

Author-ID : 358184

Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Associations between BMI, serum uric acid, serum glucose, and blood pressure with urinary tract stone opacity Bramono, Ikhlas A.; Rasyid, Nur; Birowo, Ponco
Medical Journal of Indonesia Vol 24, No 2 (2015): June
Publisher : Faculty of Medicine Universitas Indonesia

Background: Urolithiasis refers to formation of stone in the kidney, ureter, or bladder. Several studies showed metabolic abnormalities were common in urolithiasis patients. The aim of this study was to describe the association between body-mass-index (BMI), serum uric acid, serum glucose, and blood pressure toward stone opacity in urinary tract stone patients.Methods: This study was done retrospectively by reviewing registry data of urinary tract stone patients that had undergone ESWL on January 2008 â December 2013 in Department of Urology Cipto Mangunkusumo Hospital. Data concerning body mass index, serum uric acid, serum glucose, blood pressure, and urinary tract stone opacity were recorded. Associations between body mass index, serum uric acid, serum glucose and blood pressure with urinary tract stone opacity were analyzed using chi-square test.Results: There were 2,889 patients who underwent ESWL on January 2008 â December 2013. We analyzed 242 subjects with complete data. Mean age was Â± 12.78 (48.02 years). Male-to-female ratio was 2.27:1. Mean BMI was Â± 3.78 (29.91 kg/m2). High risk BMIs were found in 161 patients (66.52%). The proportion of radioopaque stone was 77.69% (188 patients). Twenty two patients (9.1%) had normal blood pressure. Patients with high serum uric acid were 34.30% (83 patients). We found a significant association between random serum glucose level and stone opacity (p < 0.05).Conclusion: There is an association between random serum glucose level and stone opacity in urolithiasis patients. Hyperglycemia patients tend to have radiolucent stone, whereas normoglycemia patients tend to have radioopaque stone.

Urinary stone characteristics of patients treated with extracorporeal shock wave lithotripsy in Cipto Mangunkusumo Hospital Jakarta, 2008–2014: a gender analysis Noviandrini, Endrika; Birowo, Ponco; Rasyid, Nur
Medical Journal of Indonesia Vol 24, No 4 (2015): December
Publisher : Faculty of Medicine Universitas Indonesia

Background: The incidence of urinary stone patient in Indonesia has increased every year in both genders. Data showed that urolithiasis was higher in male rather than female. The aimed of this study was to describe the characteristics of urinary stone found in patient who underwent extracorporeal shock wave lithotripsy (ESWL) at Cipto Mangunkusumo Hospital, Jakarta from 2008–2014. Methods: Data obtained from ESWL medical record Cipto Mangunkusumo Hospital, Jakarta from 2008–2014. We obtained 5,174 out of 6,020 data due to incompleteness data record. We sorted data records by gender, age, stone location, stone opacity, size of the stone, and history of ESWL, and analyzed by statistic tools (SPSS v 20 for Mac).Results: From 5,174 records, we found that the incidence of urinary stones was two times higher in male rather than female (66.3%:33.64%), occurred mostly in productive age (65.2% male, 65.9% female). Unilateral kidney stone was most common location found for both gender (50.2% male, 57.2% female), and most frequent site located in calyx inferior (24.8% male, 28.9% female). About 72.9% stone was radiopaque (73.7% male and 71.5% female). The mean size of the stone in male and female was 11.34±7.15 mm and 11.90±7.54 mm, respectively. This study also showed that 79.3% patients came for first ESWL.Conclusion: Urinary stone founds two times higher in male than female, and mostly occurs on their productive ages. Unilateral kidney stone in calyx inferior become the most common stone found in both gender. Most of the stone has radiopaque opacity.

Milestones of kidney transplantation in Indonesia Susalit, Endang; Rasyid, Nur; Mochtar, Chaidir A.; Alfarissi, Fekhaza; Soeroto, Adhitama A.; Hamid, Agus Rizal A.H.; Wahyudi, Irfan; Marbun, Maruhum B.H.; Rodjani, Arry
Medical Journal of Indonesia Vol 26, No 3 (2017): September
Publisher : Faculty of Medicine Universitas Indonesia

Although kidney transplantation in Indonesia has started since 1977, it has only covered less than 3% ESRD treatment methods. This indicates that the development of kidney transplantation program in Indonesia is still stagnant. Based on observation, the growth of kidney transplantation in Indonesia can be divided into several eras, which are: the birth of new treatment for ESRD era, the expected growth era, the first downfall, the stable period, the unstable period, the rebirth of kidney transplant era, and the explosive growth era. Many factors contribute to this issue including the government policy, the funding problems, the limited donor pool, the dissenting cultural views, the number of human resources, the need for multi-disciplinary approach, and the life-after-graft care. However, many improvements have been made to increase kidney transplantation i.e. the government support for opening new kidney transplant centers, the use of minimally invasive techniques, the development of pediatric kidney transplant, and National Insurance coverage for transplantation. These conditions are expected to improve the number of kidney transplantation in Indonesia.

The influence of water intake on waiting time prior to uroflowmetry: a prospective, randomized, double-blind trial Rasyid, Nur; Putra, Donny E.; Atmoko, Widi; Khadijah, Adianti; Parikesit, Dyandra; Birowo, Ponco
Medical Journal of Indonesia Vol 26, No 3 (2017): September
Publisher : Faculty of Medicine Universitas Indonesia

Background: In uroflowmetry examination, patients are usually instructed to intake a large volume of water and wait until the bladder is full. The association between the volume of water intake and the waiting time before uroflowmetry is unknown. The aim of this study is to investigate the relationship between the volume of water intake and the waiting time prior to uroflowmetry.Methods: This trial was designed as a randomized, researchers, caregivers and patients blinded, superiority trial with three parallel groups and primary endpoint of waiting time prior to the uroflowmetry study based on the volume of patients’ water intake. Randomization was performed by block randomization with a 1:1:1 allocation. Patients scheduled for uroflowmetry at the Urology Clinic of Cipto Mangunkusumo Hospital were enrolled from March 2013 until December 2013. The eligibility criteria were male patients with ages above 50 years and body mass index 18.5–24.9 kg/m2.Results: A total of 83 patients was randomly assigned into 3 study groups: 300 ml (28 patients), 400 ml (28 patients), and 500 ml (27 patients). All patients were included in final analysis. Mean waiting time were 85.1±59.8 min, 107.2±70.4 min, and 66±28.4 min for patients intake 300, 400, and 500 ml of water respectively (p=0.07). The final bladder volumes for three groups were statistically different (262.4±130.8 ml, 289.4±126.2 ml, 359.2±137 ml; p=0.02).Conclusion: The volume water intake of 300–500 ml did not affect waiting time before uroflowmetry. Increasing water intake at least 500 ml added the final bladder volume and shorter the waiting time.

Management of bladder stones: the move towards non-invasive treatment Deswanto, Isaac A.; Basukarno, Ari; Birowo, Ponco; Rasyid, Nur
Medical Journal of Indonesia Vol 26, No 2 (2017): June
Publisher : Faculty of Medicine Universitas Indonesia

Background: Bladder stone accounts for 5% of all cases of urolithiasis. Bladder stones management has evolved over the last decades from open bladder surgery (sectio alta) to intracorporeal cystholithotripsy as well as extracorporeal shock wave lithotripsy (ESWL). ESWL presents to be a promising modality in the management of bladder calculi due to its simplicity and well tolerability. This study is thus conducted to present data on the safety and effectiveness of ESWL in the management of bladder stone patients.Methods: This is a retrospective study evaluating the medical records of 92 bladder calculi patients admitted to Cipto Mangunkusumo General Hospital (RSCM) from January 2011 to April 2015. Patient’s age, gender, type of stone and procedure being done, status of stone disintegration, length of hospital stay, and any complications that may occur are noted down and statistically analyzed using SPSS v. 20.Results: Majority of the patients underwent ESWL (49 out of 92, 53.3%). The stone free rates for ESWL, intracorporeal lithotripsy, and sectio alta are 93.9%, 97.0% and 100% respectively. One patient had to repeat ESWL. The ESWL group had the smallest stone size average compared to the intracorporeal lithotripsy and section alta group (2.5 cm±2.0 cm vs 4.8 cm±3.7 cm vs 7.4 cm±5.4 cm respectively). The ESWL sessions were conducted in the outpatient clinic, and thus no hospital stay was required.Conclusion: ESWL can be suggested as an effective non-invasive approach in the disintegration of bladder stone of ≤25 mm with a promisingly high stone-free rate (93.9%) Furthermore, ESWL can be performed on an outpatient basis with minimal complications.

CURRENT ANESTHESIA METHODS FOR NO-SCALPEL VASECTOMY: A SYSTEMATIC REVIEW Rahman, Fakhri; Birowo, Ponco; Rasyid, Nur
Majalah Kedokteran Indonesia Vol 69 No 4 (2019): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0679/jinma.v69i4.67

Introduction: This study was aimed to described current anesthesia methods to facilitate no-scalpel vasectomy procedure. Methods: A systematic review based on PRISMA guideline was conducted which included all the studies discussing no-scalpel vasectomy and focusing on its anesthesia method. Outcomes searched were pain during anesthesia and procedure. Literature search was done through search engines (PubMed, EBSCO Host and Cochrane library) using (?no-scalpel vasectomy? OR ?scalpel-free vasectomy? OR ?vasectomy?) AND (?anesthesia?) as keywords and through manual search. Literature selection process was done by two reviewer and qualified studies were subjected to quality assessment. Results: A total of 446 literatures were found and five studies satisfying the eligibility criteria and discussed following anesthesia methods: local infiltration anesthesia (LIA), spinal cord block (SCB), no-needle anesthesia (NNA), mini-needle anesthesia (MNA) and eutectic mixture of local anesthetic (EMLA). This study showed that the average score of pain (VAS 1-10) during no-scalpel vasectomy procedure for LIA, combination of LIA and SCB, NNA, MNA and combination of LIA and EMLA were 1.86 ? 2.7, 0.64, 0.66 ? 2.13, 0.66 and 2.15, respectively. Conclusion: Combination of LIA and SCB, NNA and MNA showed promising results as anesthesia methods. However, these promising results should be further proven by more studies.

PERCUTANEOUS NEPHROLITOTOMY ON THE MANAGEMENT OF CALYX INFERIOR STONES Tirtayasa, Pande Made Wisnu; Birowo, Ponco; Rasyid, Nur
Indonesian Journal of Urology Vol 21 No 2 (2014)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v21i2.37

Objectives: To compare the stone free rates of inferior calyceal stones with stone burden < 20 mm, 21-30 mm, and > 30 mm on post-percutaneous nephrolithotomy (PCNL) patients in Cipto Mangunkusumo Hospital. Material & method: The data was collected retrospectively from PCNL medical records in Cipto Mangunkusumo Hospital between January 2000 until May 2012. Patients were followed-up with plain abdominal radiography (BNO) or renal ultrasonography (USG). Stone free status was defined as no residual fragments on radiography or USG. Results: As many as 88 patients with inferior calyceal stones who underwent PCNL were included. Forty-three cases had stone burden < 20 mm, 34 cases with stone burden 21-30 mm, and 11 cases with stone burden > 30 mm. Overall, 81 (92%) cases were defined as stone free. On group < 20 mm, 21-30 mm, and > 30 mm; 41 (95%), 32 (94%), and 8 (73%) cases defined as stone free respectively (p = 0.485). Conclusion: PCNL is the primary modalityon the management of calyx inferior stones with high stone free rate. The stone free rate of these three groups showed no statistically significant difference.Keywords: Percutaneous nephrolithotomy, inferior calyx stone, stone free rate.

LAPAROSCOPIC LIVING DONOR NEPHRECTOMY: FEASIBILITY AND FIRST EXPERIENCE IN INDONESIA Mochtar, Chaidir A.; Wahyudi, Irfan; Rasyid, Nur; Rodjani, Arry; Birowo, Ponco; Atmoko, Widi; Satyawan, Yopie Tjandradiguna; Tiera, Hery
Indonesian Journal of Urology Vol 19 No 2 (2012)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v19i2.55

Objective: To report our first experience laparoscopic living donor nephrectomy (LLDN). Material & Method: A 37 year-old man was planned for the living-donor transplantation. The recipient was a 63 year-old man sufferingfrom end stage renal disease, and hypertensive heart disease. The donor and recipient were allowed for positive qualification evaluated preoperatively. We applied a transperitoneal approach for the left kidney. Results: The operation time was 300 minutes and the estimated blood loss was 600 mL. The first warm ischemia time was 15 minutes and 24 seconds. There were no major intraoperative and postoperative complications. The donor began oral intake and mobilization within 10 hours and was hospitalized for 4 days. The recipient’s serum creatinine levels reached near baseline levels (1,5 mg/dL) at day 6. Conclusion: LLDN is technically feasible in Indonesia and may increase the rate of kidney donation in Indonesia due to the minimally invasive nature of the procedure.Keywords: Renal transplantation, laparoscopic living donor nephrectomy, Indonesia.

THE EFFECT OF CATHETER TRACTION DIRECTION ON HEMOSTASIS AND PAIN POST TURP Ariani, Devintha Tiza; Umbas, Rainy; Rasyid, Nur; Suprabawati, Tri Endah
Indonesian Journal of Urology Vol 19 No 2 (2012)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v19i2.59

Objective: To compare the effect the direction of catheter traction to the abdomen with direction to the leg on hemostasis and pain degree post-TURP. Material & Method: 122 patients with BPH came to Cipto Mangunkusumo Hospital and Budi Asih Hospital, Jakarta during the period between January 2005 to January 2011. Results: 101 patients with retention and 21 patients without retention were included in this study. Resected tissue weight was 22,95 grams, irrigation time was 2,24 days, catheterisation time was 3,97 days, and post TURP hospitalization was 3,9 days. Hb decline was 1,17g/dl. There was no statistical difference on Hb decline between leg direction 1,23 g/dl and abdominal direction 1,12 g/dl. Resected tissue weight in abdominal direction group was 25 grams, while in leg direction group was 21 grams. Irrigation time in abdominal direction group was 2 days while in leg direction group was 2,4 days. Catheterisation time in abdominal direction group was 3,3 days while in leg direction was 3,4 days. Post TURP hospitalization in abdominal direction group was 3,7 days while in leg direction groups was 4,2 days. In this study resected tissue weight, irrigation time, catheterisation time, and hospitalization time. There were 64 patients with pain degree registration, patients with abdominal traction had mean pain degree scale 1,52 and 33 patients with leg traction had pain degree scale 2,97, in this study this differences were significant. Conclusion: Abdominal traction post TURP was statistically difference on shortened postoperative irrigation and catheterisation time, including reduced post TURP hospitalization and pain degree. Abdominal traction was recommended from this study to be used as the reference standard for changing leg traction. Keywords: Catheter traction, visual analog scale, hemostasis, transurethral resection of the prostate.

Laparoscopic Live Donor Nephrectomy: Comparison of Left-sided and Right-sided Approach in Our First 50 Cases Marcelino, Albertus; Mochtar, Chaidir Arif; Wahyudi, Irfan; Baskoro, Bagus; Rodjani, Arry; Rasyid, Nur
Indonesian Journal of Urology Vol 22 No 1 (2015)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v22i1.89

Objectives: To compare the operative results and outcomes between right and left laparoscopic live donor nephrectomy (LLDN). Methods: We retrospectively analyzed the first 50 consecutive LLDN in Indonesia performed between November 2011 and February 2013. Of these patients, 6 underwent right LLDNs and 44 left LLDNs. All patients underwent LLDNs in Cipto Mangunkusumo Hospital. All LLDNs were done by the same surgical teams. Intraoperative, post-operative donor and recipient data results were compared.Results: There were no significant differences of intraoperative, post-operative and recipient data results in both groups. The first warm ischemic time (mean±SD, 6min 55sec±145sec vs 7min 37sec±177 sec, p>0.05), the second warm ischemic time (41min 35sec ± 7min 45sec vs 48min 36sec ± 8min 41sec, p>0.05), and the operative time (4hour 41min ± 31min vs 4hour 32min ± 49 min, p>0.05) showed similar results in the right and left LLDN, respectively. Active mobilization on 72-hour post-operation was found in 83,3% in the right LLDN compared to 95,5% (p>0.05). There were no delayed graft function and post-operative hemodialysis within one week in the recipients of right LLDN group. Conclusion: Right LLDN has equal operative results and outcomes compared to left LLDN. Right-sided LLDN may be a judicious approach for donors with unfavorable characteristics of the left kidney.

Co-Authors Abdul Aziz Rani Achmad Fauzi Adianti Khadijah, Adianti Agi Satria Putranto Agus Rizal Ardy Hariandy Hamid, Agus Rizal Ardy Hariandy Akmal Taher Albertus Marcelino Alfarissi, Fekhaza Ari Astram, Ari Ari Basukarno, Ari Ari Fahrial Syam Arief Hakiki Arry Rodjani Asmarinah Bagus Baskoro Bimanggono Hernowo Murti Bimanggono Hernowo Murti, Bimanggono Hernowo Brodjonegoro, Sakti R Budi Wiweko C Susilo, C Chaidir A. Mochtar Chaidir Arif Mochtar CHAIDIR MOCHTAR, CHAIDIR charles johanes, charles Chudahman Manan Dadang Makmun Daldiyono Daldiyono Danarto, Raden Devintha Tiza Ariani donny eka putra, donny eka Dyandra Parikesit, Dyandra Endang Susalit Endrika Noviandrini, Endrika Fajriani, Rosalina Fakhri Rahman, Fakhri Febriyani Ferry Safriadi Fiastuti Witjaksono Gerhard Reinaldi Situmorang, Gerhard Reinaldi Harahap, Alida Roswita Hariwibowo, Rinto Harrina Erlianti Rahardjo, Harrina Erlianti Hendri, Ahmad Z Hernawan Rahmat Muharia, Bayu Hery Tiera Husein, Ali I Putu Gde Sanjaya, I Putu Ikhlas A. Bramono, Ikhlas A. Indah S. Widyahening Indrawarman Soeroharjo Irfan Wahyudi Isaac A. Deswanto, Isaac A. Islianti, Putri Iradita Ivan Rizal Sini, Ivan Rizal Marcellus Simadibrata Maruhum B.H. Marbun Mewahyu Dewi, Mewahyu Michelle Eva Muhammad Hilmy Labibi Murdani Abdullah Namira Kesuma Jelita P Pryambodho, P Pakpahan, Karimul Abdi Pande Made Wisnu Tirtayasa Ponco Birowo Prahara Yuri Prasetyo, Dimas Tri Pudji Sari Puji Sari Putra, Donny E. Putro , Prasetyo Sarwono Rainy Umbas Rama Firmanto, Rama Retno Asti Werdhani Savira, Missy Savitri, Ary Indriana Siti Setiati Soeroto, Adhitama A. Suharto Wijanarko Susanto , Agung Syaeful Agung Wibowo Tommie Prasetyo, Tommie Tri Endah Suprabawati Tri Prasetyo, Dimas Tusarawardaya , Setya Anton Uiterwaal, Cuno Vinny Verdini Wibisono Widi Atmoko Widyasmara, Her Bayu Wistara, Sevita Sathya Yopie Tjandradiguna Satyawan Zulfikar Ali, Zulfikar

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