Articles
<![CDATA[DELAYED GRAFT FUNCTION FOLLOWING LAPAROSCOPIC LIVE DONOR NEPHRECTOMY: A MULTIVARIATE ANALYSIS ]]>
<![CDATA[Tirtayasa, Pande Made Wisnu]]>;
<![CDATA[Situmorang, Gerhard Reinaldi]]>;
<![CDATA[Rodjani, Arry]]>;
<![CDATA[Rasyid, Nur]]>
<![CDATA[ Indonesian Journal of Urology Vol 23 No 2 (2016) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v23i2.208
<![CDATA[Objective: This study was performed to define and investigate the incidence, risk factors, and clinical characteristics of delayed graft function (DGF) in laparoscopic live donor nephrectomy (LDN). Material & methods: We retrospectively analyzed the medical records of donor and recipient from our first 100 cases of laparoscopic LDN in Cipto Mangunkusumo General Hospital Jakarta, from November 2011 to February 2014. The criteria used to define DGF were the requirement for dialysis in postoperative week 1 and/or serum creatinine greater than 2.5 mg/dl at postoperative day 7. Patients who did not match any of these criteria were define as having normal renal allograft function. Results: The overall prevalence of DGF was 14%. Recipients body mass index, cold ischemia time, vascular anastomosis time, and total ischemia time were higher among the delayed graft function group, but no risk factors for DGF were significantly associated after multivariate analysis. Conclusion: The incidence of DGF in our study was in the range of that observed in previous studies. The factors that previously reported and believed as risk factors of DGF in laparoscopic LDN were not significantly associated with the development of DGF in our study.]]>
<![CDATA[INITIAL EXPERIENCES WITH THREE RENAL ARTERIES OF KIDNEY ALLOGRAFT IN KIDNEY TRANSPLANTATION: A CASE SERIES ]]>
<![CDATA[Prasetyo, Tommie]]>;
<![CDATA[Rasyid, Nur]]>;
<![CDATA[Rodjani, Arry]]>
<![CDATA[ Indonesian Journal of Urology Vol 23 No 2 (2016) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v23i2.237
<![CDATA[Objective: This study reported a case series of our initial experiences in kidney transplantation with three renal arteries of the kidney allograft. Material & methods: The kidney allograft from all of the four cases was harvested with laparoscopic living donor nephrectomy. End-to-side anastomosis was performed from the small artery to the larger main artery before side-to-side anastomosis was performed between the two arteries of equal size. After joining the renal arteries we performed end-to-side anastomosis from the renal vein and artery to the external iliac vein and artery respectively. Results: All of the four cases respond well to the allograft kidney. Three recipients had normal serum creatinine level before 5 days after transplantation. One recipient had undergone hemodialysis once on the third day after transplantation. All of the recipients have no vascular and urologic complications. Conclusion: Multiple renal arteries are no longer considered as a relative contraindication, especially with meticulous anastomosis technique. No vascular and urologic complication was observed from this technique.]]>
<![CDATA[ETIOLOGY OF MALE INFERTILITY IN JAKARTA ]]>
<![CDATA[Basukarno, Ari]]>;
<![CDATA[Birowo, Ponco]]>;
<![CDATA[Rasyid, Nur]]>
<![CDATA[ Indonesian Journal of Urology Vol 23 No 2 (2016) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v23i2.251
<![CDATA[Objective: The etiology and risk factors of male infertility in huge Indonesian population has not yet been defined. This study was aim to evaluate the distribution and pattern of male infertility in Jakarta. Material & Methods: Retrospective study of Infertility database of Cipto Mangunkusumo Referral Hospital Jakarta, Bunda Hospital Jakarta, and ASRI Hospital Jakarta from 2005 until 2015 were analyzed using SPSS ver. 20. Patients’ characteristic and demography were stated. Results: There were 1062 patients with most of them suffered from primary infertility of their first time-marriage. Average age of husband, wife, and duration of marriage were 36.63± 7.10, 32.32 ± 4.92, and 5.7 ± 4.18 years old respectively. Smoking habit was recorded in 25% of patients while exposure and occupational hazard were only found in less than 2% of them. Coital problems occured in 17% of patients with 30% of them did not have routine sexual intercourse per week. Physical examination revealed that more than 70% of them had varicocele while USG Doppler of scrotum found varicocele in less than 50%. Only 5.13% of patients had normal sperm analysis, mostly azoospermia. Hormonal abnormality occured in more than 30% patients, varied in testosterone, FSH, and LH level.Conclusion: Male infertility was mostly caused by abnormal sperm characteristics followed by abnormal hormonal analysis. Exposure and occupational hazard did not play a big role in male infertility. Future study in risk factors of abnormal sperm characteristics could be done.]]>
<![CDATA[ANGKA KEBERHASILAN DAN KOMPLIKASI PCNL PADA PASIEN BATU GINJAL DI RUMAH SAKIT CIPTO MANGUNKUSUMO TAHUN 1999 – 2006 ]]>
<![CDATA[Murti, Bimanggono Hernowo]]>;
<![CDATA[Rasyid, Nur]]>
<![CDATA[ Indonesian Journal of Urology Vol 15 No 1 (2008) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v15i1.365
<![CDATA[Objective: To study the results of renal stones treatment with PCNL in terms of complication and stone free rate in Cipto Mangunkusumo Hospital. Material & methods: Retrospective study of renal stone patients who were treated with PCNL at the Department of Urology, Cipto Mangunkusumo Hospital from January 1st 1999 until May 31st 2006. Results: There were 213 patients between 8 until 80 years old done for various stone localizations in the kidney. The overall stone free rate was 74,2%. The complication rate was 10,8%, bleeding in 15 patients (7,1%), leakage in 5 patients (2,3%), and colon perforation in 3 patients (1,4%). There was no artery + vena renalis perforation, urosepsis, hydro/pneumothorax or mortality in this group. Results are similar with experience in the literature. Conclusion: PCNL is a safe procedure for renal stones removal. It gives satisfactory results as well as a low complication rate, but if complications occur the morbidity can be severe. Hence, this procedure has to be done very meticulously.]]>
<![CDATA[ROBOTIC-ASSISTED KIDNEY TRANSPLANTATION: A REVIEW ]]>
<![CDATA[Prasetyo, Dimas Tri]]>;
<![CDATA[Birowo, Ponco]]>;
<![CDATA[Hamid, Agus Rizal Ardy Hariandy]]>;
<![CDATA[Wahyudi, Irfan]]>;
<![CDATA[Rodjani, Arry]]>;
<![CDATA[Mochtar, Chaidir]]>;
<![CDATA[Rasyid, Nur]]>
<![CDATA[ Indonesian Journal of Urology Vol 25 No 1 (2018) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v25i1.394
<![CDATA[Objective: To discuss about kidney transplantation (KT), primarily on robotic-assisted kidney transplantation (RAKT) and to present the current updates on RAKT techniques performed by different centres worldwide. Material & methods: We searched and compiled various literatures on RAKT, focussing on different techniques used to perform the procedure. All the references cited in this review are indexed in PubMed or Scopus. Results: Since the first successful kidney allograft transplantation in human was performed in 1954, KT has become the preferred treatment modality for patients with end-stage renal disease (ESRD) seeking a more definitive outcome and better quality of life. Over the years, newer techniques of KT have been introduced, including minimally-invasive laparoscopic KT. However, laparoscopic KT has its own limitations, which include loss of hand-eye coordination and poor ergonomics for the surgeon. RAKT offers the same benefits as laparoscopic KT without its limitations. There are several transplantation centres worldwide performing RAKT regularly. The differences in RAKT technique between these centres are regarding patient’s position during surgery, location of incision for graft placement, use of regional hypothermia, and techniques of graft placement and ureteric reimplantation. Conclusion: The invention of RAKT as a minimally-invasive KT technique has enabled surgeon to perform surgeries when the operative field is deep and narrow and when fine dissection and microsuturing are required.]]>
<![CDATA[THE USE OF RIGISCAN® EXAMINATION IN DIAGNOSING PATIENTS WITH ERECTILE DYSFUNCTION IN JAKARTA ]]>
<![CDATA[Basukarno, Ari]]>;
<![CDATA[Birowo, Ponco]]>;
<![CDATA[Tri Prasetyo, Dimas]]>;
<![CDATA[Rasyid, Nur]]>
<![CDATA[ Indonesian Journal of Urology Vol 25 No 2 (2018) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v25i2.404
<![CDATA[Objective: The aim of this study is to describe the characteristic of patients with Erectile Dysfunction (ED) and results of Nocturnal penile tumescence and rigidity (NPTR) based on Rigiscan® examination in patients with ED in Jakarta. Material & Methods: Descriptive-prospective study of patients with ED in Cipto Mangunkusumo Referral Hospital, Bunda General Hospital Jakarta, and ASRI-Siloam Urology Hospital are recorded during 2015. Patients’ age (in years), marital status (yes/no), duration of ED (in months), and International Index of Erectile Function-5 (IIEF-5) were recorded. NPTR examination were performed while patients were sleeping. Number of events, duration of each event (in minutes) as well as the rigidity (in percentage) and tumescence (in cm) were recorded. The elevation of tip and base penile circumference (in cm) during erection were also noted. Results: There were 34 patients who agreed to perform NPTR test. Most patients were married with the average age of 40.94 ± 10.81 years old. The duration of ED were varied from 5 to 96 months with average duration of 33.7 ± 44.34 months and IIEF-5 score was 6.38 ± 5.14. In general number of erections was 4 ± 3 with 23.4% of them had normal erection. The comparison between organic and psychogenic ED showed that the increment of circumference was significantly less in organic ED patients. Other parameters showed insignificant difference in statistical results. Conclusion: NPTR examination is an objective, effective, and easy-to-use measurement in order to differentiate between organic and psychogenic ED. One third of patients who complained with ED suffered from psychogenic ED and needed referral to other specialists.]]>
<![CDATA[URINARY STONE COMPOSITION ANALYSIS IN INDONESIAN POPULATION: A SINGLE MAJOR CENTRE ANALYSIS ]]>
<![CDATA[Widyasmara, Her Bayu]]>;
<![CDATA[Birowo, Ponco]]>;
<![CDATA[Rasyid, Nur]]>
<![CDATA[ Indonesian Journal of Urology Vol 25 No 2 (2018) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v25i2.406
<![CDATA[Objective: To evaluate the urinary stone composition of Indonesian population. Material & Methods: This is a retrospective study analyzing total 277 urinary stone, obtained from urinary stone patient that underwent treatment in Cipto Mangunkusumo Hospital Jakarta in period 2000-2013. Results: Urinary stone disease is more common in male, with male : female ratio 1.8 : 1, with both in male and female patient, the incidence are highest at 51-60 years old. Calcium containing stone is predominant in this study with calcium oxalate as the most frequent stone with 61% overall, 43.7% in male and 17.3% in female and founded most frequent in 51-60 years old. Uric acid become the second most common stone after calcium containing stone with 9.0% overall, 6.5% in male and 2.5% in female. Infection associated stone such as struvite is 5.8% and Amonium urate 0.7%. In our study, struvite is founded more in male 3.6% than in female 2.2%. Cystine is a rare stone which is only founded 0.7%, in young age at 21-30 years old. Conclusion: Calcium oxalate is the most frequently stone type in our country as it is worldwide. This study revealed information of stone composition in Indonesian population, that could be beneficial for strategies and management to prevent urinary stone disease and recurrence. ]]>
<![CDATA[RENAL INFUNDIBULAR STENOSIS WITH UROLITHIASIS: A LITERATURE REVIEW ]]>
<![CDATA[Firmanto, Rama]]>;
<![CDATA[Rasyid, Nur]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v27i2.541
<![CDATA[Objective: This literature review was performed to improve the insight in renal infundibular stenosis with urolithiasis. Material & Methods: We searched several literatures about infundibular stenosis and its association with urolithiasis. Pubmed and ScienceDirect databases were used to identify relevant studies. Results: Infundibulopelvic stenosis (IFPS) is rarely found. It is not always a congenital condition. IFPS is caused by extrinsic factor, such as carcinoma or retroperitoneal fibrosis, or intrinsic factor, such as inflammation, infection, calculus, Fraley’s syndrome, or surgery performed on kidney. Urinary stasis in the pelvicalyceal system that happened in IFPS increases the chance of stone formation. Its anatomical abnormality plays important role to stone formation. The clear treatment algorithm has not been found. The management for kidney stones depends on stone characteristic, location, and symptoms of the patient, as recommended by Koopman et al. Bayne et al. recommend methods of nephrotomy and calicocalicostomy. While Balbo et al. recommend holmium-based therapy. Conclusion: Infundibulopelvic stenosis is a risk factor of urolithiasis. It is a rare condition, but the treatment algorithm has not been found. There are several recommendations for kidney stone management in infundibulopelvic stenosis.]]>
<![CDATA[RENAL INFUNDIBULAR STENOSIS WITH UROLITHIASIS: A LITERATURE REVIEW ]]>
<![CDATA[Firmanto, Rama]]>;
<![CDATA[Rasyid, Nur]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v27i2.541
<![CDATA[Objective: This literature review was performed to improve the insight in renal infundibular stenosis with urolithiasis. Material & Methods: We searched several literatures about infundibular stenosis and its association with urolithiasis. Pubmed and ScienceDirect databases were used to identify relevant studies. Results: Infundibulopelvic stenosis (IFPS) is rarely found. It is not always a congenital condition. IFPS is caused by extrinsic factor, such as carcinoma or retroperitoneal fibrosis, or intrinsic factor, such as inflammation, infection, calculus, Fraley’s syndrome, or surgery performed on kidney. Urinary stasis in the pelvicalyceal system that happened in IFPS increases the chance of stone formation. Its anatomical abnormality plays important role to stone formation. The clear treatment algorithm has not been found. The management for kidney stones depends on stone characteristic, location, and symptoms of the patient, as recommended by Koopman et al. Bayne et al. recommend methods of nephrotomy and calicocalicostomy. While Balbo et al. recommend holmium-based therapy. Conclusion: Infundibulopelvic stenosis is a risk factor of urolithiasis. It is a rare condition, but the treatment algorithm has not been found. There are several recommendations for kidney stone management in infundibulopelvic stenosis.]]>
<![CDATA[PREVALENCE OF LOWER URINARY TRACT SYMPTOMS POST KIDNEY TRANSPLANTATION AND ITS URODYNAMIC PROFILE ]]>
<![CDATA[Islianti, Putri Iradita]]>;
<![CDATA[Rahardjo, Harrina Erlianti]]>;
<![CDATA[Rasyid, Nur]]>;
<![CDATA[Rodjani, Arry]]>
<![CDATA[ Indonesian Journal of Urology Vol 28 No 2 (2021) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v28i2.683
<![CDATA[Objective: This study aimed to describe the urodynamic characteristics of post-transplant kidney patients with LUTS who were indicated for urodynamics. Material & Methods: This research is a cross-sectional study conducted at Cipto Mangunkusumo General Hospital between 2011-2017. Data were collected from patients who had undergone urodynamic examination after kidney transplantation due to LUTS/urinary retention. Data were collected from the patient’s medical record. Results: A total of 536 patients underwent kidney transplants at Cipto Mangunkusumo General Hospital from 2011-2017. Eleven patients (2%) developed LUTS and then underwent urodynamic examination with an average age of 41.4 (30.1 ± 52.6) years. Six patients (55%) had type 2 diabetes mellitus (DM) and 5 patients (45%) had hypertension (HT). A total of 6 out of 11 patients (54%) experienced urinary retention of which 4 subjects (67%) had decreased bladder compliance, 4 (67%) patients experienced detrusor overactivity (DO), 3 patients (50%) had bladder outlet obstruction (BOO), while 2 patients (33%) experienced detrusor underactivity (DU) respectively. Of 5 patients without urinary retention, decreased bladder compliance was found in 1 patient (20%), DO in 2 patients (40%), BOO in 1 patient (20%), and no subject experienced DU. In both groups, no subject was discovered to experience any urinary incontinence. Conclusion: Small number of post renal transplantation patients developed LUTS and half of which accompanied by urinary retention. Among these patients, urodynamic examination revealed detrusor overactivity as the most common underlying problem followed by decreased bladder compliance, BOO, and detrusor underactivity]]>
