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All Journal Medical Journal of Indonesia Indonesian Journal of Urology Paediatrica Indonesiana ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Ilmu Bedah Indonesia Cermin Dunia Kedokteran Makara Journal of Health Research Plexus Medical Journal
Arry Rodjani
Departemen Urologi RS Cipto Mangunkusumo, Jakarta (Fakultas Kedokteran Universitas Indonesia)
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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PENILE PARAFFINOMA RECONSTRUCTION WITH SCROTAL FLAP AND SURGICAL OUTCOME: A CASE REPORT Putra, Ida Bagus Oka Widya; Wahyudi, Irfan; Rodjani, Arry
Indonesian Journal of Urology Vol 26 No 1 (2019)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v26i1.436

Abstract

Objective: To present a case of penile paraffinoma reconstructed with scrotal flap. Case presentation: We report a case of 33-year-old male patient with penile paraffinoma. The patient had a history of injecting liquid paraffin into his penis two times – at 6 months and 2 months prior to his admission to the hospital. His IIEF-5 was 10 (moderate erectile dysfunction). The penile shaft was circumferentially enlarged. There was ulceration on the ventral aspect with signs of inflammation on the surrounding skin. Discussion: We perform a complete excision of paraffinoma. The raw surface was repaired with a one-stage scrotal flap. At six-month follow up, the wound was good, and the patient was able to micturate normally. He was able to achieve painless erection, and IIEF-5 score was improved. Conclusion: A one-stage scrotal flap may offer a good choice in defect closure in penile paraffinoma reconstruction.
PARTIAL VERSUS TOTAL UROGENITAL MOBILIZATION IN UROGENITAL RECONSTRUCTION: A META-ANALYSIS Putra, Prima Ciko Ade; Widia, Fina; Alam, Gampo; Wahyudi, Irfan; Rodjani, Arry
Indonesian Journal of Urology Vol 27 No 1 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i1.577

Abstract

Objective: Urogenital sinus, cloacal malformation and congenital adrenal hyperplasia are some of the congenital anomalies which comprehensive management should be done to achieve better outcomes. Total Urogenital Mobilization (TUM) and Partial Urogenital Mobilization (PUM) are the most widely used in term of surgical management. However, many researches showed different outcomes of those procedures. This meta-analysis aims to compare the outcome of TUM and PUM in urogenital reconstruction. Material & Methods: Studies were collected from five different search engines (PubMed, EBSCO, ProQuest, Science Direct, Google Scholar) with keyword as mentioned in the methods section of this paper. All full text articles were included. Critical appraisal for each study was done using the Oxford Center of Evidence Based Medicine Worksheet for therapy. Data were analyzed by Cochrane's Review Manager 5.3 for charts and plots builder. Results: Three studies were found with 81 participants divided into PUM or TUM group. All studies were analyzed by using the Mantel-Haenszel test to produce Forest plot. Overall, urinary incontinence event was more common found in patient who underwent TUM compare with PUM (OR 8.21; 95%CI: 1.1-61.11; p=0.04). Conclusion: PUM has a better urinary outcome in comparison with TUM. Further study with a better study design, follow-up and standardized evaluation is needed to achieve a better understanding on urogenital reconstruction and management.
The LOWER URINARY TRACT SYMPTOMS IN ANURIA AND NON-ANURIA PATIENTS AFTER RENAL TRANSPLANTATION: A COMPARATIVE STUDY Rahmita, Maulidina Medika; Harrina Erlianti Rahardjo; Arry Rodjani; Nur Rasyid
Indonesian Journal of Urology Vol 28 No 2 (2021)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v28i2.661

Abstract

Objective: The purpose of this study is to examine the difference of lower urinary tract (LUT) symptoms in anuric and non-anuric individuals after renal transplantation (RT). Material & Methods: LUT function and symptoms were assessed in subjects who had undergone RT at Cipto Mangunkusumo General Hospital, Jakarta, from November 2016 to June 2017. Subjects were divided into anuric and non-anuric groups. We excluded patients with surgical complications that could not undergo uroflowmetry. Results: Thirty-two (21 male, 11 female) subjects were recruited in this study. The anuric subjects were younger than the non-anuric ones (47 ± 12.82 vs. 51.31 ± 16.33, p < 0.001) There were no significant differences in the International Prostate Symptoms Score (IPSS) (6.5 ± 3.67 vs. 6.25 ± 2.95, p = 0.567), Overactive Bladder Symptoms Score (OABSS) (4.06 ± 2.01 vs 4.12 ± 2.39, p = 1.000), maximum urinary flow rate (Qmax) (20.32 ± 9.04 vs. 22.32 ± 10.31, p = 0.956), post-void residual (PVR) (41.12 ± 37.63 vs. 47.62 ± 38.63, p = 0.361) and voided volume (227.88 ± 112.30 vs 251.06 ± 126.75, p = 0.588) between anuric and non-anuric subjects, respectively. IPSS-voiding symptom, IPSS-storage symptom, and OAB symptom did not differ significantly between both groups (p > 0.05). Thirteen (13/16) and seven (7/16) subjects of the anuric and non-anuric groups were both pleased with their quality of life, respectively. Conclusion: LUT symptoms do not differ between anuric and non-anuric patients.
COMPARISON OF KETOROLAC VERSUS DICLOFENAC AS TREATMENT FOR ACUTE RENAL COLIC: A SYSTEMATIC REVIEW AND A NETWORK META-ANALYSIS (DIRECT AND INDIRECT COMPARISON) Arianto, Eko; Rodjani, Arry; Wahyudi, Irfan
Indonesian Journal of Urology Vol 28 No 1 (2021)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v28i1.667

Abstract

Objective: The purpose of this study is to compare which analgesic is better between ketorolac and diclofenac. Material & Methods: A systematic search was conducted in Pubmed, Science Direct, Cochrane, EBSCO, Proquest database, and PICO analysis was used in determining the study question. The included article in the analysis was randomized controlled trials. Results: A total of 6 articles were included in the analysis, with no significant differences between ketorolac and diclofenac both in a direct comparison and indirect comparison (OR 2.74 [95%CI 0.72 – 10.43]; p= 0.14 and OR 0.51 [95%CI 0.29 – 0.91]; p= 0.49). Conclusion: Both ketorolac and diclofenac have the same efficacy in treating renal colic.
PREVALENCE OF LOWER URINARY TRACT SYMPTOMS POST KIDNEY TRANSPLANTATION AND ITS URODYNAMIC PROFILE Islianti, Putri Iradita; Rahardjo, Harrina Erlianti; Rasyid, Nur; Rodjani, Arry
Indonesian Journal of Urology Vol 28 No 2 (2021)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v28i2.683

Abstract

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
VALIDITY AND RELIABILITY TESTS FOR ADMINISTRATION OF KIDNEY DISEASE QUALITY OF LIFE-SHORT FORM IN INDONESIAN VERSION Andika, Rendy; Hamid, Agus Rizal Ardy Hariandy; Rodjani, Arry
Indonesian Journal of Urology Vol 29 No 1 (2022)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v29i1.723

Abstract

Objective: This study aims to adapt the KDQOL-SF questionnaire into Indonesian and to evaluate the reliability and validity of the questionnaire in healthy subjects in Indonesia. Material & Methods: Previously translated (into Indonesian) KDQOL-SF questionnaire was given to 33 healthy subjects at Cipto Mangunkusumo General Hospital. Respondents were over 18 years old and were able to speak Indonesian orally and in written form. Reliability was measured using Alpha Cronbach’s intraclass correlation coefficient and internal consistency reliability. Validity was evaluated using Pearson’s correlation test. Results: Out of 33 respondents, the majority of subjects were male (81%) with mean age 47.4 ± 13.7 years old. The highest score was in social support aspects with mean score 99.48 ± 2.95, while the lowest score was vitality aspect with mean score 63.28 ± 11.61. Alpha Cronbach’s score was between 0.580-0.999 and Pearson’s correlation coefficient between 0.405-0.976 with P < 0.05. Conclusion: KDQOL-SF questionnaire, which was translated into Indonesian, was valid and reliable to be used in evaluating patients’ quality of before kidney transplantation in Indonesia
Childhood renal cell carcinoma Nouval Shahab; Arry Rodjani; Rainy Umbas
Paediatrica Indonesiana Vol 46 No 2 (2006): March 2006
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi46.2.2006.93-6

Abstract

Renal cell carcinoma (RCC) in children isseldom found. The incidence of thistumor in childhood is estimated to be 0.1-0.3% out of all neoplasms and 2-7% out ofall malignant renal tumors. The Third NationalCancer Survey reported an incidence of only four casesof RCC per year compared to 117 per year of Wilms’tumor.The incidence of RCC has not been reported inIndonesia. This is the first case of childhood RCCfound in our institution. To the best of our knowl-edge, this is the first report of childhood RCC in In-donesia.
The management of vesicoureteral reflux in children Nurul Akbar; Arry Rodjani
Paediatrica Indonesiana Vol 50 No 5 (2010): September 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi50.5.2010.259-68

Abstract

Vesicoureteral reflux (VUR) is defined as retrograde flow of urine from the bladder to the ureter.  It is usually asymptomatic but commonly found in children with urinary tract infection (UTI). The prevalence is about 1-2% in general pediatric population.1 However, the prevalence in children with UTI is much higher, reaching 30-57%.1,2 Similar prevalence (45.8%) is also reported in CiptoMangunkusumo Hospital. 3
Nomogram Uroflowmetri pada Anak-anak Usia 6-14 Tahun di Wilayah Jakarta dan Sekitarnya Hani A Hendarto; Arry Rodjani; Chaidir A Mochtar
Jurnal llmu Bedah Indonesia Vol. 35 No. 2 (2007): Desember 2007
Publisher : Ikatan Ahli Bedah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46800/jibiikabi.v35i2.130

Abstract

Comparison of Ketorolac Versus Diclofenac as Treatment for Acute Renal Colic: A Systematic Review and A Network Meta-Analysis Eko Arianto; Arry Rodjani; Irfan Wahyudi
Cermin Dunia Kedokteran Vol 44, No 10 (2017): Pediatrik
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v44i10.719

Abstract

Acute renal colic is one of the most frequent urologic visits in Emergency Department (ED), and early management should focus on early relief of pain. Non-steroidal anti-inflammatory drugs (NSAIDs), opiates, or combination of both are often used to treat this condition. Diclofenac is stated in European Association of Urology (EAU) guideline as first line treatment. Interestingly, it is ketorolac that currently the most common analgesics used in most EDs. A meta-analysis study was designed to investigate whether ketorolac or diclofenac is a better NSAID for early pain relief in acute renal colic patients. Relevant studies were obtained from PubMed, Science Direct, Cochrane, EBSCO, and Proquest. Based on current studies, both ketorolac and diclofenac are found superior than pethidine, while both providing a comparable pain relief with diclofenac regarded as a safer option. Further prospective data is needed in Indonesian clinical settings for its assurance in efficacy and safetyKolik ginjal akut adalah salah satu kunjungan urologi yang paling sering di departemen darurat (Emergency Department/ED), dan manajemen dini fokus untuk mengatasi rasa nyeri. Obat antiinflamasi nonsteroid (NSAID), opiat, atau kombinasi keduanya sering digunakan untuk mengatasi kondisi ini. Diklofenak disebutkan dalam pedoman European Association of Urology (EAU) sebagai pengobatan lini pertama. Menariknya, ketorolak adalah analgesik paling umum yang digunakan pada kebanyakan ED. Sebuah studi meta-analisis dirancang untuk mengetahui apakah ketorolak atau diklofenak adalah NSAID yang lebih baik untuk menghilangkan nyeri pada pasien kolik ginjal akut. Studi yang relevan diperoleh dari PubMed, Science Direct, Cochrane, EBSCO, dan Proquest. Berdasarkan penelitian-penelitian tersebut, ketorolak dan diklofenak ditemukan lebih unggul daripada pethidin, sementara keduanya menghilangkan rasa sakit yang sebanding, dengan diklofenak yang dianggap sebagai pilihan yang lebih aman. Data prospektif lebih lanjut diperlukan untuk penggunaan klinis di Indonesia untuk memastikan efektivitas dan keamanannya.
Co-Authors Agus Rizal Ardy Hariandy Hamid, Agus Rizal Ardy Hariandy Alam, Gampo Albertus Marcelino Alfarissi, Fekhaza Alfarissi, Fekhaza Andika Rendy Angling Yunanto ARIANTO, EKO Bagus Baskoro Bimanggono Hernowo Murti Bramono, Ikhlas A Chaidir A Mochtar Chaidir A. Mochtar Chaidir Arif Mochtar CHAIDIR MOCHTAR, CHAIDIR Edhi Hapsari Eko Arianto Endang Susalit Ervita Mediana Fatan Abshari, Fatan Firdaoessaleh Firdaoessaleh GAMPO ALAM IRDAM, GAMPO ALAM Gerhard Reinaldi Situmorang, Gerhard Reinaldi Ginanda Putra Siregar, Ginanda Putra H R Danarto Hani A Hendarto Harrina Erlianti Rahardjo, Harrina Erlianti Hernawan Rahmat Muharia, Bayu Hery Tiera Husein, Ali Ilham Wahyudi Irdam, Gampo A Irfan Wahyudi Irfan Wahyudi Islianti, Putri Iradita Johannes Aritonang, Johannes Jose RL Batubara Kanadi Sumadipradja Maruhum B.H. Marbun Mohammad Fariz Muhammad Hilmy Labibi NICHOLAS TAMBUNAN, NICHOLAS Nouval Shahab Nur Rasyid Nur Rasyid Nurul Akbar Pande Made Wisnu Tirtayasa Ponco Birowo Prahara Yuri Prasetyo, Dimas Tri Putra, Ida Bagus Oka Widya Putra, Prima Ciko Ade Putro , Prasetyo Sarwono Raharja, Putu Angga Risky Rahmita, Maulidina Medika Rainy Umbas Rendy Andika, Rendy Soeroto, Adhitama A. Suharto Wijanarko Susanto , Agung Syaeful Agung Wibowo Taufik Rakhman Taher Tommie Prasetyo, Tommie Tusarawardaya , Setya Anton Wibisono Widi Atmoko Widia, Fina Yonas Immanuel Hutasoit, Yonas Immanuel Yopie T Satyawan Yopie Tjandradiguna Satyawan