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All Journal Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Majalah Obstetri dan Ginekologi Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Cermin Dunia Kedokteran Makara Journal of Health Research
Raymond Surya
Faculty of Medicine Universitas Indonesia, Jakarta
Health Professions Medicine & Pharmacology Public Health

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Secondary Syphilis with Giant Condyloma Acuminatum in Pregnant Women: A Report from a Limited Resource Area Surya, Raymond; Chelsea, Edelyne; Manurung, Edward Sugito; Banunaek, Diana; Nilasari, Hanny; Saroyo, Yudianto Budi
Indonesian Journal of Obstetrics & Gynecology Science Volume 6 Nomor 3 November 2023
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v6i3.536

Abstract

Introduction: This report shows a case of secondary syphilis in pregnancy with Giant Condyloma Acuminatum (GCA) co-infection DD/condyloma lata which was resolved with alternative treatment of syphilis.Case illustration: A 21-year-old, primigravid woman came to obstetrics outpatient clinic in rural SoE Hospital, East Nusa Tenggara, with a complaint of mass enlargement around vulva (minor and major labia) since 2 months before. Based on Last Menstrual Period (LMP), she was in 34 + 6 weeks of gestation. There were coin lesions in the palms. On genital examination, there was protruded mass sized around 15 x 10 cm, erythematous, and it easily bled on the center part which was suspected to be GCA. Treponema Pallidum rapid (TP-rapid) test using AIM© syphilis rapid test revealed positive results. The patient was diagnosed with secondary syphilis in pregnancy mixed with GCA with dd/condyloma lata and administered Ceftriaxone 1 g intramuscularly once daily for 14 days. She delivered at 41-42 weeks of gestation and a baby girl with 1,980 grams of body weight according to symmetric Intrauterine Growth Restriction (IUGR) was born. No clinical signs of congenital syphilis found.Discussion: Vertical transmission which occurs in each stage of syphilis is related to the presence of spirochetes in the blood circulation. Infants born from syphilis pregnant women consist of 56% of jaundice, 14% of hearing impairment, 8% of renal disease, 8% of mental retardation, and 6% of IUGR or Small for Gestational Age (SGA).Conclusion: Secondary syphilis coinfection with GCA in pregnancy is a rare case report. Syphilis is a significant public health problem globally, especially in Indonesia.Sifilis Sekunder dengan Kondiloma Akuminata Besar pada Wanita Hamil: Sebuah Laporan dari Daerah dengan Keterbatasan Sumber DayaAbstrakPendahuluan: Kasus ini melaporkan sifilis sekunder pada kehamilan dengan kondiloma akuminatum besar dengan koinfeksi dd/kondiloma lata yang beresolusi setelah pemberian tatalaksana alternatif sifilis.Ilustrasi Kasus: Seorang wanita primigravida berusia 21 tahun datang ke poliklinik obstetrik di RSUD SoE, Nusa Tenggara Timur dengan pembesaran massa sekitar vulva (labia minor dan mayor) sejak 2 bulan sebelumnya. Berdasarkan Hari Pertama Haid Terakhir (HPHT), usia kehamilan 34 + 6 minggu. Terdapat lesi pada telapak tangan. Pada pemeriksaan genital, terdapat massa ukuran 15 x 10 cm, eritema, mudah berdarah pada bagian tengah dengan kecurigaan kondiloma akuminatum besar. Hasil tes rapid Treponema Pallidum menggunakan tes rapid sifilis (AIM©) menunjukkan hasil positif. Pasien didiagnosis mengidap sifilis sekunder pada kehamilan dengan kondiloma akuminatum besar dengan koinfeksi dd/ kondiloma lata dan diberikan terapi seftriakson 1 gram intramuscular setiap hari selama 14 hari. Pasien melahirkan saat usia kehamilan 41-42 minggu dan lahir bayi 1.980 gram sesuai dengan Pertumbuhan Janin Terhambat (PJT) simetrik. Tidak ada tanda klinis sifilis kongenital yang ditemukan. Diskusi: Transmisi vertikal dapat terjadi pada setiap tahap sifilis berkaitan dengan keberadaan spiroseta di sirkulasi darah. Bayi lahir dari wanita hamil sifilis biasanya menunjukkan tanda 56% kuning, 14% gangguan pendengaran, 8% gangguan ginjal, 8% retardasi mental, dan 6% PJT atau Kecil Masa Kehamilan (KMK).Kesimpulan: Sifilis sekunder koinfeksi kondiloma akuminatum besar merupakan kasus jarang. Sifilis masih menjadi perhatian kesehatan global, khususnya di Indonesia.Kata kunci: sifilis, koinfeksi, kondiloma akuminatum besar, pertumbuhan janin terhambat
Knowledge, Attitude, and Perception Towards Condom Use among Female Sex Workers in North Jakarta: A Mixed-Method Study Harzif, Achmad Kemal; Surya, Raymond; Chiprion, Ariel Timy; Mutia, Heidi Dewi; Puspawardani, Aisyah Retno; Ummah, Nafi'atul; Nurbaeti, Putri; Sayogo, Atikah; Wiweko, Budi
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. 1 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.I1.2025.83-92

Abstract

Background: HIV/AIDS is a significant global health and social issue, particularly affecting sex workers, who are the second most common high-risk population. Efforts have been attempted to address the challenges, including promoting safer sex and increasing sex workers’ awareness of condom use to reduce sexually transmitted disease (STDs) transmission. Objectives: This study aimed to examine the knowledge, attitude, and perception among FSWs in North Jakarta towards condom use to prevent HIV. Method: Using a validated WHO questionnaire, this cross-sectional community-based study was conducted in pubs and lounges in North Jakarta among 182 FSWs. The questionnaire was translated forward and backward to ensure accuracy. The data were analyzed using SPSS Statistics for Windows and transcription in MS Word for qualitative data. Results: The reliability test for knowledge and attitude were 0.427 and 0.456, respectively. The study found that most participants (75%) had good knowledge about the benefits of condom use, and most agreed that condoms are suitable for casual or established relationships. However, due to cultural barriers in Indonesia, most subjects (68.1%) felt embarrassed about buying condoms.  Conclusion: The study found that FSWs possess a good knowledge and attitude regarding the utilization of condoms to avert STDs, particularly HIV/AIDS. Nonetheless, there is a need to enhance FSWs’ attitudes towards condom use and perceptions of health services, particularly those related to STDs, given their classification as a population at high risk.
Cervical cancer screening before hysterectomy in pelvic organ prolapse patients: Is it essential? A case series Aryasatiani, Ekarini; Surya, Raymond; Harjanti, Dyonesia Ary; Ilona, Florinda; Kartika, Chandra Dewi; Cantika, Catalya Christina; Tenka, Lisda
Majalah Obstetri & Ginekologi Vol. 33 No. 2 (2025): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V33I22025.173-179

Abstract

HIGHLIGHTS More advanced cervical precancerous histopathological findings compared with cervical cytology are observed in POP patients undergoing vaginal hysterectomy. Routine use of preoperative biopsy or ultrasound in POP patients undergoing vaginal hysterectomy cannot be recommended.   ABSTRACT Objective: Pelvic organ prolapse (POP) results from weakening of the pelvic floor musculature. The reported prevalence of unexpected premalignant and malignant pathologies following hysterectomy ranges from 0.2 to 0.8%. This study aims to present a case series of patients with POP who underwent vaginal hysterectomy (VH) after preoperative evaluation for abnormal cervical cytology, which subsequently demonstrated more advanced histopathological findings. Case Series: Case 1: A 55-year-old woman, P3A0, was diagnosed with third-degree uterine prolapse and cystocele. Pap smear revealed atypical glandular cells of undetermined significance (AGUS). Histopathological examination after VH demonstrated vaginitis and metaplastic chronic cervicitis with atypia progressing to mild dysplasia of endocervical epithelial cells/low-grade squamous intraepithelial lesion (LSIL). Case 2: A 62-year-old woman, P5A0, was diagnosed with third-degree uterine prolapse. Pap smear revealed atypical squamous cells of undetermined significance (ASCH). Histopathological evaluation after VH demonstrated high-grade squamous intraepithelial lesion (HSIL) up to carcinoma in situ with microinvasive glandular involvement and focal extension. Conclusion: Given that cervical cancer remains the second leading cause of mortality among women in Indonesia, preoperative screening for precancerous gynecological lesions and malignancy is strongly recommended.
Sleeve Hymen as a Penetrate Problem in a Newly Married Woman: A Rare Case Report Surya, Raymond; Aryasatiani, Ekarini
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 3 November 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i3.748

Abstract

Introduction: Imperforate hymen (IH), an uncommon congenital anomaly, is a failure to completely canalize the hymen. This report aims to describe a sleeve hymen in a newly married woman and the surgical approach to the patient.Case Illustration: A 24-year-old newly married woman came to the gynecology polyclinic complaining of difficulty in sexual intercourse in the last 6 months. She felt painful and hard penile penetration since the first time of sexual intercourse. Inspection of external genitalia showed there was a hymen covering all vaginal introitus without an erythematous surface. The diagnosis indicated that the patient had a sleeve hymen. The patient underwent a U-shaped incision far away from the urethra as a hymenectomy.Discussion: Most of the IH patients are asymptomatic until menarche. Excess of estrogen status can cause the thickening of the hymen, called the sleeve hymen or “redundant” hymen. Meanwhile, epithelial cells’ failure in the center of the hymen to degenerate or excess cell proliferation may cause a microperforate hymen. There are several choices of treatment for IH, including hymenectomy (cruciate incision or hymen excision), hymen-preserving surgeries (simple vertical incision and annular hymenotomy), carbon dioxide laser, or insertion of a Foley catheter.Conclusion: Good anamnesis and physical examination can lead to the correct diagnosis of sleeve hymen. Hymenectomy is one of the alternative treatments for married women who have less concern about hymen-preserving surgery.Penebalan Himen sebagai Gangguan Penetrasi pada Wanita Baru Menikah: Sebuah Laporan KasusAbstrakPendahuluan: Himen imperforata (HI) merupakan kelainan kongenital yang tidak lazim didefinisikan sebagai kegagalan dalam kanalisasi himen. Laporan ini bertujuan untuk menggambarkan penebalan himen pada wanita yang baru menikah dan pendekatan pembedahan kepada pasien.Ilustrasi Kasus: Seorang wanita baru menikah berusia 24 tahun datang ke poliklinik ginekologi mengeluh gangguan hubungan seksual sejak 6 bulan lalu. Dia merasa sulit untuk penetrasi dan nyeri sejak pertama kali berhubungan seksual. Inspeksi pada genitalia eksterna memperlihatkan terdapat himen yang menutupi seluruh introitus vagina tanpa permukaan eritema. Diagnosis pada pasien ialah penebalan himen. Wanita tersebut dilakukan insisi bentuk U menjauhi uretra sebagai himenektomi. Diskusi: Kebanyakan pasien HI asimptomatik sampai menars. Kelebihan estrogen dapat menyebabkan penebalan himen yang dikenal sebagai himen “tidak berguna”. Sementara itu, kegagalan sel epitel di tengah himen untuk degenerasi atau kelebihan proliferasi sel dapat menyebabkan himen mikroperforata. Beberapa pilihan tatalaksana pada HI, yaitu himenektomi (insisi krusiata atau eksisi himen), pembedahan dengan konservasi himen (insisi vertikal simple dan himenotomi anular), laser CO2, atau insersi kateter Foley.Kesimpulan: Anamnesis dan pemeriksaan fisik yang baik dapat membantu mendiaganosis penebalan himen dengan tepat. Himenektomi merupakan salah satu tatatalaksana alternatif untuk wanita yang sudah menikah.Kata kunci: himen imperforate; himenektomi; microperforate hymen; penebalan himen,
Co-Authors Achmad Kemal Harzif Adly N.A. Fattah Ali Sungkar Aryasatiani, Ekarini Banunaek, Diana Budi I Santoso, Budi I Budi I. Santoso Budi Iman Santoso Budi Wiweko Cantika, Catalya Christina Chelsea, Edelyne Chiprion, Ariel Timy Debby Anggriany, Friska Dewi Anggraeni, Tricia Dyonesia Ary Harjanti Firdaus, Karina K Guinto, Valerie Tiempo Hanny Nilasari Ilona, Florinda Iskandar, Ferdy Kartika, Chandra Dewi Manurung, Edward Sugito Mutia, Heidi Dewi Nembo, Lidia F. Nembo, Lidia Firmiaty Nurbaeti, Putri Pratama Kurniawan, Andrew Puspawardani, Aisyah Retno Rima Irwinda, Rima Saroyo, Yudianto Budi Sayogo, Atikah Surahman Hakim Tenka, Lisda Ummah, Nafi'atul Zalud, Ivica