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All Journal International Journal of Integrated Health Sciences Majalah Kedokteran Bandung Althea Medical Journal Indonesian Journal of Urology Jurnal Aisyah : Jurnal Ilmu Kesehatan
Tjahjodjati
Department Of Urology Faculty Of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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CHARACTERISTICS OF URETEROVAGINA FISTULA PATIENTS AT HASAN SADIKIN HOSPITAL BANDUNG IN 2017 -2021 Helmi, Kiki; Tjahjodjati
Indonesian Journal of Urology Vol 32 No 2 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i2.931

Abstract

Objective: The study aims to determine the characteristics of ureterovaginal fistula patients at Hasan Sadikin Hospital in Bandung for the 2017-2021 period. Material & Methods: This research was conducted using a descriptive method with a cross-sectional approach. The inclusion criteria in this study were all patients who experienced ureterovaginal fistula and underwent surgery at Hasan Sadikin Hospital. Exclusion criteria in this study were incomplete patient data until the variables studied did not exist. Results: From a total of 35 people who experienced ureterovaginal fistula the most in 2020 were 7 people (23.3%). The mean age was 39.93 ± 11.26 years, the longest distance to surgery was 10.17 ± 9.56 months, and duration of hospitalization 7.31 ± 5.45 days. The highest percentage of age who experienced ureterovaginal fistula was 36-45 years as many as 3 people (30%). Based on the etiology, the most common was supravaginal hysterectomy as many as 5 people (45.5%). The most frequently performed procedure in this study was ureteroneocystostomy with a percentage of 65%. Conclusion: The most common cases of ureterovaginal fistula in 2017 to 2021 were in 2020, the most common age for experiencing ureterovaginal fistula was 36-45 years of age and the most common etiology was supravaginal hysterectomy. Keywords: Ureterovaginal fistula, characteristics, Hasan Sadikin Hospital
QUALITY OF LIFE OF ADVANCED CERVICAL CANCER PATIENTS WITH PERCUTANEOUS NEPHROSTOMY IN HASAN SADIKIN HOSPITAL BANDUNG FROM 2018-2020 Wahyudi, Yuvi; Tjahjodjati
Indonesian Journal of Urology Vol 32 No 3 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i3.947

Abstract

Objective: This study aims to assess the quality of life patients with advanced stage of cervical cancer in RSUP Dr. Hasan Sadikin Bandung from 2018-2020. Material & Methods: This is a retrospective cohort study. The data collected from woman with advanced stages of cervical cancer without history of mental health problems or recurrent cancer, and interviewed using a validated EORT CQLQ-C30 questionnaire to assess their quality of life, and functional status based Karnofsky Performance Score (KPS) and Eastern Cooperative Oncology Group (ECOG) Performance Scale. Scores are calculated into raw score and linear transformation to standardized the range of 1-100. Results: 77 women were included in this study. The average age was 47.98 ± 8.46 years. Cervical cancer predominated by stage IIIa and IV (37,66%) with bilateral nephrostomy (58.44%). This study revealed an average of 63.1 in overall health status, which means there is an improvement over patient’s symptoms resulted from the insertion of nephrostomy, and a poor quality of life with an average score of 48.3 which shows the progression of cervical cancer conditions suffered by patients. Conclusion: The use of nephrostomy in patients with advanced-stage cervical cancer (IIIa, IIIb, and IV) could help alleviate patient’s symptoms, but the progressive condition of cervical cancer has made the patient's quality of life continue to decline. This is shown by the poor quality of life score in the advanced stages of cervical cancer patients, even with nephrostomy insertion. A better understanding of the complexity of the relationship between patient’s quality of life, cervical cancer staging, and the use of nephrostomy is necessary to help cervical cancer patients deciding the best consent before any actions taken. Keywords: EORTC QLQ-C30, cervical cancer, quality of life.
Peritoneal Dialysis-related Peritonitis Clinical Outcomes: A systematic review Kurniawan, Aninditho Dimas; Tjahjodjati, Tjahjodjati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 3: September 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i3.2538

Abstract

Peritoneal dialysis (PD)-related peritonitis is one of the most common complications and may lead to mechanical failure and death. This may cause by gram-positive, gram-negative, fungal, and sometimes the culture was sterile. This study aims to review the outcomes of PD-related peritonitis. Online searching was performed on PubMed, ScienceDirect, Cochrane, and Google Scholar following PRISMA guidelines. We used the search term peritoneal dialysis, peritonitis, continuous ambulatory peritoneal dialysis, continuous cyclic peritoneal dialysis, and exit-site infection. After a full-text assessment for eligibility, eight articles were included in this review. We found death outcomes were in the range of 1.4 to 9%. Approximately 7.2% to 19.3% were transferred to HD according to four articles. Catheter removal within the range of 5.1% to 25%. Relapse cases varied widely from 1.5% to 12%. Recovery rates were predominant over all of the clinical outcomes from 65% to 82.4%. Although recovery rates of PD-associated peritonitis were high, peritonitis still remained the most common cause of conversion to HD, PD catheter removal, and mortality. Prevention should be the priority to avoid complications and increase mortality rate by daily exit site care and antibiotic prophylactic prior to catheter placement was recommended.
COMPARISON OF CONTINUOUS AMBULATORY PERITONEAL DIALYSIS TENCKHOFF CATHETER INSERTION (OPEN SURGERY VS LAPAROSCOPIC) – A CASE CONTROL STUDY Kusumajaya, Christopher; Tjahjodjati
Indonesian Journal of Urology Vol 32 No 1 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i1.902

Abstract

Objective: This study aims to investigate post-operative complication rate of Tenckhoff catheter placement methods between open surgery and laparoscopic. Material & Methods: This is a case control comparative study reviewed from the medical records of patients who required insertion, removal, or repairment of Tenckhoff catheter for the provision of CAPD at Hasan Sadikin Bandung general hospital between January 2015 to December 2020. Clinical outcome and complication were compared between the open surgery and laparoscopic group. Results: We obtained 30 patients who required insertion of a Tenckhoff catheter for the provision of CAPD, 15 patients by open surgery and 15 patients by laparoscopic technique. Insertion of Tenckhoff catheter using open surgery have a higher risk of catheter migration (p=0.049; O R=3.25) and infection (p=0.014; OR=12.25) compared to laparoscopic. Discussion: Laparoscopic technique facilitates omentectomy, allows better fixation under direct visualisation, and for lysis of adhesions to increase peritoneal surface. Conclusion: Tenckhoff catheter insertion by using laparoscopic surgery tend to have better outcome compared to open surgery, with lower risk of catheter migration and infection. Keywords: Tenckhoff catheter, laparoscopic, CAPD.
Co-Authors Aaron T Sihombing, Aaron T Aaron Tigor Sihombing Abdurrahman, Fauzan Abu Surur, Abu Achadiyani Ahmad Agil Bambang S Noegroho Bambang Sasongko Noegroho Betthy S Hernowo, Betthy S Caesar Khairul Wallad, Caesar Khairul Daniel Saputra Ferry Safriadi Galuh Richata, Galuh Gugum Indra Firdaus Hamsiah binti Halim Hamsiah binti Halim Helmi, Kiki Isdianto Septiadi, Isdianto Joko Pitoyo Jumadi Santoso Jupiter Sibarani Karim, Muhammad Ilhamul Ken Ramadhan Kuddah, Yasser Kuncoro Adi Kurniawan, Aninditho Dimas Kusumajaya, Christopher Makmuri Yusuf Muhammad Rivai Mumuh M E, Mumuh M Oetama, Harris Ricky Adriansjah Rizki, Dhika Ari Safendra Siregar Sawkar V Pramod, Sawkar V Suwandi Sugandi Wahyudi, Yuvi Zola Wijayanti, Zola Zulhardi Haroen, Zulhardi