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All Journal Jurnal Kedokteran Brawijaya Medical Journal of Indonesia Indonesian Journal of Urology Neurologico Spinale Medico Chirurgico Jurnal Klinik dan Riset Kesehatan Indonesian Andrology and Biomedical Journal Brawijaya Journal of Urology
Paksi Satyagraha
Department Of Urology, Faculty Of Medicine, Brawijaya University, Saiful Anwar General Hospital Malang, East Java
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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A NOVEL TECHNIQUE SINGLE SITE MULTIPUNCTURES SUPINE PCNL: CASE SERIES REPORT Ilham, Muhammad; Satyagraha, Paksi; Kustono, Andri
Indonesian Journal of Urology Vol 31 No 1 (2024)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v31i1.925

Abstract

Objective: To presents a case series of three patients who received PCNL during 2020 and 2021. Case(s) Presentation: We reported three cases of two females and one male, aged 54, 63, and 48. All patients were diagnosed for having the staghorn stones in the kidney. We performed the “Single Site Multipuncture Supine (SMS) PCNL” technique on these patients. Discussion: Percutaneous Nephrolithotripsy (PCNL) is the preferred surgical technique for treating staghorn or other complicated kidney stones. There are many techniques and modified positions available for PCNL. This technique removes complex kidney stones by making a one cm skin incision to accommodate multiple punctures to access all kidney poles. The highest reduction in hemoglobin was only 1.54 g/dL in the patient who got four punctures, no blood transfusion was needed during post-operative recovery, and no complications occurred during the follow-up period. All patients were stone-free post-operatively without any need for additional procedures. The mean time of overall surgery was 130 minutes. Conclusion: This single-site multi-punctures supine PCNL technique could give the advantage to cosmetics due to less tissue injury. Keywords: Multi punctures, PCNL, staghorn stones.
FACTORS INFLUENCING POST-CIRCUMCISION WOUND HEALING Daryanto, Besut; Satyagraha, Paksi; Kustono, Andri; Dhani, Fauzan Kurniawan; Negara, Edvin Prawira; Purnomo, Athaya Febriantyo; Sholihah, Nikmatus; Hanggara, Dian Sukma
Indonesian Journal of Urology Vol 31 No 2 (2024)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v31i2.960

Abstract

Objective: This study aims to determine the effect of the penile gland and smegma smear, the expression of collagen and fibroblasts in the preputium, on post-circumcision wound healing. Material & Methods: A cross-sectional study conducted in Malang with samples obtained by purposive sampling on September 17, 2022. Inclusive criteria were uncircumcised males who agreed to be circumcised and had no contraindications to the procedure. Furthermore, the preputium obtained from the circumcision procedure was stained with Hematoxylin-Eosin (HE) and counted under an optical microscope. Post-circumcision evaluation was carried out seven days after the procedure. The data were analyzed using the regression method; p denotes the probability value or significance level, while the b score denotes the degree of influence. Results: There were total of 31 research samples that had a significant difference in the average age between the samples with post-circumcision complaints (11.25 ± 2.75) and those without complaints (8.5 ± 2.73) (p=0.05). The regression test found that bacterial culture, fibroblasts, and collagen had significant effects of 24%, 25%, and 24%, respectively. Conclusions: Skin elasticity decreases with age, as marked by increased fibroblasts and decreased collagen density. Fibroblast factors, collagen, and bacterial culture are significant in wound healing. Keywords: Circumcision, collagen, fibroblast, wound healing.
Relationship between Age, Hypertension, and Type-2 Diabetes Mellitus in Benign Prostatic Hyperplasia Patients with Erectile Dysfunction Rabbani, Ahmad Zahid; Satyagraha, Paksi; Irnandi, Dicky Faizal
Indonesian Andrology and Biomedical Journal Vol. 4 No. 2 (2023): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/iabj.v4i2.49453

Abstract

Based on epidemiological data, the incidence of ED and BPH increases with the same risk factors, such as age, metabolic disease, and others. Aim: This study aimed to determine the prevalence of ED and its relationship to age and the presence of hypertension (HT) and type-2 diabetes mellitus (T2DM) comorbid in BPH patients. This is a cross-sectional study conducted at RSUD Dr. Saiful Anwar and Hermina Hospital Tangku-banprahu Malang utilizes two questionnaires, including the translated version of  The Interna-tional Index of Erectile Function (IIEF-5) and Erectile Hardness Score (EHS) in Indonesian. There were 44 research subjects with only 21 respondents to the IIEF-5 question-naire, while the EHS questionnaire was given to all subjects. The prevalence of ED was found to reach 100.0% at the age of 70-79 years through the IIEF-5 questionnaire and aged ³ 80 years through the EHS questionnaire. The prevalence of ED in BPH patients with HT was found to be higher than non-HT patients through both questionnaires. The prevalence of ED in BPH patients with T2DM was found to be higher through the IIEF-5 questionnaire and slight-ly lower through the EHS questionnaire than non-T2DM patients. Age had a significant rela-tionship with ED through the EHS questionnaire (p = 0.006), while no significant relationship was found through the IIEF-5 questionnaire (p = 1.000). HT and T2DM did not have a signif-icant relationship with ED (IIEF-5: p = 0.229 and 0.526; EHS: p = 0.518 and 1.000). The prevalence of ED in BPH patients increases with age and the presence of comorbid HT and T2DM. Even so, there was no significant relationship between HT and T2DM with ED in BPH patients. A significant relationship between age and ED was only found in the EHS questionnaire but not in the IIEF-5 questionnaire.
Peranan Ultrasonografi dalam Diagnosis Trauma Testis Rizqi, Putri; Erawati, Dini; Satyagraha, Paksi
Jurnal Klinik dan Riset Kesehatan Vol 1 No 2 (2022): Edisi Februari
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.01.2.7

Abstract

External genitalia trauma is more common in men than women, especially in the age range of 15 & 40 years. This is due to the anatomical differences and the increase in the frequency of traffic accidents. The number of external genitalia trauma ranged from 33–66% of all urological cases. External genitalia trauma is most often caused by blunt trauma, one of which is testicular rupture. Testicular rupture refers to a tear in the tunica albuginea resulting in extrusion of testicular contents. Determining the appropriate examination procedure requires adequate physical examination and information about the mechanism of trauma to allow a good prognosis. Scrotal ultrasound (SUS) is the first choice of modality in the case of testicular injury with sensitivity in detecting testicular rupture up to 100%. In addition, the SUS examination procedure can be carried out immediately, non-radiatively, and non-invasively. The main ultrasound findings for testicular rupture include testicular heterogeneity, contour abnormalities, and a tear in the tunica albuginea. These findings can be used to determine the degree of testicular injury according to the AAST (American Association for the Surgery of Trauma), which can then be used to determine the definitive treatment management. We present a case of a 19-year-old male patient complaining of pain on his left testicle since 16 hours before hospital admission after a traffic accident. Physical examination revealed a scrotal hematoma, and nausea and vomiting were found. Ultrasound examination indicated extensive tearing of the left testicular structure according to AAST grade IV with complex hydrocele.
URINALYSIS AS PREDICTOR OF UPPER-TRACT URINARY STONE ON COLIC PAIN PATIENTS: SINGLE-CENTER COHORT STUDY Wibowo, Edi; Satyagraha, Paksi; Daryanto, Besut
Indonesian Journal of Urology Vol 29 No 2 (2022)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v29i2.757

Abstract

Objective: There was no study in our country especially in our hospital that studied correlation between urinalysis and upper tract urinary stone on colic pain patients, so we conducted the study. Material & Methods: We_collected patients' data with colic abdomen from January 2018 to January 2020 then divided into hematuria and non-hematuria group respectively. We excluded patients with lower-tract urinary stones, DJ-stent insitu, BPH, and malignancy. All patients had urinalysis and abdominal ultrasound, then continued with non-contrast abdominal CT-Scan or Intravenous Urography. Retrospective and prospective cohort study was performed to collect data: age, sex, serum ureum and creatinine, urinalysis results (pH, specific gravity, nitric, leucocyte, erythrocyte, crystal, and bacteria), stone number, site, and size, then analysed the relationship between urinalysis results with upper-tract urinary stone incidence using point biserial correlation. Results: We found 235 colic patients, 115 and 120 patients in hematuria and non-hematuria group respectively. Male patients were higher, 137_(58.3%). The highest incidence was in the range 41-50 years-old_(30.6%), mean 46.5313,53 years-old. Stone incidence was 55.7% in all colic patients. Stone was proven 78.3% and 34.2% in hematuria and non-hematuria group respectively. There was significant association between upper-tract urinary stone and haematuria compared to non-haematuria patients (p<0.05). Relative-risk (RR) was 2.29, CI_95%. Conclusion: Hematuria increases two-folds probability of upper-tract urinary stone. It is necessary to expand population data and follow-up center to make this representative
A MULTICENTER STUDY OF BENIGN PROSTATIC HYPERPLASIA PATIENTS UNDERGOING TRANSURETHRAL RESECTION OF THE PROSTATE IN INDONESIA: A DESCRIPTIVE ANALYSIS Daryanto, Besut; Penta Seputra, Kurnia; Satyagraha, Paksi; Nur Budaya, Taufiq; Kurniawan Dhani, Fauzan; Rasyidan Yulizar, Deddy; Hendry, Marta; Rhomdhon, Andrie; Ambeng, Yudi; Akhmad Adhi, Ryan
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.v32i1.1018

Abstract

Objective: The study aims to provide a detailed understanding of the patient demographics and clinical features associated with TURP procedures in several tertiary hospital in Indonesia. Material & Methods: This study is a descriptive cross-sectional study conducted at four provinces in Indonesia. Patient data were collected from January 2021 to December 2023, including all patients diagnosed with BPH and who underwent TURP. The data were analyzed using the Statistical Package for Social Sciences (SPSS) version 28.0 (SPSS Inc., Chicago, Illinois, USA). Results: A total of 812 patients met the inclusion criteria for the study. The highest number of patients undergoing TURP (Transurethral Resection of Prostate) was at Saiful Anwar General Hospital, with 287 patients. The average prostate volume across all patients was 57.6±20.6 ml with an IPP (Intravesical Prostatic Protrusion) of 13.0±5.2 ml. Diabetes Mellitus was the most common comorbidity among the patients, affecting 271 patients (33.3%). Urinary retention was the most frequent reason for patients undergoing TURP, affecting 664 patients (81.7%), followed by bladder stones, which affected 58 patients (7.1%). Conclusion: Advanced age and a history of smoking are the primary clinical features observed in BPH patients undergoing TURP in Indonesia. Additionally, urinary retention has been identified as the main indication for TURP procedures in these patients. Keywords: TURP, BPH, IPP.
Incidence of urethral stricture in patients with urethral trauma: a 10-year experience in an Indonesian tertiary hospital Satyagraha, Paksi; Lazuardi, Muhammad Adi Satrio; Budaya, Taufiq Nur
Medical Journal of Indonesia Vol. 33 No. 1 (2024): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.247152

Abstract

BACKGROUND Urethral injuries are rarely life-threatening but can cause significant morbidity if left untreated. Until now, data on urethral trauma incidence are still limited in Indonesia. This study aimed to report the incidence of traumatic urethral stricture within 10 years of experience in treating urethral trauma. METHODS This retrospective study used a total sampling method for all patients with urethral trauma who came to the emergency department and agreed to undergo radiological evaluation. Patient data were collected from January 2012 to December 2021. All patients were followed up for 3 months after trauma, and the incidence of urethral stricture was analyzed using the chi-square or Fisher's exact tests as an alternative. RESULTS The overall incidence of urethral stricture was 48.4%. Of 122 patients, 82.0% had anterior urethral trauma. Grade III American Association for the Surgery of Trauma (43.4%) was the most common urethral trauma. The cause of urethral trauma was iatrogenic, pelvic fracture urethral injury (PFUI), straddle injury, and penile fracture, contributing in 64.8%, 18.0%, 16.4%, and 0.8% of the cases, respectively. Most patients (70.5%) underwent a cystostomy catheterization procedure as initial treatment. Straddle injury, PFUI, and a higher degree of urethral trauma were significantly associated with urethral stricture formation (p<0.05). CONCLUSIONS Straddle injury, PFUI, and a higher degree of urethral trauma were significantly related to a higher incidence of urethral stricture. Most low-grade and anterior urethral traumas can resolve spontaneously.
PREDICTORS FACTORS OF BLADDER INJURY IN PLACENTA ACCRETA SPECTRUM SURGERY AT A TERTIARY HOSPITAL Akbar, Fariz Kemal; Daryanto, Besut; Satyagraha, Paksi
Indonesian Journal of Urology Vol 33 No 1 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i1.1138

Abstract

Objective: This study aims to determine the predictors factors associated to bladder injury sustained following placenta accreta spectrum surgeries. Material & Methods: This retrospective cohort study was conducted at the Saiful Anwar General Hospital from 2020-2024. Pregnant women with PAS undergoing hysterectomy or caesarean deliveries were included in the study population. Age, gestational age, number of previous cesarean deliveries, and placenta acreta index (PAI) Score were recorded. Univariate and multivariate analyses were performed to compare women with and without operative bladder injuries. Results: A total of 112 women were included in the study. The incidence of bladder injuries was 10,7%. Preoperative ultrasound examinations revealed an 84% concordance rate with surgical findings, confirming the diagnosis of placenta accreta spectrum. The average age of pregnant women with PAS was 33.71 ± 4.66 years, with the most common age range being 31-35 years (34.8%). In univariate analysis, gestational age, number of prior cesarean section, and PAI score include lacuna grade, myometrial thickness, and bridging vessel associated with risk of bladder injury. However, the number of prior cesarean sections and myometrial thickness measured by PAI showed a significant association in multivariate analysis. Conclusion: PAS condition carries a risk of bladder injury during surgery. Predictors factors associated to bladder injury of PAS cases include the number of prior cesarean section and myometrial thickness in PAI. Keywords: Bladder injury, placenta accreta spectrum, predictors factors.
Co-Authors A.A. Ketut Agung Cahyawan W Akbar, Fariz Kemal Akhmad Adhi, Ryan Akmal Fawzi Ambeng, Yudi Basuki B. Purnomo Besut Daryanto Dhani, Fauzan Kurniawan Dicky Faizal Irnandi Edi Wibowo Erawati, Dini Gede Wirya Diptanala Putra Duarsa Gede Wirya Kusuma Duarsa Hanggara, Dian Sukma I Gusti Lanang Andi Suharibawa Ida Bagus Putra Pramana Kurnia Penta Seputra Kurnia Penta Seputra Kurniawan Dhani, Fauzan Kustono, Andri Lazuardi, Muhammad Adi Satrio Marta Hendry, Marta Muhammad Ilham Negara, Edvin Prawira Nikmatus Sholihah Nur Budaya, Taufiq Nurhadi, Pradana Penta Seputra, Kurnia Pradana Nurhadi Pradana Nurhadi Prasetyo Nugroho Purnomo, Athaya Febriantyo Rabbani, Ahmad Zahid Rahmat Husein Rasyidan Yulizar, Deddy Rhomdhon, Andrie Rizqi, Putri Soetojo Soetojo Sulistyanti, Rachma Fitri Tarmono Djojodimedjo Taufiq Nur Budaya