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All Journal Empathy : Jurnal Fakultas Psikologi Cosmogov: Jurnal Ilmu Pemerintahan JOURNAL OF INFORMATICS AND TELECOMMUNICATION ENGINEERING ADMINISTRASI PUBLIK At-Tawassuth: Jurnal Ekonomi Islam BHUMI: Jurnal Agraria dan Pertanahan Waraqat : Jurnal Ilmu_Ilmu Keislaman JOURNAL SCIENTIFIC OF MANDALIKA (JSM) Jurnal Ilmiah Wahana Pendidikan Jurnal Pengabdian kepada Masyarakat Indonesia (JPKMI) Journal of Medical Science; Jurnal Ilmu Medis Rumah Sakit Umum Daerah dr. Zainoel Abidin, Banda Aceh Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Jurnal Riset Hukum, Ekonomi Islam, ekonomi, Manajemen dan Akuntansi Teknologi dan Industri Pertanian Indonesia Journal of Planning and Research in Civil Engineering Hukum dan Politik dalam Berbagai Perspektif YUDHISTIRA : Jurnal Yurisprudensi, Hukum dan Peradilan TECHNOLOGIC
Muhammad Ridha
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Journal : Journal of Medical Science

 1 
Pengaruh Diuretik Terhadap Stone-Free Rate Batu Ureter dengan Pneumatic Lithotripsy Jufriady Ismy; Muhammad Ridha; Dahril; Rayyan Al Faruqi; Muyasir
Journal of Medical Science Vol 3 No 2 (2022): Journal of Medical Science
Publisher : LITBANG RSUDZA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55572/jms.v3i2.82

Abstract

Pneumatic Lithotripsy (PL) is considered effective in fragmenting hard stones, and this procedure can also be performed transurethrally and percutaneously on large stones. This study aimed to see the percentage of Stone Free Rate (SFR) by administering force diuretics to ureteral stones that were crushed using PL. Previous studies have found that intravenous loop diuretic administration is effective, safe, and efficient in obtaining a much higher percentage of SFR and can reduce the average number of sessions per stone during extracorporeal shock wave lithotripsy (ESWL). We identified study subjects from early July-September 2022 and obtained as many as 38 study subjects (SP) with stones in the distal ureter <20mm. Subjects were randomly selected and divided into two groups: the group given diuretics (K2) and not given (K1). With a 90% confidence degree and 15% sampling error, based on Lameshow's formula, 30 SP can be observed; eight other subjects were excluded because they experienced a decrease in systolic pressure >25% (5 SP) and the remaining stones came out without splitting (3SP). The results obtained were SFR levels that were statistically significant (p<0.05) and clinically using the Mann-Whitney statistical test. Administration of diuretics to patients with distal ureteral stones undergoing URS with Pneumatic Lithotripsy is safe and effective as an anti-retropulsion method. It is the strategy of choice in centers that do not provide laser lithotripsy or flexible ureteroscope.
Co-Authors Amalia Ardi Sirajudin Ra’uf Asmarani Ramli Asrizal Nazri Dadang Juandi Dahril Dodi Candra Elah Nurlaelah Erwan Efendi Faizah Nurwita Hendri Syah Irfan Nauval El Hassan Ismy, Jufriady Lucky Andinna Santyoko Yogaswari Maryana Meliyana Mery Silviana Merysia Karmila Mowafg Abrahem Masuwd Muhammad Azhari Panjaitan Muhammad Azmi Fanany Muhammad Zardi Muyasir Naser Ali Abdulghani Norma Septiani Nurdin Nurdin Peni Fauziah Puadah Qania Agustika Siagian Raida Agustina Rayyan Al Faruqi RR. Ella Evrita Hestiandari Safrizal Rahman Slamet Riyadi Suhadi Suhadi Suhendri Susi Sakia Taofik, Agna Ilma Tasmin Tangngareng Tety Sriana Tri Andari Dahlan Winda Kustiawan