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All Journal E-Jurnal Medika Udayana ISM (Intisari Sains Medis) : Jurnal Kedokteran Neurologico Spinale Medico Chirurgico
Anak Agung Gde Oka
Departemen Urologi, Fakultas Kedokteran Universitas Udayana, Rumah Sakit Umum Pusat Sanglah Denpasar
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

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Journal : E-Jurnal Medika Udayana

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Meta analisis perbandingan luaran prosedur tubeless dan totally tubeless dibandingkan dengan prosedur nefrostomi pasca tindakan percutaneous nephrolithotomy Anak Agung Gde Oka
E-Jurnal Medika Udayana Vol 9 No 10 (2020): Vol 9 No 10(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2020.V09.i10.P01

Abstract

Percutaneous nephrolithotomy (PNL) with nephrostomy tube as a drainage has been considered the standard procedure. However, recently many literatures reporting the use of tubeless and totally tubeless as a drainage following PCNL with excellent results. This meta-analysis is aiming to evaluate the safety of tubeless PCNL and totally tubeless PCNL versus nephrostomy tube as a drainage following PNL. All eligible literatures were searched on MEDLINE and Cochrane Library database to identify all randomized controlled trials (RCTs) that compared tubeless and totally tubeless PNL versus nephrostomy tube following PNL. The analyzed outcomes were length of hospital stay, postoperative hemoglobin (Hb) drop, and postoperative analgesic requirements. Review Manager 5.0. was used to conduct the meta-analysis study. Eleven RCTs covering 806 subjects and consist of 9 RCTs for comparison I (tubeless PCNL vs nephrostomy tube PNL, 290 cases and 295 controls) and 2 RCTs for comparison II (totally tubeless PNL vs nephrostomy tube PNL, 113 cases and 108 controls) were identified. Tubeless PNL required significantly less analgesic and shorter length of hospital stay compared with nephrostomy tube PNL. Furthermore, there was shorter length of hospital stay in totally tubeless PNL compared with nephrostomy tube PNL. However, no significant difference was observed in the analyses concerning postoperative Hb decrease in both comparisons. Tubeless PNL and totally tubeless PNL are associated with shorter hospital stay compared with nephrostomy tube PNL. Tubeless PNL also associated with less analgesic requirement compared with nephrostomy tube PNL.
Usia dan obesitas berhubungan terhadap terjadinya penyakit benign prostatic hyperplasia di RSUP Sanglah Bali periode januari 2014 sampai desember 2014 Kadek Devi Ari Frasiska; Anak Agung Gde Oka
E-Jurnal Medika Udayana Vol 7 No 1 (2018): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.305 KB)

Abstract

Benign protastic hyperlasia (BPH) is a disease affecting the prostate gland where the state of enlarged prostate will impede the flow of urine and cause symptoms. BPH is commonly suffered by middle aged to elderly men. There are many risk factors regarding to this disease, such as age and obesity. Therefore, the aims of this research to describe the relationship between age and obesity with the incidence of BPH. This research used descriptive analytic design and the samples were taken using consecutive sampling. Subject and place of research are men aged >40 who visited polyclinics urology department and were hospitalized in Sanglah Hospital during January until December 2014. Results of this research are from 138 samples in term of age, there were 65 elders, 66.2% suffered from BPH, while 33.8% did not. Out of 73 adults, 41.1 % suffered from BPH and 58.9% did not. After being analyzed using chi-square, the result showed that age had significant correlation to the occurrence of BPH with p=0.003. However, regarding to obesity factor, there were 98 persons with obesity, 49% suffered from BPH, and 51% did not. Meanwhile, 40 persons who were not obese, as many as 41.1% suffered from BPH, and 58.9% did not. After being tested using chi-square, the result showed that there was no significant correlation between obesity and BPH with p=0.184. Conclusion of this research are age is the risk factors of benign prostatic hyperplasia , whereas obesity is not a risk factor of BPH. Keywords: Benign prostatic hyperplasia, age, obesity
Co-Authors Christopher Ryalino Desy Permatasari Djodi Sidartha Gatot Triwono Gede Andi Aditya Gede Wirya Kusuma Duarsa I Gde Raka Widiana I Gede Hendra Sucipta I Made Nugraha Gunamanta Sabudi I Wayan Juli Sumadi I Wayan Yudiana Ida Bagus Putra Pramana Jetty Kalembang Kadek Budi Santosa Kadek Devi Ari Frasiska Nurfitriani Nurfitriani Pande Made Wisnu Tirtayasa Putu Astri Novianti Silvester Kristian Taopan Wayan Sudana Yenny Kandarini