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RETROPERITONEAL VS TRANSPERITONEAL LAPAROSCOPIC URETEROLITHOTOMY Putra, Rosadi; Safriadi, Ferry; Pramod, Sawkar Vijay
Indonesian Journal of Urology Vol 22 No 2 (2015)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v22i2.193

Abstract

Objective: To compare retroperitoneal versus transperitoneal laparoscopic ureterolithotomy in effectivity, pain scale and early complications. Material & methods: In this prospective comparison study from January 2013 to June 2014, 32 patients with proximal and mid ureteral stones underwent retroperitoneal laparoscopic ureterolithotomy or transperitoneal laparoscopic ureterolithotomy. The randomization occured on consecutive sampling on a 1 : 1 basis. Group 1 and 2 consisted of patients who underwent retroperitoneal laparoscopic ureterolithotomy and transperitoneal laparoscopic ureterolithotomy, respectively. Demographic and clinical variable, operative time, length of stay, ureteral suturing, pain scale according to visual analog scale (VAS) and early complications data were collected and analyzed. Statistical analysis was performed with SPSS® version 17.0 using student T-test and Mann-Whitney U tests with p value < 0.05 considered statistically significant. Results:VAS on day 1 between the 2 groups was statistically significant, and was higher in group 2 (p < 0.05). According to the Clavien-Dindo classification of surgical complication all the patients were in grade 1 classification. The differences in operative time, length of stay, ureteral suturing, visual pain analog score on day 3, and early complications between the 2 groups were not statistically significant.Conclusion: Transperitoneal laparoscopic ureterolithotomy is significantly associated with pain than retroperitoneal laparoscopic ureterolithotomy in first day after surgery. Successful stone removal remains the same in both groups.
Kegiatan Pengabdian Masyarakat dalam Rangka Pencegahan Hiperurisemia Melalui Pemeriksaan Asam Urat Sejak Dini pada Masyarakat Kelurahan Grogol Putra, Rosadi; Santoso, Alexander Halim; Gunaidi, Farell Christian; Dinali, Diana; Aziel, Disya Gwyneth
JPMNT JURNAL PENGABDIAN MASYARAKAT NIAN TANA Vol. 3 No. 3 (2025): Juli: Jurnal Pengabdian Masyarakat Nian Tana
Publisher : Fakultas Ekonomi & Bisnis, Universitas Nusa Nipa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59603/jpmnt.v3i3.919

Abstract

Uric acid (UA) is a waste product formed when the body breaks down purines, which are natural compounds found in the body and can be found in various types of foods such as alcohol, shellfish, and liver. Hyperuricemia is caused by increased uric acid production, decreased excretion, or a combination of both processes. Most people with hyperuricemia are asymptomatic (85% to 90%), but increased levels of uric acid in the blood or urine can cause gout or nephrolithiasis. Hyperuricemia and hyperuricosuria are also associated with other disorders such as metabolic syndrome, diabetes mellitus, cardiovascular disease, hypertension, atherosclerosis, obesity, and chronic kidney disease. The Community Service (PKM) activity held in Grogol Village, West Jakarta, aims to increase awareness of the elderly community regarding the importance of early detection of hyperuricemia. This program uses the Plan-Do-Check-Act (PDCA) approach, starting from planning uric acid level examinations and compiling educational materials, followed by implementing interactive screening and counseling, evaluating results, and following up in the form of medical referrals for participants with abnormal results. Of the 71 participants involved, only 1 person had uric acid levels above normal. Through education on low-purine diets, the importance of hydration, and physical exercise, this activity is expected to be able to reduce the incidence of hyperuricemia and its complications, as well as support the realization of a healthier elderly community that is aware of its metabolic health.
Outcome of Microsurgical Varicocelectomy: A One-Year Single-Center Study in a Secondary Hospital in West Java, Indonesia P. Wajdi, Rifki; Putra, Rosadi
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 9 (2025): : JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i9.4754

Abstract

Varicoceles, characterized by the dilation of veins in the pampiniform plexus, represent a common etiology of male-factor infertility. Despite various available treatment modalities, the optimal approach for varicocele management remains a subject of debate. Surgical interventions, including open, laparoscopic, and microscopic techniques, are among the therapeutic options. Here, we present our initial experience with microsurgical varicocelectomy, delineating the clinical features and assessing the outcomes of this approach in a secondary healthcare setting in Indonesia. This retrospective study was conducted from April 2022 to April 2023, involving 53 patients diagnosed with symptomatic varicoceles. All patients underwent varicocelectomy using microsurgical techniques. Patient medical records were retrospectively reviewed to document demographic characteristics, preoperative physical examinations and presenting complaints, laboratory findings, including sperm analysis results, varicocele location, and postoperative outcomes. A total of 53 study participants, with a mean age of 35.74 ± 7.27 years, were enrolled. Testicular pain was the primary presenting complaint in 73.6% of cases. Bilateral varicoceles were observed in 64.2% of cases. Pre-intervention semen analysis was conducted in 24 patients, revealing oligoasthenoteratozoospermia in the majority (50.0%), with only 2 samples exhibiting normal parameters. Following surgery, semen analysis was repeated in 16 patients, with 31.3% showing normal results. In the postoperative period, all patients reporting testicular pain experienced relief, while 35.7% (5/14) of previously infertile patients successfully impregnated their partners. Microsurgical varicocelectomy proves to be an effective intervention for symptomatic varicoceles, leading to enhanced fertility outcomes and alleviation of pain.
Profil Asam Urat sebagai Indikator Kesehatan Karyawan Perkantoran di Kawasan Sudirman Putra, Rosadi; Jap, Ayleen Nathalie; Khoto, Anthon Eka Prayoga; Pratama, Aditya; Santoso, Alexander Halim
Jurnal Pengabdian West Science Vol 4 No 12 (2025): Jurnal Pengabdian West Science
Publisher : Westscience Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58812/jpws.v4i12.2924

Abstract

Pekerja perkantoran merupakan kelompok yang berisiko mengalami gangguan metabolik, termasuk peningkatan kadar asam urat, akibat pola kerja sedentari, tekanan pekerjaan, dan kebiasaan makan yang kurang sehat. Kegiatan Pengabdian Kepada Masyarakat (PKM) ini bertujuan untuk menggambarkan kadar asam urat pada karyawan di kawasan perkantoran Sudirman sebagai upaya deteksi dini risiko hiperurisemia. Sebanyak 57 karyawan mengikuti pemeriksaan kadar asam urat melalui pengambilan sampel darah kapiler yang dianalisis menggunakan alat digital. Sebelum pemeriksaan, peserta diberikan penyuluhan singkat mengenai faktor risiko, pola makan seimbang, hidrasi, dan aktivitas fisik untuk menjaga kadar asam urat. Hasil pemeriksaan dicatat dan dikonsultasikan per individu untuk meningkatkan kesadaran peserta terhadap kondisi metabolik mereka. Kegiatan ini menunjukkan bahwa skrining sederhana di lingkungan kerja memberikan gambaran awal kadar asam urat pekerja usia produktif, sekaligus meningkatkan kesadaran mengenai pentingnya pola hidup sehat. Program ini berpotensi mendukung stamina, konsentrasi, dan produktivitas kerja, serta menjadi langkah preventif terhadap hiperurisemia dan komplikasi metabolik terkait. kegiatan ini membuktikan bahwa pemeriksaan asam urat di tempat kerja efektif sebagai langkah deteksi dini dan edukasi kesehatan. Disarankan perusahaan menyelenggarakan pemeriksaan berkala, menyediakan program edukasi berkelanjutan, serta mendukung penelitian lanjutan dengan cakupan lebih luas untuk memperoleh gambaran komprehensif mengenai risiko metabolik pada pekerja kantoran.
Inflammatory Biomarkers Comparison Between Benign Prostatic Hyperplasia Versus Prostate Cancer Patient in Secondary Hospitals, Bogor, Indonesia Sulistyo, Alexander; Putra, Rosadi
Jurnal Locus Penelitian dan Pengabdian Vol. 5 No. 2 (2026): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v5i2.5541

Abstract

This research aimed to compare inflammatory biomarkers derived from complete blood counts—namely, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), systemic immune-inflammation index (SII), and systemic inflammation response index (SIRI)—between BPH and prostate cancer patients. A retrospective study was conducted on 257 patients from two secondary hospitals in Bogor, Indonesia, between January 2021 and June 2025. Subjects were diagnosed with either BPH (n = 212) or prostate cancer (n = 45). Preoperative complete blood counts were used to calculate NLR, PLR, MLR, SII, and SIRI. Group comparisons were performed using the Mann–Whitney U test, and multivariate analysis of variance (MANOVA) was conducted to assess overall biomarker profile differences. Binary logistic regression was applied to evaluate the predictive value of individual biomarkers. PLR was significantly higher in prostate cancer patients (p = 0.007), while other biomarkers did not show significant intergroup differences in univariate analysis. MANOVA revealed a statistically significant difference in overall inflammatory profiles (Pillai’s trace = 0.060, F(5, 251) = 3.208, p = 0.008). Logistic regression identified PLR (p < 0.001), SII (p = 0.035), and SIRI (p = 0.009) as independent predictors of prostate cancer. Inflammatory biomarkers—particularly PLR, SII, and SIRI—may serve as useful markers to differentiate prostate cancer from BPH and offer prognostic insight. These parameters are readily available from routine complete blood counts, making them valuable tools in clinical settings, especially in resource-limited areas. Further prospective studies are recommended to validate their utility and integration into standard diagnostic pathways.
Estimasi Laju Filtrasi Glomerulus sebagai Pilar Deteksi Dini Penyakit Ginjal Kronik dalam Upaya Pencegahan Progresivitas Ginjal pada Populasi Dewasa Rosadi Putra; Alexander Halim Santoso
Science and Technology: Jurnal Pengabdian Masyarakat Vol. 3 No. 2 (2026): Juni
Publisher : CV. Science Tech Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69930/scitec.v3i2.795

Abstract

Penurunan fungsi ginjal merupakan kondisi yang sering berlangsung secara subklinis dan tidak terdeteksi pada populasi dewasa, meskipun memiliki potensi berkembang menjadi penyakit ginjal kronis dengan dampak signifikan terhadap morbiditas dan mortalitas. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk melakukan deteksi dini gangguan fungsi ginjal melalui skrining berbasis komunitas menggunakan pendekatan Plan–Do–Check–Act (PDCA). Pemeriksaan dilakukan dengan mengukur kadar kreatinin serum dan menghitung estimasi laju filtrasi glomerulus (eGFR) sebagai indikator fungsi ginjal yang lebih sensitif. Sebanyak 109 partisipan dewasa terlibat dalam kegiatan ini, dengan rerata usia 42,81±13,55 tahun dan dominasi perempuan (67,9%). Rerata kadar kreatinin sebesar 0,98±0,20 mg/dL masih berada dalam kisaran normal. Namun demikian, rerata eGFR sebesar 79,16±22,15 mL/menit menunjukkan adanya variasi fungsi ginjal yang cukup luas antarindividu. Secara kategorikal, hanya 28,4% partisipan memiliki fungsi ginjal normal, sementara sebagian besar menunjukkan penurunan fungsi ginjal ringan (49,5%) dan penurunan sedang (22%), tanpa ditemukan kasus penurunan berat maupun gagal ginjal. Analisis distribusi menunjukkan variasi nilai eGFR berdasarkan jenis kelamin, dengan kecenderungan nilai yang lebih rendah dan distribusi yang lebih luas pada perempuan. Temuan ini menunjukkan bahwa gangguan fungsi ginjal dapat terjadi pada populasi yang secara klinis tampak sehat dan tidak selalu terdeteksi melalui parameter kreatinin saja. Oleh karena itu, skrining fungsi ginjal berbasis komunitas dengan pendekatan PDCA terbukti efektif dalam mendeteksi perubahan fungsi ginjal secara dini. Integrasi kegiatan ini dengan edukasi kesehatan dan intervensi promotif-preventif menjadi penting untuk mencegah progresivitas penyakit ginjal dan meningkatkan kualitas hidup masyarakat.
Comparison of Systemic Inflammatory Parameters with Anatomical Pathology Results in Differentiating Benign Prostatic Hyperplasia with and without Inflammation: Cross-Sectional Analytics Andreas Stefan Layardi; Rosadi Putra
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1732

Abstract

Chronic inflammation plays an important role in pathogenesisbenign prostatic hyperplasia (BPH). Anatomic pathology examination is the standard for detecting prostate inflammation, but it is invasive. Systemic inflammation parameters based on peripheral blood counts have the potential to be non-invasive biomarkers. Comparing inflammatory parameters based on peripheral blood counts NLR, PLR, MLR, SII and SIRI with Anatomical Pathology results in comparing BPH with and without inflammation. This research is an analytical cross-sectional study in BPH patients with and without inflammation based on the results of Anatomical Pathology. A total of 334 patients were included in this study, and the sampling technique used was consecutive sampling. Parametersneutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), monocyte to lymphocyte ratio (MLR), systemic immune-inflammation index (SII), andsystemic inflammatory response index (SIRI) were analyzed and compared between groups. AnalysisReceiver Operating Characteristic (ROC) is used to determine the valuecut-off optimal. The median age of patients was relatively homogeneous. In the BPH group with inflammation, Total leukocyte count, absolute neutrophil count, and absolute monocyte count were higher, while absolute lymphocyte count was lower. All systemic inflammation parameters (NLR, PLR, MLR, SII, and SIRI) were significantly higher in the inflammation group (p < 0.001). SII showed the highest AUC value (0.840), followed by NLR (0.829) and SIRI (0.822). Based on our research, it can be concluded that systemic inflammatory parameters have the potential to be used as non-invasive biomarkers to determine whether a person has BPH with inflammation or not.