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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.