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All Journal Indonesian Journal of Urology Jurnal Locus Penelitian dan Pengabdian
Rosadi Putra, Rosadi
Department of Urology, Faculty of Medicine/Padjajaran University, Hasan Sadikin General Hospital, Bandung.
Aerospace Engineering Automotive Engineering Decision Sciences, Operations Research & Management Electrical & Electronics Engineering Health Professions Mathematics Medicine & Pharmacology Public Health

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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.
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.
Co-Authors Aziel, Disya Gwyneth Dinali, Diana Ferry Safriadi Gunaidi, Farell Christian P. Wajdi, Rifki Santoso, Alexander Halim Sawkar Vijay Pramod