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All Journal Medical Journal of Indonesia Indonesian Journal of Urology eJournal Kedokteran Indonesia
Harrina E. Rahardjo
Department Of Urology, Faculty Of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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PREVALENCE OF SEXUAL DYSFUNCTION IN MEDICAL AND NON-MEDICAL PROFESSION WOMEN Satyawan, Yopie T.; Rahardjo, Harrina E.
Indonesian Journal of Urology Vol 21 No 1 (2014)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v21i1.17

Abstract

Objective: The study was conducted to determine the prevalence of sexual dysfunction and the factors affecting the medical and non-medical profession women using of Female Sexual Function Index (FSFI) as an assessment instrument. Material & Method: Respondents were women aged ≥ 18 years that consist of medical groups, working in the field of health care (doctors, nurses, pharmacists, hospital staff), and non-medical groups that have regular sexual partner and sexually active for 3 months. Data was taken with the Female Sexual Function Index (FSFI), translated into Indonesian. Results: There are 206 respondents consisting of 103 people medical and 103 people non-medical group. Mean age was 32.92 ± 7.23 respondents in the youngest age of 21 years and the oldest 53 years. Most respondents (75.2%) were well educated (graduate diploma) with a long marriage has a range of 6-372 months. The majority of respondents (94.2%) married one time. The overall prevalence of sexual dysfunction (FSFI total score < 55) in the study was 9.2%. Statistically, there was no significant difference in the prevalence of sexual dysfunction (p > 0.05) between the medical groups 12,6% when compared to non-medical group (5.8%). Most interference was in the domain of satisfaction (34.0%) in the medical group and 27.2% in non-medical. Conclusion: The medical profession has high potential to experience sexual dysfunction. Night shifts were associated with the prevalence of sexual dysfunction in healthcare workers. Other factors were not found to be related to sexual dysfunction.Keywords: Sexual dysfunction, factors that affect sexual function.
URODYNAMICS UTILITY PATTERN AMONG INDONESIAN UROLOGISTS johanes, charles; Wibisono, Elita; Rahardjo, Harrina Erlianti
Indonesian Journal of Urology Vol 23 No 1 (2016)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v23i1.201

Abstract

Objective: Aim of this study was to describe urodynamic utility pattern among Urologists in Indonesia especially in treating lower urinary tract symptoms (LUTS), urinary retention, overactive bladder (OAB), stress urinary incontinence (SUI) and urologic pediatric cases. Materials & methods: Subjects were Indonesian Urologists who attended urological scientific meetings or workshop in Jakarta between February-July2014. They were given questionnaires about urodynamics and its indications. Results: One hundred and eight Urologists completed and returned the questionnaires out of 303 Urologists in Indonesia. Thirty eight Urologists worked at hospitals where urodynamic machine is available, the rest sent their urodynamic cases elsewhere. Most of Urologists ordered urodynamics for LUTS patients with neurological deficit (84.3%) and weak anal sphincter tone/bulbocavernosus reflex (62.0%). In OAB cases, urodynamics was used in cases with failure of medical therapy (70.4%) and neurological deficit (68.5%). Two most common indication criterias in SUI cases were failure of conservative therapy (70.4%) and mixed incontinence cases (SUI with OAB) (60.2%). Neurological deficit (66.7%) and urinary incontinence (26.9%) were the most frequent urodynamic indications applied in children. Conclusion: We described the urodynamic utility pattern among Indonesian Urologists. Availability of urodynamic machine, patient economic capabilities, guideline availability on urodynamics could be the factors affecting this pattern.
PATIENT PERCEPTION RELATED TO URODYNAMIC TESTING: A QUESTIONNAIRE BASED STUDY Astram, Ari; Rahardjo, Harrina Erlianti
Indonesian Journal of Urology Vol 25 No 2 (2018)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v25i2.405

Abstract

Objective: Urodynamic test is a series of test to evaluate the bladder function including voiding and storage physiology. Several previous studies have found that urodynamic testing had association with physical and emotional discomfort. The primary goal of this study was to determine the parameters of anxiety, pain, and shame related to urodynamic testing. Material & Method: From June 2014 to June 2015, a total of 57 consecutive patients who underwent urodynamic study were included in the present study, consisting of 20 men and 37 women. They have completed the questionnaire before and after urodynamic study. Patients were requested to answer four questions related to pain, embarrassment, anxiety, and knowledge related to urodynamic test. Results: Overall, most of the patients felt not at all and nearly not anxious before urodynamic study. Thirty percent of patient thought that there would be moderate pain when the urodynamic test is performed. Majority of patients (68% of patients) felt no embarrassment prior to the test. Overall, patients felt better after urodynamic study in terms of anxiety and pain. Parameter of embarrassment significantly increased after the test. Patient perception of anxiety and pain before urodynamic test are not significantly different with perception after urodynamic test. Conclusion: Urodynamic tests are very well tolerated by men and women. Majority of patients felt better after urodynamic test according to pain and anxiety score. No statistical difference in level of pain and anxiety between before and after the procedure, while parameter of embarrassment was significantly higher after the test was done.
FIRST EXPERIENCE IN VIDEOURODYNAMIC STUDY AT CIPTO MANGUNKUSUMO HOSPITAL IN 2012-2014 Tambunan, Nicholas Albert; Rahardjo, Harrina E
Indonesian Journal of Urology Vol 26 No 2 (2019)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v26i2.464

Abstract

Objective: Accuracy of diagnosis is a fundamental thing in terms of plan of treatment. Nowadays, symptoms from lower urinary tract can be diagnosed accurately with videourodynamic study (VUDS). Videourodynamic combines a fluoroscopic voiding cystourethrogram with multichannel urodynamics, allowing anatomic and functional assessment of the bladder and outlet. Material & Methods: This research is a descriptive retrospective. Data was taken from the patients who underwent VUDS at Department of Urology Cipto Mangunkusumo Hospital from 2012 to 2014. Patient’s  characteristics were gender, age, chief complaint, working diagnosis pre investigation, and diagnosis after VUDS was performed. Then, data was analyzed in a descriptive fashion and presented using tables and narative form. Results: There were 8 male patients (67%) and 4 female (33%) who underwent VUDS. Most of the patients were children (75%). Five patients (42%) complained about incontinence with or without other LUTS, only 1 patient (8%) had LUTS and disuria. Overall, working diagnosis pre investigation was neurogenic bladder with various causes. We found a variable diagnoses after VUDS. At filling phase, we found 7 patients (58%) with small bladder capacity, 5 patients (42%) with low bladder compliance then followed respectively by overflow incontinence (33%), detrusor overactivity (17%) and urethral sphincter incompetence (8%). At voiding phase, the most common abnormality detected were detrusor underactivity (42%), followed by infravesical obstruction (8%). VUR was found both at filling phase (42%) and voiding phase (33%). Conclusion: VUDS could be the first choice of modality for diagnosing dysfunction of lower and upper urinary tract especially in neurogenic cases.  
The LOWER URINARY TRACT SYMPTOMS IN ANURIA AND NON-ANURIA PATIENTS AFTER RENAL TRANSPLANTATION: A COMPARATIVE STUDY Rahmita, Maulidina Medika; Harrina Erlianti Rahardjo; Arry Rodjani; Nur Rasyid
Indonesian Journal of Urology Vol 28 No 2 (2021)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v28i2.661

Abstract

Objective: The purpose of this study is to examine the difference of lower urinary tract (LUT) symptoms in anuric and non-anuric individuals after renal transplantation (RT). Material & Methods: LUT function and symptoms were assessed in subjects who had undergone RT at Cipto Mangunkusumo General Hospital, Jakarta, from November 2016 to June 2017. Subjects were divided into anuric and non-anuric groups. We excluded patients with surgical complications that could not undergo uroflowmetry. Results: Thirty-two (21 male, 11 female) subjects were recruited in this study. The anuric subjects were younger than the non-anuric ones (47 ± 12.82 vs. 51.31 ± 16.33, p < 0.001) There were no significant differences in the International Prostate Symptoms Score (IPSS) (6.5 ± 3.67 vs. 6.25 ± 2.95, p = 0.567), Overactive Bladder Symptoms Score (OABSS) (4.06 ± 2.01 vs 4.12 ± 2.39, p = 1.000), maximum urinary flow rate (Qmax) (20.32 ± 9.04 vs. 22.32 ± 10.31, p = 0.956), post-void residual (PVR) (41.12 ± 37.63 vs. 47.62 ± 38.63, p = 0.361) and voided volume (227.88 ± 112.30 vs 251.06 ± 126.75, p = 0.588) between anuric and non-anuric subjects, respectively. IPSS-voiding symptom, IPSS-storage symptom, and OAB symptom did not differ significantly between both groups (p > 0.05). Thirteen (13/16) and seven (7/16) subjects of the anuric and non-anuric groups were both pleased with their quality of life, respectively. Conclusion: LUT symptoms do not differ between anuric and non-anuric patients.
PREVALENCE OF LOWER URINARY TRACT SYMPTOMS POST KIDNEY TRANSPLANTATION AND ITS URODYNAMIC PROFILE Islianti, Putri Iradita; Rahardjo, Harrina Erlianti; Rasyid, Nur; Rodjani, Arry
Indonesian Journal of Urology Vol 28 No 2 (2021)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v28i2.683

Abstract

Objective: This study aimed to describe the urodynamic characteristics of post-transplant kidney patients with LUTS who were indicated for urodynamics. Material & Methods: This research is a cross-sectional study conducted at Cipto Mangunkusumo General Hospital between 2011-2017. Data were collected from patients who had undergone urodynamic examination after kidney transplantation due to LUTS/urinary retention. Data were collected from the patient’s medical record. Results: A total of 536 patients underwent kidney transplants at Cipto Mangunkusumo General Hospital from 2011-2017. Eleven patients (2%) developed LUTS and then underwent urodynamic examination with an average age of 41.4 (30.1 ± 52.6) years. Six patients (55%) had type 2 diabetes mellitus (DM) and 5 patients (45%) had hypertension (HT). A total of 6 out of 11 patients (54%) experienced urinary retention of which 4 subjects (67%) had decreased bladder compliance, 4 (67%) patients experienced detrusor overactivity (DO), 3 patients (50%) had bladder outlet obstruction (BOO), while 2 patients (33%) experienced detrusor underactivity (DU) respectively. Of 5 patients without urinary retention, decreased bladder compliance was found in 1 patient (20%), DO in 2 patients (40%), BOO in 1 patient (20%), and no subject experienced DU. In both groups, no subject was discovered to experience any urinary incontinence. Conclusion: Small number of post renal transplantation patients developed LUTS and half of which accompanied by urinary retention. Among these patients, urodynamic examination revealed detrusor overactivity as the most common underlying problem followed by decreased bladder compliance, BOO, and detrusor underactivity
Role of Hydrodistention and Intravesical Hyaluronic Acid in Treatment of Bladder Pain Syndrome: Case Report Fanny Riana Ridwan; Bagus Baskoro Yusuf; Harrina Erlianti Rahardjo
eJournal Kedokteran Indonesia Vol 11, No. 1 - April 2023
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.11.237.68

Abstract

Bladder pain syndrome (BPS) causes decreased mental and physical quality of life. The diagnosis and treatment of BPS must be made effective; however, the treatment of BPS was still not satisfactory for most patients. Two cases of BPS were presented to the urology clinic and were treated with a combination of hydrodistention and intravesical hyaluronic acid (HA) periodically. After 3-8 hydrodistension and hyaluronic acid instillation, the patients showed symptom improvement indicated by O’Leary Sant Questionnaire (symptom score 19-21 before treatment became 3-4 after treatment, problem score 8-16 before treatment became 0-2 after treatment), visual analogue scale (7-10 before treatment to 3-4 after treatment), and the global response assessment (GRA) scale were markedly improved. Both patients had glomerulations during cystoscopy, and the second had Hunner Lesion. A pathological examination of bladder biopsy specimens indicated acute and chronic inflammatory cell infiltration. The combination of hydrodistention and intravesical HA was beneficial for treating BPS in this study. Further study such as a clinical trial is needed to prove the efficacy and safety of this treatment.
CORRELATION OF FEMALE SEXUAL DYSFUNCTION WITH OCCUPATIONAL BURNOUT IN MARRIED NURSE Ali, Zulfikar; Aulia, Kindy; Rahardjo, Harrina Erlianti
Indonesian Journal of Urology Vol 32 No 3 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i3.956

Abstract

Objective: This study aims to see the correlation between occupational burnout and sexual dysfunction in Indonesian female nurses. Material & Methods: A cross sectional study was conducted in Kardinah General Hospital, Tegal, Central Java, Indonesia between January 2022, and March 2022. An anonymous, self-administered online questionnaire was used. Our study subjects are female nurses from outpatient clinics, inpatient wards, high/intensive care unit, emergency unit, and operating theater. We distributed online questionnaires to female nurses who matched our inclusion and exclusion criteria. Occupational burnouts among nurses were assessed using Copenhagen Burnout Inventory (CBI), while Female sexual dysfunction (FSD) was assessed using Female Sexual Function Index (FSFI). Statistical analysis was conducted using IBM SPSS software ver 25.0. Results: A total of 285 nurses participated as samples of this study, 164 nurses (57.54%) were in the low workload group and 121 nurses (42.46%) in the high workload group. The prevalence of sexual dysfunction in female nurses in this study was as high as 87.7% While occupational burnout in high and low workload nurses in our study was 42.2% and 19.5%, respectively. The analysis shows a significant negative correlation between CBI score, sub scores, and burnout status to FSFI score (p < 0.05) although these correlations were weak. Our data proved that there were no independent variables that can become a predictor variable. Conclusion: Married female nurses have a relatively high occupational burnout and are prone to sexual dysfunction. This study showed statistically significant but weak correlation between occupational burnout with sexual dysfunction in married female nurses from the CBI total score, subscores and burnout status with FSFI total score and subscores in terms of lubrication, orgasm, satisfaction, and pain. Keyword: Female sexual dysfunction, occupational burnout, married, nurse, CBI, FSFI.
Kegel exercises with a guidebook for stress urinary incontinence treatment Hakim, Surahman; Santoso, Budi Iman; Rahardjo, Harrina Erlianti; Setiati, Siti; Kusumaningsih, Widjajalaksmi; Prihartono, Joedo; Ibrahim, Nurhadi; Indriatmi, Wresti; Erwinanto
Medical Journal of Indonesia Vol. 33 No. 2 (2024): June
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.247142

Abstract

BACKGROUND Stress urinary incontinence (SUI) is uncontrollable urine leakage when intra-abdominal pressure increases. Behavioral therapy with Kegel exercise is currently the best conservative management recommendation for treating SUI patients. This study aimed to investigate the success of supervised Kegel exercises using the Kegel exercises guidebook in women with SUI. METHODS This quasi-experimental study involved both groups being taught the same regiment of Kegel exercises, but the intervention group was given the Kegel exercises guidebook. After 12 weeks, the compliance, subjective, and objective success rates were evaluated through the patient’s notes, Urinary Distress Inventory-6, Incontinence Impact Questionnaire-7, perineometer, and pad test. RESULTS Patients with a higher level of education had lower compliance to Kegel exercises (p = 0.01; odds ratio [OR] 0.38; 0.18–0.79). No significant difference was observed in the subjective symptom improvement between the two groups. The intervention group had a significantly higher success rate based on objective success by analyzing the 1-hour pad test results. The intervention group was also more adherent (p<0.001; OR 4.78; 2.51–9.0). CONCLUSIONS Patients who received the Kegel exercises guidebook were more compliant and more objectively successful than those who did not receive the manuals.
Urodynamic parameters as predictors of percutaneous tibial nerve stimulation outcomes in overactive bladder patients Indraswari, Madhyra Tri; Rahardjo, Harrina Erlianti; Seno, Doddy Widyawan Hami; Mirza, Hendy; Afriansyah, Andika
Medical Journal of Indonesia Vol. 34 No. 4 (2025): December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.257836

Abstract

BACKGROUND Percutaneous tibial nerve stimulation (PTNS) is an emerging overactive bladder (OAB) treatment. However, some patient characteristics can affect its effectiveness. Urodynamic studies help diagnose OAB by evaluating bladder function. This study aimed to identify prognostic factors for PTNS treatment based on urodynamic parameters. METHODS A retrospective study was performed on 108 patients with OAB who underwent PTNS at Persahabatan Hospital, Jakarta, Indonesia, between January 2022 and January 2023. Patients with primary OAB received an 8-week PTNS regimen and were grouped into success and failure. Pre-treatment urodynamic parameters were extracted and compared between groups. Additional multivariate Cox regression analysis was performed to identify risk factors associated with PTNS failure. RESULTS Of 108 patients (mean age: 51.69 [17.5]), 77 (73.1%) responded favorably to PTNS treatment. Three significant covariates of PTNS failure were identified: initial sensation volume (hazard ratio [HR]: 6.312; 95% confidence interval [CI]: 1.94−20.49), detrusor overactivity (DO) (HR: 8.476; 95% CI: 1.89−38.095), and infravesical obstruction (IVO) (HR: 5.213; 95% CI: 1.40−19.41). CONCLUSIONS Urodynamic predictors including abnormal first sensation volume, DO, and IVO were observed as risk factors for PTNS failure. These findings can help medical professionals personalize PTNS treatment, enhancing patient outcomes and satisfaction.
Co-Authors Andika Afriansyah, Andika Ari Astram, Ari Arry Rodjani Aulia, Kindy Bagus Baskoro Yusuf Budi I Santoso, Budi I Budi Iman Santoso CHAIDIR A MOCHTAR, CHAIDIR A charles johanes, charles Dyandra Parikesit, Dyandra Elita Wibisono, Elita Erwinanto Fakhri Rahman, Fakhri Fanny Riana Ridwan Firtantyo A Syahputra, Firtantyo A Firtantyo Adi Syahputra Hafizar Hafizar, Hafizar Hariwibowo, Rinto Indraswari, Madhyra Tri Islianti, Putri Iradita Islianti, Putri Iradita Joedo Prihartono Junizaf Junizaf Matondang, Faisal Abdi Mirza, Hendy Muhammad Gozali Arif Sembiring, Muhammad Gozali Arif Muhammad I Akbar, Muhammad I Nur Rasyid Nur Rasyid Nurhadi Ibrahim Pande Made Wisnu Tirtayasa Pande MW Tirtayasa, Pande MW Partini P Trihono, Partini P Rahmita, Maulidina Medika Rendy Andika, Rendy Richman Patandung, Richman Rochani Sumardi, Rochani Seno, Doddy Widyawan Hami Septiani Hidianingsih, Septiani Siti A Nuhonni, Siti A Siti Setiati Soefiannagoya Soedarman Stefanus Cahyo Ariwicaksono, Stefanus Cahyo Stevano Lucianto Hotasi, Stevano Lucianto Surahman Hakim Tambunan, Nicholas Albert Widjajalaksmi Kusumaningsih, Widjajalaksmi Wresti Indriatmi B. Makes Yopie T. Satyawan Zulfikar Ali, Zulfikar