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BODY MASS INDEX RELATIONS WITH THE DIFFICULTIES AND COMPLICATIONS OF PERCUTANEOUS NEPHROLITHOTOMY Prapiska, Fauriski Febrian; Hardjowijoto, Sunaryo; Soebadi, Doddy M; Djojodimedjo, Tarmono
Indonesian Journal of Urology Vol 23 No 2 (2016)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v23i2.255

Objective: To identified outcomes and complications of percutaneous nephrolithotomy (PCNL) in patients of various body mass indices (BMI) to determine the safety of this procedure in patients with elevated BMI.Material & methods: The analytic observational prospective study of patients who underwent PCNL between February to July 2015 in the operating room Soetomo General Hospital Surabaya. Specifically, BMI, stone-free rates, difficulties duringsurgery, complications, and Clavien score were assessed. We evaluate the independent contribution of BMI as a predictor of outcomes. Results: There were 35 selected patients with kidney stone and planned to PCNL, 20 patients were included and 15 patients were excluded from this study. The patients consisted of 10 men (50%) and 10 women (50%). Mean age was 47.55 years (range 33-75). There were 4 patients with diabetes (20%), and 10 patients with hypertension (50%). Mean stone size was 23.30 mm. Stone location was 11 patients (55%) in the right kidney, and 9 patients (45%) in the left. There were 12 patients (60%) with a single stone, and 8 patients (40%) with multiple stones. BMI values were distributed as follows,underweight 1 patient (5%), normoweight 7 patients (35%), overweight 6 patients (30%), obesity 6 patients (30%). Mean skin to stone distance (SSD) was 87.56 mm. Stone free rate was 55%, and difficulties during surgery only seen in 1 patient (5%) bleeding profusely and open surgery was performed. Clavien score in these patients were grade I in 11 patients (55%), grade II in 7 patients (35%), and grade IIIB in 2 patients (10%). The BMI had no significant effect with Intra operative and postoperative difficulties (0.390. p <0.05. CI 95%). However the lower stone free rate had significant effect (0.040. p <0.05. CI 95%).Conclusion: BMI had no significant effect with Intraoperative and postoperative difficulties in PCNL.However, the lower stone-free rate risk associated with elevated BMI was significant.

CHARACTERISTICS OF RENAL CANCER PATIENTS IN HAJI ADAM MALIK GENERAL HOSPITAL MEDAN IN THE YEAR 2011 -2015 Kurnia, Riyan Adi; Kadar, Dhirajaya Dharma; Prapiska, Fauriski Febrian
Indonesian Journal of Urology Vol 25 No 1 (2018)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v25i1.328

Objective: The aim of this study is to identity the characteristics of kidney cancer patients at Haji Adam Malik Hospital between 2011 and 2015. Material & methods: This is a retrospective descriptive study of all kidney cancer patients treated at Haji Adam Malik Hospital between 2011 and 2015. Individual patient data was collected from medical record and compiled. Results: Between 2011 and 2015, there were 38 patients diagnosed with kidney cancer treated at Haji Adam Malik Hospital. The patients mean age is 48.26 ± 14.68 years, with a male to female ratio 1.7:1. Histological type found in the study was RCC (57.15%), urothelium based (19.05%), sarcoma variant (14.28%) and benign kidney tumor (9.52%). Clear cell RCC (58.3%) is the most common type of RCC. Based on the TNM classification, patients with kidney tumor of stage II, stage III and stage IV are 15.8%, 10.5% and 73.7% respectively. The treatment modalities for kidney cancer are nephrectomy (44.7%), nephroureterectomy (2.6%), biopsy (8.0%) and inoperable patients or treatment refusal (44.7%). The mortality rate of kidney cancer patients was 81.5%. Conclusion: Mean age of kidney cancer patients at Haji Adam Malik Hospital was lower than that reported in literature. Gender ratio was found similar as seen in literature. The ratio of histological type was differ, but we still found RCC as the most common type of kidney malignancies. Higher number of patients presented at advance stage at diagnosis and refusal to treatment may contribute to the high mortality rate in this study.

PROSPECTIVE STUDY: COMPARISON OF PRONE AND SUPINE POSITION IN PERCUTANEOUS NEPHROLITHOTOMY (PCNL) AT ADAM MALIK HOSPITAL MEDAN Maharddhika, Manggala; Kadar, Dhirajaya Dharma; Prapiska, Fauriski Febrian
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.573

Objective: This prospective study aims to compare the outcomes of PCNL with prone position compared to the supine position. Material & Methods: A total of 57 patients treated with PCNL from January 2017-December 2017 were included in the study. Inclusion criteria include patients with kidney stones greater than 20 mm in size measured with KUB imaging (Kidney-Ureter-Bladder) or abdominal NCCT (Non Contrast Computed Tomography) who were willing to be treated with PCNL. The exclusion criteria were patients younger than 17 years of age, patients who refused to surgery, patients with history of PCNL on the same side, patients with blood clotting disorders, pregnancy, and kidney stone in patients with congenital kidney disorders. Patients were randomized to undergo PCNL with prone or supine position. A total of 29 patients were treated with PCNL in prone position and 28 patients were treated in supine position. Data on patient characteristics, puncture location, number of puncture, use of post PCNL nephrostomy, duration of surgery, presence or absence of residual stones measuring ≥5 mm in size, total complications, postoperative fever, sepsis, bleeding requiring transfusion, retroperitoneal hematoma, pleural effusion, intestinal injury, and the difference between hemoglobin count before and after surgery was compared between the two groups. Results: There were no significant differences observed in terms of number, sex, age, BMI, stone size, hydronephrosis, and comorbidities in patients of both groups. Stone free rate in PCNL with prone position and supine position is 82.8% and 92.9% respectively. Significant comparisons were observed on differences in the mean duration of surgery in which PCNL duration of surgery with the prone position was 150 minutes whereas the supine position took 130 minutes (p=0.003). There were no significant differences between successful puncture, total complications, postoperative fever, sepsis, and bleeding requiring transfusion. There were no patients who had pleural effusion, intestinal injury, or death in this study. Conclusion: PCNL in supine position has the same effectiveness and safety as PCNL in prone position. The Stone free rate is higher in PCNL performed in supine position. The duration of PCNL surgery in supine position is significantly shorter than the PCNL prone position.

PROSPECTIVE STUDY: COMPARISON OF PRONE AND SUPINE POSITION IN PERCUTANEOUS NEPHROLITHOTOMY (PCNL) AT ADAM MALIK HOSPITAL MEDAN Maharddhika, Manggala; Kadar, Dhirajaya Dharma; Prapiska, Fauriski Febrian
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.573

Objective: This prospective study aims to compare the outcomes of PCNL with prone position compared to the supine position. Material & Methods: A total of 57 patients treated with PCNL from January 2017-December 2017 were included in the study. Inclusion criteria include patients with kidney stones greater than 20 mm in size measured with KUB imaging (Kidney-Ureter-Bladder) or abdominal NCCT (Non Contrast Computed Tomography) who were willing to be treated with PCNL. The exclusion criteria were patients younger than 17 years of age, patients who refused to surgery, patients with history of PCNL on the same side, patients with blood clotting disorders, pregnancy, and kidney stone in patients with congenital kidney disorders. Patients were randomized to undergo PCNL with prone or supine position. A total of 29 patients were treated with PCNL in prone position and 28 patients were treated in supine position. Data on patient characteristics, puncture location, number of puncture, use of post PCNL nephrostomy, duration of surgery, presence or absence of residual stones measuring â‰¥5 mm in size, total complications, postoperative fever, sepsis, bleeding requiring transfusion, retroperitoneal hematoma, pleural effusion, intestinal injury, and the difference between hemoglobin count before and after surgery was compared between the two groups. Results: There were no significant differences observed in terms of number, sex, age, BMI, stone size, hydronephrosis, and comorbidities in patients of both groups. Stone free rate in PCNL with prone position and supine position is 82.8% and 92.9% respectively. Significant comparisons were observed on differences in the mean duration of surgery in which PCNL duration of surgery with the prone position was 150 minutes whereas the supine position took 130 minutes (p=0.003). There were no significant differences between successful puncture, total complications, postoperative fever, sepsis, and bleeding requiring transfusion. There were no patients who had pleural effusion, intestinal injury, or death in this study. Conclusion: PCNL in supine position has the same effectiveness and safety as PCNL in prone position. The Stone free rate is higher in PCNL performed in supine position. The duration of PCNL surgery in supine position is significantly shorter than the PCNL prone position.

Blood cell count is not a significant predictor of survival in bladder cancer after radical cystectomy Andy, Andy; Prapiska, Fauriski Febrian; Siregar, Ginanda Putra; Warli, Syah Mirsya; Sihombing, Bungaran
Universa Medicina Vol. 40 No. 2 (2021)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2021.v40.151-159

BackgroundRadical cystectomy (RC) is the gold standard treatment for muscle-invasive bladder carcinoma. A predictive factor is needed for the aggressive approach as it could lead to overtreatment. Elevated blood cell count (BCC) markers are reported to have a significant association with poor outcomes in several types of malignancy. Neutrophil-to-lymphocyte-ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are well-known inexpensive and effective representative markers of inflammatory conditions. This study aimed to determine the BCC as a predictive factor of overall survival (OS) in patients with bladder carcinoma (BC) after RC. MethodsA retrospective cohort study was conducted involving 26 patients who had undergone RC. The demographic characteristics and BCC markers such as hemoglobin (Hb). NLR, PLR and lymphocyte/monocyte ratio (LMR) were collected. The patients were categorized based on the BCC marker value (Â³ median and < median). Kaplanâ€“Meier survival analysis was done to determine overall survival (OS) on BCC markers. The association between patient demographics and one-year survival was also determined using Mantel-Cox (Log-rank) method. ResultsAmong the 26 patients, the mean age was 55.6 Â± 12.9 years. On univariate analysis, none of the demographic characteristics was found to be a significant predictor of one-year and overall survival (p>0.05). Hemoglobin, NLR, PLR and LMR were not significant predictors of one-year survival and OS (p>0.05). ConclusionsThe BCC was not a significant predictive factor of survival in patients with bladder cancer after radical cystectomy.

PERCUTANEOUS CYSTOLITHOLAPAXY AS AN ALTERNATIVE APPROACH FOR GIANT BLADDER STONES: A CASE SERIES OF PATIENTS WITH SIGNIFICANT COMORBIDITIES Prasetya Adhyatma, Kharisma; Febrian Prapiska, Fauriski
Indonesian Journal of Urology Vol 29 No 1 (2022)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v29i1.722

Objective: We reported two giant bladder stones cases, with significant comorbidities and mentally impaired patients, treated with PCCL. Case(s) Presentation: We report two cases of giant cystolithiasis (sized 8.8 cm x 7.2 cm and 7.0 cm x 5.8 cm) in male patients with impaired renal functions and mental illness. We performed PCCL on both patients with cystoscopy-guided bladder puncture and dilation, under spinal anesthesia. Stone fragmentation through transurethral (pneumatic) and percutaneous (suprapubic amplatz ultrasound) lithotriptors was performed simultaneously. Discussion: Stone fragments were evacuated through the nephroscope. These fluoroscopy-free procedures were performed under one hour. The patients were discharged on day three post-operatively without indwelling catheter. Conclusion: We performed PCCL with simultaneous transurethral fragmentation in giant bladder stone cases presenting with impaired renal functions and mental illness. We faced no significant post-operative issue. This technique, or its modified approach, is safe and applicable

Prevalensi Disfungsi Ereksi pada Pesepeda Usia 25-55 Tahun di Kota Medan Muhammad Fahmi Ikram; Syah Mirsya Warli; Fauriski Febrian Prapiska; Dhirajaya Dharma Kadar
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Latar belakang. Disfungsi ereksi merupakan penyakit seksual dan menimbulkan dampak yang signifikan dalam mempengaruhi kualitas hidup seorang pria. Disfungsi ereksi sendiri didefinisikan sebagai ketidakmampuan yang konsisten atau berulang untuk mencapai dan / atau mempertahankan ereksi penis yang cukup untuk kepuasan seksual, termasuk kinerja seksual yang memuaskan. Secara global, prevalensi disfungsi ereksi diperkirakan sekitar 3â€“76,5%. Eropa merupakan benua dengan prevalensi disfungsi ereksi tertinggi (10-76,5%), diikuti Asia (8-71,2%), Oceania (40,3-60,69%), Afrika (24-58,9%), Amerika Utara (20,7-57,8), dan yang terendah terdapat di Amerika Selatan (14-55,2). Pada studi yang dilakukan di Kota Jakarta didapati prevalensi disfungsi ereksi di Kota Jakarta pada 255 sampel pria berumur 20-80 tahun sebanyak 36,5 % dengan rincian 22,3% pada disfungsi ereksi ringan, 13,7% ringan ke sedang, 3,1% sedang, dan 0,8% berat. Faktor-faktor yang dapat menyebabkan disfungsi ereksi bersifat multifaktoral, diantaranya Diabetes Melitus, Hipertensi, peningkatan usia, penyakit jantung, dan penggunaan obat-obatan yang mempengaruhi fungsi ereksi. Namun, penurunan aliran darah dan neuropati saraf pudendal karena kompresi di perineum pada saat bersepeda merupakan faktor risiko yang juga dapat menyebabkan gangguan pada fungsi ereksi sehingga berujung pada disfungsi ereksi. Tujuan. Penelitian ini bertujuan untuk mengetahui prevalensi pada pesepeda dengan usia 25-55 di Kota Medan. Metode. Penelitian yang dilakukan bersifat deskriptif dengan desain cross sectional. Sampel pada penelitian ini adalah pesepeda di Kota Medan yang memenuhi kriteria inklusi dan eksklusi. Teknik pengambilan data adalah Consecutive sampling. Hasil. prevalensi DE pada pesepeda usia 25-55 tahun di kota medan sebesar 20% yang dinilai dengan skoring IIEF-5 pada total sampel 95 pesepeda (100%). Kesimpulan. terdapat sebesar 20% kejadian DE pada pesepeda usia 25-55 tahun di kota Medan.

Emergency Profile of Pediatric Patients Based on Pediatric Early Warning Score in the Emergency Department of the Adam Malik Hospital Danau Arta, Grace; Malisie, Ririe Fachrina; Wahyuni, Arlinda Sari; Prapiska, Fauriski Febrian; Siregar, Irma Sepala Sari
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 6 No. 2 (2024): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v6i2.14952

Background: High morbidity and mortality rates in pediatric patients indicate the necessity of a Pediatric Early Warning Score (PEWS) capable of early clinical deterioration identification and providing an opportunity for healthcare professionals to promptly manage patients. This study aimed to serve as foundational data and as an evaluative tool to enhance the proficiency of healthcare workers in assessing patient deterioration. Methods: This study utilized a descriptive method with a cross-sectional design and consecutive sampling technique who were treated from January to December 2022. Results: there were 119 samples, the majority of gender was male (54.6%), the majority of the age group was 1-4 years old (37.8%), and the majority of the disease group was infection (31.1%). Both male and female majority had green PEWS (54.6%) and (45.4%), the majority of patients with an age range of 1 month to 5 years had red PEWS, the majority of infectious disease group had green PEWS, and the majority of patients with green PEWS had discharge outcome. Conclusion: This study provides an overview of characteristics in pediatric patients and shows the majority of pediatric emergency department patients come with non-emergency conditions.

Spontaneous resolution of haematuria and clot retention after covid-19: a case report Wijaya, William Saputra; Prapiska, Fauriski Febrian; Sigumonrong, Yacobda Hamonangan; Adhyatma, Kharisma Prasetya
Medistra Medical Journal (MMJ) Vol 1 No 2 (2024): Medistra Medical Journal (MMJ)
Publisher : Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/mmj.v1i2.2062

COVID-19 has been associated with a hypercoagulable state which leads to an increase risk of thromboembolic events in blood vessels. The nature of renal manifestation of COVID-19 usually involves microvascular thrombosis resulting kidney injury. Major renal artery thrombosis in COVID-19 is considered quite rare. We present a case of a patient with recurrent haematuria and clot retention post PCNL for nephrolithiasis with an spontaneous resolution of complaints after infection with COVID-19. The patient was found to have a high D-dimer, fibrinogen values, and an elevated partial thromboplastin time. We reviewed existing literature to assess whether or not these events are related to one another

Comparison of the effectiveness of the antibiotics Fosfomycin and levofloxacin in acute cystitis: a systematic review and meta-analysis Fauzi Farhat, Muhammad; Mirsya Warli, Syah; Dharma Kadar, Dhirajaya; Febrian Prapiska, Fauriski
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 5 (2022): KESANS : International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v1i5.47

Urinary tract infection or UTI is an infection caused by microorganisms that grow in the human urinary tract. Cystitis is a urinary tract infection (UTI) in the bladder (Li & Lesli, 2018). According to the National Kidney and Urological Diseases Information Clearinghouse or NKUDIC, urinary tract infections are the second most common infectious disease after respiratory tract infections, and 8.3 million cases are reported annually. Urinary tract infections can affect patients ranging from new-borns to the elderly. The main treatment for urinary tract infections is treatment using antibiotics according to the 2015 Guidelines on Urological Infections of the European Association of Urology (EAU). Fosfomycin is the main therapy for the treatment of cystitis while levofloxacin is an alternative therapy. Fosfomycin is the main therapy for cystitis, but the drug that is commonly found on the market is levofloxacin. Purpose. This study aims to compare the effectiveness of the antibiotic Fosfomycin with levofloxacin in acute cystitis. method. This meta-analysis research uses various literature sourced from Cochrane, PubMed, Google Scholar, and ScienceDirect. A literature search using the keywords “Fosfomycin” and “levofloxacin” and “cystitis” and “acute”. This research uses the Review Manager 5.4 application. Results. Fosfomycin is more effective against E. coli bacteria, but levofloxacin is more effective against Fosfomycin on S. saprophyticus bacteria. E. coli bacteria are more resistant to levofloxacin than Fosfomycin, but Fosfomycin is more resistant to S. saprophyticus bacteria than levofloxaci.

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