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Ganesha Rahman Hakim
Universitas Lampung
Education Medicine & Pharmacology Neuroscience Public Health

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Serumen Prop sebagai Faktor Risiko Tuli Konduktif Ganesha Rahman Hakim; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.732

Abstract

Cerumen is a secretion found in the external auditory canal to protect the ear. Wax buildup or cerumen prop is one of the most common ear problems in the world. Deafness is a decrease in hearing even to the inability of the ears to hear. Conductive hearing loss is a type of deafness that occurs due to obstruction in the process of transmitting sound vibrations starting from the auricle to the hearing bone and ends before the vibrations are received by the auditory nerve. The impaction of cerumen on the cerumen prop can inhibit the vibration process so that hearing loss can occur. Because hearing loss occurs in the process of transmitting sound vibrations, therefore this process of hearing loss is classified as conductive hearing loss.
Wanita 58 Tahun dengan Prolaps Organ Panggul dan Gangguan Berkemih Perbaikan Pasca Operasi : Laporan Kasus Ganesha Rahman Hakim; Rodiani Rodiani
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1982

Abstract

Pelvic organ prolapse (POP) is a condition characterized by the descent of pelvic structures due to weakness of the supporting pelvic floor tissues, which is commonly found in elderly women and can cause voiding dysfunction, defecation disorders, sexual dysfunction, and decreased quality of life. This case report describes a 58-year-old woman with grade IV uterine prolapse and grade II cystocele accompanied by voiding dysfunction. Total vaginal hysterectomy (TVH) was chosen as the management because the patient was menopausal and no longer desired fertility, allowing uterine removal to correct the apical compartment while eliminating the source of prolapse. Anterior colporrhaphy was selected to repair the anterior vaginal wall defect due to pubocervical fascia weakness and to relieve mechanical obstruction of the urinary tract. The transvaginal approach was chosen due to lower morbidity, less postoperative pain, and faster recovery compared to the abdominal approach. Postoperatively, the patient showed good clinical improvement, with spontaneous voiding without straining on the second day, no major complications, and stable general condition. This case emphasizes the resolution of voiding dysfunction symptoms as the primary functional outcome, confirming that TVH and anterior colporrhaphy provide not only anatomical correction but also restoration of urinary function. Therefore, it can be concluded that appropriate surgical procedure selection based on age, hormonal status, prolapse severity, and involved compartments is essential to achieve optimal functional outcomes in patients with pelvic organ prolapse.
Co-Authors Rani Himayani Rodiani Rodiani Sangging, Putu Ristyaning Ayu