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All Journal Indonesian Journal of Urology
Septiani Hidianingsih, Septiani
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Health Professions Medicine & Pharmacology Public Health

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SCAPHOIDAL MEGALOURETHRA: A RARE CASE PRESENTATION Hidianingsih, Septiani; Yudha, Andre
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.v27i2.488

Abstract

Objective: To propose reduction urethroplasty as a technique for urethral reconstruction for scaphoidal megalourethra. Case(s) Presentation: A male child with the age of one year and four months was known to suffer from megalourethra when dorsumcision was done. The procedure was done starting with marking sutures at the penile gland. Disclose the penile skin as proximal as possible. When disclosed, identify the urethra and dilation was seen so as a finger could be inserted for around 2 centimeters. Urethra was incised, then excise the excess urethral tissue, suturing was done based on the 6F Folley catheter to the point where the urethra dilates. After Folley catheter was inserted, inversion suture was done on the urethra with PDS 6.0 and glanulopasty with PDS 6.0. After evaluation, urethral lumen was found not narrowed, skin was sutured with PDS 6.0. Cystostomy was inserted to divert urine and maintained until one week post-operation. Discussion: Cosmetic and functional results were good and satisfactory. Patient could urinate with no hindrance. Post-operation complication was not found. However, erectile function was difficult to obtain in pediatric patients. Conclusion: Megalourethra is a rare case that needs appropriate diagnosing and management to prevent complication. Operation technique of reduction urethroplasty was done as the chosen management for scaphoidal megalourethra. Furthermore, more in depth research with better methodology was needed to determine the outcome of patients with megalourethra.
SCAPHOIDAL MEGALOURETHRA: A RARE CASE PRESENTATION Hidianingsih, Septiani; Yudha, Andre
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.v27i2.488

Abstract

Objective: To propose reduction urethroplasty as a technique for urethral reconstruction for scaphoidal megalourethra. Case(s) Presentation: A male child with the age of one year and four months was known to suffer from megalourethra when dorsumcision was done. The procedure was done starting with marking sutures at the penile gland. Disclose the penile skin as proximal as possible. When disclosed, identify the urethra and dilation was seen so as a finger could be inserted for around 2 centimeters. Urethra was incised, then excise the excess urethral tissue, suturing was done based on the 6F Folley catheter to the point where the urethra dilates. After Folley catheter was inserted, inversion suture was done on the urethra with PDS 6.0 and glanulopasty with PDS 6.0. After evaluation, urethral lumen was found not narrowed, skin was sutured with PDS 6.0. Cystostomy was inserted to divert urine and maintained until one week post-operation. Discussion: Cosmetic and functional results were good and satisfactory. Patient could urinate with no hindrance. Post-operation complication was not found. However, erectile function was difficult to obtain in pediatric patients. Conclusion: Megalourethra is a rare case that needs appropriate diagnosing and management to prevent complication. Operation technique of reduction urethroplasty was done as the chosen management for scaphoidal megalourethra. Furthermore, more in depth research with better methodology was needed to determine the outcome of patients with megalourethra.
FACTORS ASSOCIATED WITH URETHROCUTANEOUS FISTULA COMPLICATION IN HYPOSPADIAS PATIENT AFTER URETHROPLASTY IN FATMAWATI GENERAL HOSPITAL: A RETROSPECTIVE COHORT DESIGN Hidianingsih, Septiani; Hutasoit, Yonas Immanuel
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.v29i1.751

Abstract

Objective: This study compared several factors that are thought to contribute to the incidence of complications of urethroplasty fistula after urethroplasty, including meatus location, degree of chordee, surgical technique, and postoperative stent type. Material & Methods: This study is an analytical study with retrospective cohort design. After adjusting to the inclusion and exclusion criteria, 89 subjects with proximal hypospadias were subjected to urethroplasty at Fatmawati General Hospital, Jakarta from 2016 to 2019. An analysis of the relationship between several variables and the incidence of uretrocutaneous fistula was analyzed. Results: There was no significant difference between the one-stage and two-stage urethroplasty technique on the incidence of urethrocutaneous fistula (p = 0.063). There was no significant difference between the degree of chordee and complications of urethrocutaneous fistula after urethroplasty (p = 0.677). The relationship between the use of silastic stent, catheter, or cystostomy type was also not significant in complications of urethrocutaneous fistula (p = 0.576). The location of the urethral meatus also did not have a significant role in predicting the incidence of post-urethroplasty urethrocutaneous fistula (p = 0.169). Conclusion: Surgical technique (one stage and two stages), type of stent, degree of chordee, and location of the urethral meatus, did not have a significant correlation with the incidence of urethrocutaneous fistula in hypospadias patients after urethroplasty.
Co-Authors Fakhri Rahman, Fakhri Hafizar Hafizar, Hafizar Harrina Erlianti Rahardjo, Harrina Erlianti Muhammad Gozali Arif Sembiring, Muhammad Gozali Arif Rendy Andika, Rendy Richman Patandung, Richman Stefanus Cahyo Ariwicaksono, Stefanus Cahyo Stevano Lucianto Hotasi, Stevano Lucianto Yonas Immanuel Hutasoit, Yonas Immanuel Yudha, Andre