Article Per Year (5 Year)
p-Index From 2021 - 2026
2.255
P-Index
This Author published in this journals
All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Indonesian Journal of Obstetrics & Gynecology Science Jurnal Kesehatan Reproduksi Bioscientia Medicina : Journal of Biomedicine and Translational Research Andalas obstetrics and gynecology journal Indonesian Journal of Global Health research Nusantara Science and Technology Proceedings Bioscientia Medicina : Journal of Biomedicine and Translational Research Malahayati International Journal of Nursing and Health Science
Fakhrizal, Edy
Department Of Obstetrics And Gynecology, Faculty Of Medicine, Universitas Riau, Pekanbaru
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health

Published : 15 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 15 Documents
Search

 1   2 
Silent threat in early pregnancy: A case of spontaneous heterotopic pregnancy with tubal rupture Oktama, Nizan Dani; Fakhrizal, Edy
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.968

Abstract

Background: Heterotopic pregnancy (HP) is a rare but potentially life-threatening condition characterized by the coexistence of intrauterine and extrauterine pregnancies. While its incidence in natural conception is estimated at 1 in 30,000 cases, the risk increases considerably with the use of assisted reproductive technologies. Because its symptoms often mimic those of ectopic pregnancy, HP remains a diagnostic challenge, particularly in patients without recognized risk factors. Purpose: To highlight the silent yet serious threat of spontaneous heterotopic pregnancy in early gestation, illustrated by a case of tubal rupture in a natural conception. Method: A descriptive case report of a 43-year-old multigravida woman who presented at 7 weeks of gestation with sudden lower abdominal pain and clinical features of intra-abdominal hemorrhage. Diagnostic evaluation included ultrasonography and laboratory investigations, followed by an emergency laparotomy. Results: Ultrasound imaging revealed two intrauterine gestational sacs along with free fluid in the pouch of Douglas. Laboratory tests indicated anemia (hemoglobin 8.1 g/dL) and marked leukocytosis. Emergency laparotomy confirmed a ruptured right fallopian tube with massive intraperitoneal bleeding. The patient underwent right salpingectomy, left tubectomy, and intrauterine curettage at her request. Her postoperative recovery was uneventful, and she was discharged in good condition after two days. Conclusion: This case underscores the diagnostic difficulty of heterotopic pregnancy in spontaneous conceptions. The presence of an intrauterine pregnancy may create false reassurance, masking a concurrent ectopic gestation. Clinicians should consider HP in the differential diagnosis of any reproductive-aged woman with abdominal pain, regardless of conception method, to prevent life-threatening maternal complications.
Case Report: Effective Pregnancy Management in Uterus Didelphys Lubis, Munawar Adhar; Fakhrizal, Edy
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 3 November 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i3.738

Abstract

Introduction: Uterus didelphys is a rare congenital anomaly resulting from incomplete fusion of the Müllerian ducts, accounting for 10% of such anomalies. It often goes unnoticed until reproductive age, sometimes causing dyspareunia or dysmenorrhea. This anomaly is associated with increased obstetric risks, including higher rates of miscarriages, preterm births, breech presentations, and lower live birth rates. Diagnosis is typically achieved through imaging techniques such as ultrasound, hysterosalpingography, or magnetic resonance imaging. Case Report: This case study involves a 37-year-old primigravida at 34 weeks gestation presenting with premature contractions. Ultrasound revealed a singleton foetus in the breech position, and speculum examination identified two cervical os. The patient had a history of primary infertility and was diagnosed with uterus didelphysis during fertility assessments. Despite the complexities associated with this condition, she successfully conceived through artificial insemination. Her pregnancy was closely monitored, and due to the presence of labour signs and uterus didelphys condition, a planned Caesarean section was performed, resulting in the delivery of a healthy infant. Conclusion: This case underscores the importance of individualised care and continuous monitoring in managing pregnancies complicated by uterine anomalies to mitigate associated risks and improve maternal and foetal outcomes.Laporan Kasus: Managemen Efektif Kehamilan Pada Uterus DidelphysAbstrakPendahuluan: Uterus didelphys merupakan anomali kongenital langka yang disebabkan oleh fusi duktus Müllerian yang tidak sempurna, yang mencakup 10% dari anomali tersebut. Kondisi ini sering tidak disadari hingga usia reproduksi, terkadang menyebabkan dispareunia atau dismenore. Anomali ini dikaitkan dengan peningkatan risiko obstetrik, termasuk tingkat keguguran yang lebih tinggi, kelahiran prematur, presentasi bokong, dan tingkat kelahiran hidup yang lebih rendah. Diagnosis biasanya dicapai melalui teknik pencitraan seperti Ultrasonografi, histerosalpingografi, atau pencitraan resonansi magnetik.Laporan Kasus: Studi kasus ini melibatkan seorang primigravida berusia 37 tahun dengan usia kehamilan 34 minggu yang mengalami kontraksi prematur. Ultrasonografi menunjukkan janin tunggal dalam presentasi bokong dan pemeriksaan spekulum mengidentifikasi dua ostium serviks. Pasien memiliki riwayat infertilitas primer dan didiagnosis dengan uterus didelphysis selama penilaian kesuburan. Meskipun kondisi ini rumit, ia berhasil hamil melalui inseminasi buatan. Kondisi kehamilan pasien dipantau secara ketat, namun karena adanya tanda-tanda persalinan disertai kondisi uterus didelphys, maka diputuskan untuk dilakukan operasi caesar. Pasca operasi kondisi ibu dan bayi sehat.Kesimpulan: Kasus ini menggarisbawahi pentingnya perawatan individual dan pemantauan berkelanjutan dalam mengelola kehamilan yang rumit karena anomali uterus untuk mengurangi risiko dan menjaga keselamatan ibu dan bayi.Kata kunci: uterus didelphys, anomali uterus kongenital, risiko obstetrik, operasi caesar
A Simple Protocol for Managing Post-Operative Urinary Retention (POUR): An Experience and Evidence Fakhrizal, Edy; Maryuni, Sri Wahyu; Koerslo, Hamka; Novri, Dhini Aiyulie; Yuda, Dika Putra
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.4021

Abstract

Proposing a simple protocol in the management of urinary retention in postoperative patients that can provide promising results. Methods: We analyzed women who underwent pelvic organ prolapse surgery for 6 years from January 2018 to July 2023. The incidence of postoperative urinary retention was identified and we implemented a simple protocol and assessed its success rate.Result : There were 503 surgeries due to POP incidence in Arifin Achmad General Hospital, Riau Province - Indonesia for 6 years. One hundred sixteen cases (23 %) experienced POUR, with mean first residual urine was about 393 ml (110–1.200 ml). The protocol was applied, and 81 % cases revealed satisfying results. In successful group, the patients were discharged after 4±1 days. There were significant differences in the first residual urine between patients who were successfully treated with the simple protocol (350±227 ml) and patients requiring physiotherapy consultation (576±325 ml), with p = 0.005. Conclusion: Most cases of postoperative urinary retention can be managed using this protocol. So this protocol can be considered to be applied.
Analisis Faktor Risiko Prolaps Organ Panggul Pada Pasien Ginekologi di RSUD Arifin Achmad: Studi Retrospektif 2022–2025 Sihotang, Jojor; Fakhrizal, Edy; Maryuni, Sri Wahyu; Hutagaol, Imelda E.B; Bagariang, Agnes Regina; Sitangang, Clarentia; Butarbutar, Artia Martha Vania
JURNAL KESEHATAN REPRODUKSI Vol 12, No 3 (2025)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.114434

Abstract

Latar Belakang: Prolaps organ panggul (POP) merupakan kondisi ginekologis yang signifikan menurunkan kualitas hidup perempuan, terutama pada populasi lanjut usia dan multipara. Prevalensi globalnya diperkirakan mencapai 30,9% (95% CI 24,4–38,2%). Di Indonesia, khususnya di rumah sakit rujukan regional seperti RSUD Arifin Achmad Provinsi Riau, data epidemiologis komprehensif mengenai POP dan faktor risikonya masih sangat terbatas, sehingga menghambat pengembangan strategi pencegahan dan tata laksana klinis yang tepat sasaran.Tujuan: Penelitian ini bertujuan untuk mengidentifikasi dan menganalisis faktor risiko demografis dan klinis utama yang berhubungan dengan POP serta menganalisis hubungan faktor risiko dengan pola diagnosis prolaps organ panggul (sistokel, rektokel, dan prolaps uteri) pada pasien ginekologi yang ditangani di RSUD Arifin Achmad periode 2022–2025.Metode: Studi analitik potong lintang retrospektif dilakukan dengan menggunakan rekam medis pasien ginekologi yang didiagnosis POP. Variabel yang diekstraksi meliputi usia, paritas, jenis persalinan, status menopause, indeks massa tubuh (IMT), dan riwayat penyakit kronis. Data dianalisis menggunakan statistik deskriptif, analisis bivariat dengan uji chi-square, dan regresi logistik multivariat untuk menentukan faktor risiko independen.Hasil dan Pembahasan: Analisis terhadap 515 rekam medis pasien ginekologi menunjukkan bahwa diagnosis prolaps organ panggul yang paling banyak ditemukan adalah rektokel. Mayoritas pasien berada pada kelompok usia ≥50 tahun, telah memasuki masa menopause, dan memiliki status multiparitas. Temuan ini menunjukkan bahwa prolaps organ panggul bersifat multifaktorial dan lebih dipengaruhi oleh faktor obstetri.Kesimpulan: POP merupakan kondisi multifaktorial yang sangat berkaitan dengan usia, paritas, persalinan pervaginam, menopause, dan obesitas pada populasi kami. Temuan ini menggarisbawahi pentingnya langkah pencegahan terstruktur seperti pelatihan otot dasar panggul, program pengelolaan berat badan, dan edukasi pasien yang ditargetkan untuk kelompok berisiko tinggi. Studi ini menyediakan dasar bukti penting bagi pengembangan pedoman klinis dan intervensi kesehatan masyarakat di bidang uroginekologi di tingkat lokal.
Pelvic Floor Ultrasound for the Evaluation of Urethral Mobility in Women with Stress Urinary Incontinence: A Literature Review Utari, Sania; Fakhrizal, Edy
Indonesian Journal of Obstetrics & Gynecology Science Volume 9 Number 1 March 2026
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v9i1.1006

Abstract

Introduction: Stress urinary incontinence (SUI) is the most common urinary incontinence in women, mainly associated with urethral hypermobility and reduced intrinsic sphincter function. Transperineal pelvic floor ultrasound (PFU) is a minimally invasive, low-cost imaging method that quantifies urethral mobility through bladder neck descent (BND), urethral rotation angle (URA), and retrovesical angle (RVA).Objectives: To summarize available evidence on PFU diagnostic performance and its potential clinical role in identifying urethral hypermobility in women with SUI.Methods: This literature review focuses on transperineal PFU as a noninvasive approach to assess urethral hypermobility, primarily using BND, URA, and RVA measurements.Results: Multiple studies report PFU provides reproducible measurements with acceptable sensitivity and specificity for diagnosing SUI. Although cutoff values for URA and RVA vary depending on study quality and methodology, these parameters consistently serve as key indicators of urethral hypermobility. Compared with standard invasive techniques, PFU improves patient comfort, offers real-time dynamic visualization, and allows greater clinical flexibility.Conclusion: PFU is a promising adjunct for diagnosing passive urethral hypermobility and may reduce reliance on invasive tests while maintaining accuracy. Larger studies are needed to standardize protocols and validate cutoff values across diverse populations. AbstrakPendahuluan: Stress urinary incontinence (SUI) merupakan jenis inkontinensia urin yang paling sering pada perempuan, terutama berkaitan dengan hipermobilitas uretra dan penurunan fungsi sfingter intrinsik. Ultrasonografi dasar panggul (PFU) transperineal adalah metode pencitraan yang minim invasif dan berbiaya rendah untuk menilai mobilitas uretra secara kuantitatif melalui penurunan leher kandung kemih (BND), sudut rotasi uretra (URA), dan sudut retrovesikal (RVA).Tujuan: Merangkum bukti yang tersedia mengenai kinerja diagnostik PFU serta potensi perannya dalam praktik klinis untuk mengidentifikasi hipermobilitas uretra pada perempuan dengan SUI.Metode: Tinjauan pustaka ini berfokus pada PFU transperineal sebagai metode noninvasif untuk menilai hipermobilitas uretra, dengan parameter utama berupa BND, URA, dan RVA.Hasil: Berbagai studi melaporkan bahwa PFU menghasilkan pengukuran yang reprodusibel dengan sensitivitas dan spesifisitas yang dapat diterima untuk diagnosis SUI. Meskipun nilai ambang URA dan RVA bervariasi bergantung pada kualitas dan metodologi studi, kedua parameter tersebut secara konsisten menjadi indikator penting hipermobilitas uretra. Dibandingkan teknik invasif standar, PFU meningkatkan kenyamanan pasien, menyediakan visualisasi dinamis secara real-time, dan menawarkan fleksibilitas klinis yang lebih tinggi.Kesimpulan: PFU merupakan pemeriksaan tambahan yang menjanjikan untuk mendiagnosis hipermobilitas uretra pasif dan berpotensi mengurangi ketergantungan pada tes invasif tanpa menurunkan akurasi. Namun, diperlukan studi berskala lebih besar untuk menstandardisasi protokol dan memvalidasi nilai ambang pada berbagai populasi. 
Co-Authors Bagariang, Agnes Regina Budi I. Santoso Butarbutar, Artia Martha Vania Dafnil Akhir Putra Dhini Aiyulie Novri Djusad, Suskhan Fernandi Moegni Hutagaol, Imelda E.B Hutapea, Anastasya Jojor Sihotang Junizaf Junizaf Koerslo, Hamka Lubis, Munawar Adhar M. Lingga Primananda Maryuni, Sri W. Maryuni, Sri Wahyu Oktama, Nizan Dani Primananda, M. Lingga Ruza Prima Rustam Simanjuntak, Arya Marganda Sitangang, Clarentia Sri Wahyu Maryuni Sri Wahyu Maryuni Sumarlin, Sofi Surahman Hakim Tyas Priyatini Utari, Sania Vani Ardiani Yuda, Dika Putra