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All Journal Indonesian Journal of Urology
Sulistyanti, Rachma Fitri
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Health Professions Medicine & Pharmacology Public Health

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CONSERVATIVE MANAGEMENT PELVIC FRACTURE URETHRAL INJURY (PFUI) IN A GIRL: A CASE REPORT Sulistyanti, Rachma Fitri; Satyagraha, Paksi; Nurhadi, Pradana; Daryanto, Besut
Indonesian Journal of Urology Vol 30 No 3 (2023)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v30i3.905

Abstract

ABSTRACT Objective: This case report aims to describe a different approach of PFUI by conservative management that resulted in good outcome. Case(s) Presentation: A 7-year-old girl patient was brought to the emergency department after falling from public transportation diagnosed with suspicious urethral rupture, perineal rupture grade III, vertical-shear type pelvic-ring injury, laceration wound on the right lower leg, abrasion on the medial side left lower leg and urinary retention. The patient underwent percutaneous cystostomy, pelvic bandage, a perineal debridement and repair, a cystography, percutaneous vesicolithotripsy, cystostomy and synechiae incision. One year after the first admission it was planned for urethroplasty due to completely obliterated from antegrade and retrograde panendoscopy. Discussion: 8 months later urethroplasty was aborted because of an open bladder neck, a fistula at the anterior connected to the distal of the bladder neck with size of 3 mm. The patient was performed a silicon cystostomy catheter insertion for 6 weeks. At the time of evaluation, the fistula was closed, it was proven by Qmax uroflowmetry was 18ml/s with average flow: 9.8 ml/s, voiding volume: 90ml, flow time: 9s, voiding time: 9s, hesistance:1.5, and PVR:5.35 cc. Conclusion: In this case, it showed that conservative management could improve PFUI with satisfactory result, proved by good result of uroflowmetry. However, periodic evaluations must be carried out to follow the progress of the disease and the possibility of future complications including sexual function. Keywords: PFUI, girl, urethral rupture
CLINICAL PROFILE OF PATIENTS WITH UNDESCENDED TESTIS IN TERTIARY HOSPITAL Sulistyanti, Rachma Fitri; Daryanto, Besut; Nurhadi, Pradana
Indonesian Journal of Urology Vol 32 No 1 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i1.1020

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Objective: The objective of this study is to present the clinical profile of patients with UDT in tertiary hospital. Material & Methods: This study used a descriptive retrospective approached with approved ethical number 400/019/K.3/102.7/2024. Collecting identification was done by tracing UDT case-patient documents from January 2015 to December 2023. The characteristics observed were age, location of UDT, unpalpable or palpable, patient's address, and antenatal care examination. Results: From 107 UDT patients, 16 patients (24.31%) was diagnosed at the age 19 until 24 months old and decreased in puberty ages. 74 cases of UDT (69.16%) are unilateral UDT with almost the same distribution between left and right. In 75 cases of unpalpable UDT (70.09%), it was found that the testis were still viable in 57 cases during diagnostic laparoscopic. On average, there are 63 patients (58.87%) coming from the Malang area. The average number of patients receiving antenatal care from midwives is 61 cases (62.61%). Conclusion: In all, many cases of UDT under 12 years old were found, with the majority is Unpalpable Unilateral UDT, patient come from the Malang area and have received antenatal care from midwives. The data obtained can be used as a database for enhancing the standard of care. Keywords : Clinical profile, UDT, Malang
Co-Authors Nurhadi, Pradana Paksi Satyagraha