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PRELIMINARY RESULTS OF DELAYED PRIMARY BLADDER EXSTROPHY RECONSTRUCTION IN FEMALE PATIENT: A CASE REPORT Setiawan, Ilham Rachmat; Daryanto, Besut; Nurhadi, Pradana
Indonesian Journal of Urology Vol 31 No 2 (2024)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v31i2.948

Abstract

Objective: Reporting a rare case and provide a view of bladder extrophy management. Case(s) Presentation: A 12-year-old female complained of an open abdominal wall below the umbilicus accompanied by continuous incontinence of urine since birth. The MRI showed diastasis symphisis 5.1 cm and a soft tissue defect in the suprapubic region, suspicious of bladder exstrophy. Bladder mucose biopsy showed squamous metaplasia. The patient underwent pelvic osteotomy, bladder wall closure, bladder neck reconstruction, abdominal closure with double keystone flap with proceed mesh, and external fixation. A cystostomy catheter was placed until one week after surgery, and the patient was able to hold the urge to urinate and started to move around while sitting. Two months after the reconstruction, the primary closure and keystone removal on skin defect were carried. The patient was already able to walk and continence the urine. Discussion: Bladder extrophy is a rare condition. Currently delayed reconstruction on bladder growth is the subject of debate and speculation. The patient’s condition in this presented case improved, this is in accordance with the literature that states that delayed reconstruction can still be considered in special conditions that do not allow early reconstruction. Conclusion: Delayed bladder reconstruction and bladder neck reconstruction can improve the anatomy of the bladder and quality of life on certain cases. Keywords: Bladder exstrophy, bladder reconstruction, female bladder exstrophy.
Genetic Polymorphism Analysis of Progression-Free Survival Rate of Prostate Cancer with Androgen Deprivation Therapy: Frequentist  Network Meta-Analysis Daryanto, Besut; Zümrütbaþ, Ali Ersin; Hakim, Lukman; Negara, Edvin; Janardhana, Alfryan; Setiawan, Ilham Rachmat; Winstonly, Brian; Neville, Neville
Biotropika: Journal of Tropical Biology Vol. 14 No. 1 (2026)
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.biotropika.2026.014.01.02

Abstract

Introduction: Various gene mutations play an essential role in the development of prostate cancer (PCa). However, the predictive impact of the HSD3B1 gene on germline and somatic status has not been adequately investigated, regarding such genes, and multi-gene mutations have not been thoroughly discussed. Hence, this study aims to determine the rate of progression and gene polymorphism in Androgen Deprivation Therapy (ADT)-treated prostate cancer. Methods: Research articles were found using MeSH terms and manual entry from PubMed, ScienceDirect, and Google Scholar. Search terms for polymorphism were “SNP”,”single-nucleotide polymorphism”, “polymorphism”, “variation”, or “mutation’, and those for prostate cancer were “prostate cancer”, “prostatic neoplasm”, “cancer of prostate”, “neoplasms, prostate”, “prostate neoplasm”, “prostatic cancer”. All related articles and abstracts were retrieved. Papers were assessed with New Castle-Ottawa Scale and analyzed with REVMAN 4. No low-quality papers were excluded. All paper were reported using Preferred Reporting Items For Systematic Review and Meta-Analysis (PRISMA) Results: Based on the search results, 2520 articles were obtained, and 8 articles were included in this review. The results of pooled log transformed HR and 95% CI as a whole were at CYP17A1 rs 17115100: HR = 1.32 (1.11-1.55); rs 2486758 : HR = 1.59 (1.44-1.75); rs 10883783 : HR = 1.27 (0.99-1.64); HSD17B4 rs 7737181 : HR = 1.11 (1.00-1.22) 95%CI ; HSD3B1 rs 1047303 : HR = 1.57 (1.24-1.99); SRD5A2 rs 523349 : HR = 95% CI. Showed that SRD5A2 rs 523349, HSD3B1 rs 1047303, and CYP17A1 rs 2486758 had a high significance value on HR progression free survival. Conclusion: SRD5A2 rs523349 is the most influential factor in the progression survival rate of patients administered with ADT.