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Overview of the Prevalence of Patients with Sexually Transmitted Infections at Dr RM Djoelham Binjai Hospital in the Period of January 2019-July 2023 Ikhwan, Haznur; Hervina
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.645

Sexually Transmitted Infections (STIs) are infections transmitted through vaginal, anal/anal, and oral/oral intercourse. In Indonesia, this disease continues to grow in the community and can cause death. Types of STIs include gonorrhea, non-specific urethritis, syphilis, mole ulcer, inguinal granuloma, lymphogranuloma venereum, bacterial vaginosis, genital herpes, condyloma acuminata, HIV (Human Immunodeficiency Virus), trichomoniasis and candidiasis vulvovaginitis. The retrospective :descriptive method with a cross sectional design and data collection means is secondary data of new patients diagnosed with STIs and recorded in the Medical Record Sciences of Dr RM Djoelham General Hospital for the period January 2019-July 2023. Results : the prevalence of STI patients, from the diagnosis of the most gonorrhea 27 patients (42.9%), age group 17-25 years 27 patients (42.9%), male sex 39 patients (61.9%) and employment is not ASN (State Civil Apparatus) as many as 20 patients (31.7%) and education is high school graduation / equivalent 29 patients (21.4%). Conclusion: counseling and education are routinely provided to all levels of society. so that this STI is controlled so that morbidity and mortality rates decrease.

The Diagnosis and Management of Bladder Cancer: A Literature Review Ikhwan, Haznur; Dahril; Ismy, Jufriady; Ridha, Muhammad; Mauny, Muhammad Puteh; Khalilullah, Said Alfin; Triyaka, Rendy; Maulana, Reza; Hidayatullah, Furqan
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.1061

Cancer is still one of the health problems around the world. Cancer is an uncontrolled (abnormal) cell division and can invade surrounding tissues and can also spread to other parts of the body through the blood and lymphatic system known as metastasis. This disease is often diagnosed in men aged 50-80 years with an average age of 73 years. Bladder cancer is divided into transitional cell carcinoma (95%), squamous cell carcinoma (3%), adenocarcinoma (2%), and less than 1% small cell tumors (paraneoplastic syndrome). Risk factors for this disease are smoking, exposure to carcinogenic substances, drugs, infection with the parasite Schistosoma haematobium, chronic irritation (stone disease), physical trauma (in the uroepithelial layer), infectious diseases and those that have not been proven to be the cause are coffee, alcohol, saccharin and cyclamate sweeteners. The prognosis of the disease depends on histologic examination to see the stage of the disease and by tissue biopsy. Methods: This paper is based on a literature search of clinical practice guidelines, scientific literature, websites, and textbooks on the topic of bladder cancer. Results and Discussion: Hematuria is the main clinical symptom in addition to other symptoms as a complaint of bladder cancer. The disease is divided into non-muscle-invasive bladder cancer (NMIBC) and muscle-invasive bladder cancer (MIBC). Non-invasive and invasive cancer conditions play an important role in the treatment and prognosis of the disease. MIBC is a disease condition with high morbidity and mortality. Conclusion: Cystoscopy followed by biopsy resection is the diagnostic standard followed by anatomic pathology examination (histology and cytology) for definitive diagnosis of the disease. The prognosis will be better if the disease is still at superficial and non-invasive stage (Ta), so that only transurethral tumor resection followed by chemotherapy drugs, intravesical and results will be more satisfactory.

A Giant Urethral Stone With Urethrocutaneous Fistula: A Case Report Ikhwan, Haznur; Rizaldi, Aril
ANATOMICA MEDICAL JOURNAL | AMJ Vol 6, No 2 (2023)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/amj.v6i2.14663

Urethral stones are commonly associated with urinary tract calculi and underlying diverticulum or stricture urethra. Urethral calculus represent less then 1% of all urinary stones diseases. Giant urethral calculi frequently may occur in male and rarely in female. This purpose of reporting this case is to describe a way to diagnose urethral stone cases and so that patients can be treated by urologists. CASE PRESENTATION: A 48-year-old man patient with a giant urethral stone with urethrocutaneous fistula for the past 1 year and a diventral penile meatotomy was performed. With physical examination found on the penis palpable stone +/- 4cm anterior to the penis, the tip of the stone can be seen from Eksternum Urethra Orifice. There was also a urethrocutaneous fistula on the ventral penis, about a stone, measuring +/- 0.1 cm so a diventral penis meatotomy was performed, a stone measuring 4x1 cm was found, with unhealthy tissue in the urethra along the stone. DISCUSSION: The incidence of penile urethral stones is increasing which may due to various factors especially climate change and genetic factors. The gradual formation of this long penile urethral stone could take approximately around 5-10 years which indicates the patient’s persistent ignorance of pain and discomfort in the urinary tract. In our case, 3 months after the first operation, urethrocutaneous fistula repair was performed. Evaluation after 2 months after fistula repair, Urination is smooth, no pain, good wound, no fistula, was performed in our report. CONCLUSION: From our experience some predisposing factors of urethral stone with a Urethrocutaneous fistula. The complications seriously affect the quality of life and even cause more serious consequences, so physicians and patients should be aware.Keywords: giant urethral stone, urethrocutaneous fistula, meatotomi ventral penis

Overview of the Prevalence of Patients with Sexually Transmitted Infections at Dr RM Djoelham Binjai Hospital in the Period of January 2019-July 2023 Ikhwan, Haznur; Hervina
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.645

Sexually Transmitted Infections (STIs) are infections transmitted through vaginal, anal/anal, and oral/oral intercourse. In Indonesia, this disease continues to grow in the community and can cause death. Types of STIs include gonorrhea, non-specific urethritis, syphilis, mole ulcer, inguinal granuloma, lymphogranuloma venereum, bacterial vaginosis, genital herpes, condyloma acuminata, HIV (Human Immunodeficiency Virus), trichomoniasis and candidiasis vulvovaginitis. The retrospective :descriptive method with a cross sectional design and data collection means is secondary data of new patients diagnosed with STIs and recorded in the Medical Record Sciences of Dr RM Djoelham General Hospital for the period January 2019-July 2023. Results : the prevalence of STI patients, from the diagnosis of the most gonorrhea 27 patients (42.9%), age group 17-25 years 27 patients (42.9%), male sex 39 patients (61.9%) and employment is not ASN (State Civil Apparatus) as many as 20 patients (31.7%) and education is high school graduation / equivalent 29 patients (21.4%). Conclusion: counseling and education are routinely provided to all levels of society. so that this STI is controlled so that morbidity and mortality rates decrease.

The Diagnosis and Management of Bladder Cancer: A Literature Review Ikhwan, Haznur; Dahril; Ismy, Jufriady; Ridha, Muhammad; Mauny, Muhammad Puteh; Khalilullah, Said Alfin; Triyaka, Rendy; Maulana, Reza; Hidayatullah, Furqan
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.1061

Cancer is still one of the health problems around the world. Cancer is an uncontrolled (abnormal) cell division and can invade surrounding tissues and can also spread to other parts of the body through the blood and lymphatic system known as metastasis. This disease is often diagnosed in men aged 50-80 years with an average age of 73 years. Bladder cancer is divided into transitional cell carcinoma (95%), squamous cell carcinoma (3%), adenocarcinoma (2%), and less than 1% small cell tumors (paraneoplastic syndrome). Risk factors for this disease are smoking, exposure to carcinogenic substances, drugs, infection with the parasite Schistosoma haematobium, chronic irritation (stone disease), physical trauma (in the uroepithelial layer), infectious diseases and those that have not been proven to be the cause are coffee, alcohol, saccharin and cyclamate sweeteners. The prognosis of the disease depends on histologic examination to see the stage of the disease and by tissue biopsy. Methods: This paper is based on a literature search of clinical practice guidelines, scientific literature, websites, and textbooks on the topic of bladder cancer. Results and Discussion: Hematuria is the main clinical symptom in addition to other symptoms as a complaint of bladder cancer. The disease is divided into non-muscle-invasive bladder cancer (NMIBC) and muscle-invasive bladder cancer (MIBC). Non-invasive and invasive cancer conditions play an important role in the treatment and prognosis of the disease. MIBC is a disease condition with high morbidity and mortality. Conclusion: Cystoscopy followed by biopsy resection is the diagnostic standard followed by anatomic pathology examination (histology and cytology) for definitive diagnosis of the disease. The prognosis will be better if the disease is still at superficial and non-invasive stage (Ta), so that only transurethral tumor resection followed by chemotherapy drugs, intravesical and results will be more satisfactory.

Getting to know Benign Prostatic Hyperplasia (BPH) in daily practice Ikhwan, Haznur
Science Midwifery Vol 11 No 6 (2024): February: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i6.1406

BPH or Benign Prostatic Hyperplasia is a histological diagnosis due to hyperplasia of stromal cells and epithelial cells of the prostate gland. Thought to occur due to the influence of hormones, dietary patterns, microtrauma, inflammation, obesity, and physical activity Occurs in elderly males and has testicles that still produce testosterone. This paper was created by searching the literature from clinical practice guides, scientific literature, websites, and textbooks on the topic of BPH. Results and Discussion: BPH often occurs in old age, has to do with diet, comorbidities, physical activity/exercise, smoking, work and education. Some treatments, namely conservative therapy, medicamentosa, phytopharmaceuticals and surgery. The selection of therapy starts from the least invasive aimed at improving quality of life. BPH is difficult to prevent, preventive measures are very important for prevention. Conclusion: BPH can decrease quality of life although not deadly. Management depends on the level of the patient's complaint, complications, available facilities, and the patient's choice. The ability to recognize diseases, diagnose and provide therapy is not the same because of differences in facilities and human resources. It is hoped that doctors in remote areas can recognize and diagnose BPH early in order to handle patients as well as possible.

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