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All Journal Majalah Kesehatan FKUB Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) eJournal Kedokteran Indonesia
Hidayah, Gita Nurul
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Clinical Characteristics of Pelvic Organ Prolapse at a Nationally Referred General Hospital: A Retrospective Study (2023-2024) Djusad, Suskhan; Hakim, Surahman; Meutia, Alfa Putri; Priyatini, Tyas; Moegni, Fernandi; Hidayah, Gita Nurul; Azzahra, Kayla Rianna
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 4 October2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i4.3021

Abstract

AbstractObjective: To evaluate the clinical characteristics of patients with Pelvic Organ Prolapse (POP) in national referral hospitals and analyze the relationship between age, parity, and prolapse severity. Methods: This medical record–based retrospective study included 353 POP patients from 2023–2024. Variables assessed were age, parity, prolapse severity (POP-Q), sexual activity status, and type of therapy received. Correlation analysis was performed using Spearman’s rank correlation with SPSS version 26. Results: Most patients (81.3%) were postmenopausal, and 64.6% were multiparous. The majority presented with stage IV prolapse (34.8%), and operative therapy was the primary treatment choice (89.5%). Significant associations were observed between age and prolapse severity (? = 0.208, p < 0.001) and between parity and prolapse severity (? = 0.215, p < 0.001). These findings indicate that increasing age and higher parity are significantly associated with more severe POP, although the correlation strength was weak. Conclusions: POP was most commonly found in postmenopausal women, with higher severity among older and multiparous patients. These findings highlight the importance of early screening and preventive strategies to reduce POP progression. Further prospective multicenter studies are needed to evaluate the long-term impact of POP on quality of life and to compare the effectiveness of conservative versus operative therapies. Keywords: conservative therapy, degree of prolapse, parity, Pelvic Organ Prolapse, reproductive age, surgical intervention.
Urethral Mobility Ultrasound: A Comparable Diagnostic Method for Urethral Hypermobility in Indonesian Women with Stress Urinary Incontinence Hidayah, Gita Nurul; Hidayat, Fery; Angelina, Jessica; Moegni, Fernandi
eJournal Kedokteran Indonesia Vol. 13 No. 3 (2025): Vol. 13 No. 3 - Desember 2025
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.13.1254.1

Abstract

Urethral hypermobility is the primary mechanism of stress urinary incontinence. In Indonesia, the prevalence of SUI (stress urinary incontinence) is approximately 13% (the other 16% had mixed urinary incontinence). To diagnose urethral hypermobility, the Q-tip test is performed, but it can provoke discomfort. Urethral mobility ultrasonography (UMU) has emerged as a non-invasive, more comfortable alternative, with high accuracy. This study reports the concordance of the evaluations in Indonesian women with SUI, to evaluate the accuracy of UMU compared with the Q-tip test in diagnosing urethral hypermobility among Indonesian women with SUI. A cross-sectional study was conducted at the outpatient clinic of RSUPN Dr Cipto Mangunkusumo and at the Jakarta Urogynecology (JUN) Centre-YPK Mandiri Hospital during the January – December 2024 period. Thirty-six SUI women without symptomatic pelvic organ prolapse (POP) completed the study. Each subject underwent a Q-tip test and ultrasonographic evaluation of urethral mobility. Ultrasonographic assessment of urethral mobility demonstrated high sensitivity (92.6%) but low specificity (33.3%) compared to the Q-tip test. The positive predictive value (PPV) of UMU was 80.6%, while the negative predictive value (NPV) was 60%. The concordance value was 77.8%. 16.67% of patients reported discomfort and pain during the Q-tip test and required medication to manage their symptoms. In those women, the Qtip test was negative but may reflect bias/false negatives, which can affect ultrasound specificity. With 80.6% PPV, 60% NPV, and 77.8% concordance, UMU may serve as a practical alternative to the Q-tip test in daily clinical practice.
Case Report: ABDOMINAL SACROCERVICOPEXY COMBINED WITH THE MANCHESTER PROCEDURE FOR APICAL PROLAPSE WITH CERVICAL ELONGATION AND UTERINE MYOMA Moegni, Fernandi; Prabawati, Nirmala Gina; Syafardi, D. Irsat; Meutia, Alfa Putri; Hidayah, Gita Nurul; Rodiani
Majalah Kesehatan Vol. 13 No. 3 (2026): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2026.013.03.9

Abstract

Apical prolapse associated with cervical elongation is a complex condition requiring correction of both apical support and excessive cervical length. We report a 45-year-old woman presenting with a vaginal bulge and abnormal uterine bleeding for more than four years. Examination revealed stage IV apical prolapse with cervical elongation, accompanied by grade II cystocele and rectocele. Transvaginal ultrasonography demonstrated a 7.9 × 7.5 × 9.7 cm intramural uterine myoma (FIGO type 2–5) and a cervical length of 5.5 cm. Cervical cytology was negative for intraepithelial lesion or malignancy (NILM). The patient no longer desired pregnancy but wished to preserve sexual function with a low risk of recurrence. An abdominal supracervical hysterectomy was performed. Following maximal upward traction of the cervical stump toward the sacral promontory, cervical elongation remained evident, with the portio positioned <5 cm proximal to the hymenal ring. A Manchester procedure was performed to correct the cervical elongation, followed by abdominal sacrocervicopexy (ASC) using mesh. The final cervical position was approximately 7 cm proximal to the hymenal ring. At 3-month and 1-year follow-up, cervical position was maintained without prolapse recurrence or mesh erosion. Combined ASC and the Manchester procedure may represent an alternative surgical approach in selected patients with apical prolapse and cervical elongation, addressing both anatomical defects while considering preservation of vaginal anatomy and sexual function.
Co-Authors Alfa Putri Meutia Angelina, Jessica Azzahra, Kayla Rianna Budi Iman Santoso Chan, Muhammad Syah Nadir Djafar, Lubna Djusad, Suskhan Fernandi Moegni Hidayat, Ery Prabawati, Nirmala Gina Rodiani Sebastian, Kevin Surahman Hakim Syafardi, D. Irsat Tyas Priyatini