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Bangsawan, Kiwah Andanni
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Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Rare nephrostomy complication mimicking rupture of abdominal aortic aneurysm: a case report Bangsawan, Kiwah Andanni; Irdam, Gampo Alam; Raharja, Putu Angga Risky; Darwis, Patrianef; Fachriza, Ihza; Rahman, Fakhri
Medical Journal of Indonesia Vol. 33 No. 3 (2024): September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.cr.247245

Abstract

Percutaneous nephrostomy (PCN) is a routine procedure in urology with up to 99% success rate and less than 6% of total complications dominated by minor cases. This was a case report of a 59-year-old male patient with an unusual major bleeding complication after PCN that mimicked a ruptured abdominal aortic aneurysm. The laparotomy exploration identified the bleeding source from the right lobar artery, thus renorrhaphy was performed. Proper visualization of anatomic layout, color Doppler imaging, and selecting a guiding method and technique could reduce bleeding complications following PCN.
Initial Study of Urodynamic Profile in Evaluating Lower Urinary Tract Problems: A Single Center Experience Bangsawan, Kiwah Andanni; Seno, Doddy Hami; Mirza, Hendy; Purnomo , Nugroho; Siregar, Moammar Andar Roemare; Afriansyah, Andika
eJournal Kedokteran Indonesia Vol. 12 No. 3 (2024): Vol. 12 No. 3 - Desember 2024
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.12.763.251

Abstract

Urodynamic testing is crucial for evaluating lower urinary tract (LUT) and other urological conditions related to bladder and urethral function. This study aims to profile LUT problems in our center to target specific diagnostic and treatment strategies. This descriptive and retrospective study utilized secondary data from 324 patients who underwent urodynamic evaluation in the Department of Urology, Persahabatan National Hospital, between February 2022 and May 2023. Among patients with suspected benign prostatic hyperplasia (BPH), over half (52.7%) presented with reduced bladder capacity, with 40.2% showing detrusor overactivity (DO) and 37.5% displaying detrusor underactivity (DU). More than half (59.2%) of urinary retention patients suffered from DU with small bladder capacity (43.7%) and low bladder compliance (32.4%). Similarly, in the overactive bladder (OAB) group, 54.5% had reduced bladder capacity, which was also predominant (56.0%) in the urodynamic stress urinary incontinence (USI) group. Among patients suspected of having neurogenic bladder, 73.3% had DU, 48.9% had small blaSadder capacity, and 40% exhibited bladder atony. Furthermore, among the five pediatric patients assessed, three had a small bladder capacity, low compliance, and DU. These findings underscore the significance of urodynamic testing, which can contribute to better evidence-based treatment in managing LUT dysfunction.
Co-Authors Andika Afriansyah, Andika Darwis, Patrianef Doddy Hami Seno Fachriza, Ihza Fakhri Rahman, Fakhri GAMPO ALAM IRDAM, GAMPO ALAM Mirza, Hendy Purnomo , Nugroho Raharja, Putu Angga Risky Siregar, Moammar Andar Roemare