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All Journal Berita Kedokteran Masyarakat Indonesian Journal of Biomedicine and Clinical Sciences
Irzan, Muhammad Anwar
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Urethroscopy evacuation of glue stick polyembolokoilomania: a case report Sabudi, I Made Nugraha Gunamanta; Irzan, Muhammad Anwar; Ghinorawa, Tanaya
Indonesian Journal of Biomedicine and Clinical Sciences Vol 57 No 1 (2025)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v57i1.17134

Abstract

Insertion of a foreign body is an uncommon case in the urology emergency. It was reported one of the abnormal habits called polyemobolokoilomania, which involves inserting strange things into the self-body orifice, especially the urethra in the urological case. A male 56 yo came with a history of inserting a glue stick on his external urethral orifice and complained of dysuria. By physical examination, palpated solid things 6 cm from the external urethral orifice. The patient then planned to undergo urethroscopy and found the glue stick along 27 cm. Urethroscopy successfully evacuated the whole glue stick, and a silicone catheter 18 Fr was applied to monitor the urine. The next 2 wk, the indwelling catheter was removed, and the patient could normally urinate. Glue stick insertion is one of the things that is commonly inserted by polyembolokoilomania, or the act of insertion a foreign body into a human orifice. Psychological and psychiatric aspects also need to be evaluated, because the patient could have mental health issues that need to be treated to prevent recurrent habits in the future. Physical examination of foreign bodies could be found when palpated along the penis. Further diagnostic tools like BNO could be conducted if there was no clear information from history taking (patient dishonest or unable to communicate) and in doubt by physical examination. The approach to evacuation could be varied, it could be evacuated by a milking procedure, endourology using a urethroscope, or open surgery. Insertion of strange things or polyembolokoilomania was an uncommon case in a urology emergency setting. The treatment focuses on evacuating the foreign body, and the patient can urinate normally. Psychological and psychiatric aspects also need to be followed up to prevent recurrent habits as a risk factor for repeated cases.
Applying the Indonesian Urological Association’s recommendations for urology surgery during the COVID-19 pandemics in Dr Sardjito Public Referral Hospital Yogyakarta Irzan, Muhammad Anwar; Hendri, Ahmad Zulfan; Soerohardjo, Indrawarman
BKM Public Health and Community Medicine Vol 38 No 01 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i01.4070

Abstract

Purpose: Indonesia is a country with many COVID-19 cases distributed in all provinces. There were over 1,860,000 positive cases with 51,612 mortalities as of June 8th, 2021, and 289 deaths were from doctors. The Indonesian Urological Association (Ikatan Ahli Urologi Indonesia, IAUI) has initiatives to protect the members' safety in daily urology practices by issuing recommendations, including urology surgery. The Dr. Sardjito Teaching Hospital as a COVID-19 referral provides urologic surgery services. Method: This study aims to find the pandemic effect in urology surgeries at the COVID-19 Referral Hospital, applying IAUI recommendations. The number of surgeries was compared from 1 year before and after the 2020 IAUI recommendation between April 2019 and April 2021. Results: All categories decreased statistically significantly except fertility. Nine hundred sixty-nine urology surgeries were performed one year before, and 571 surgeries were conducted one year since the recommendation was released. Conclusion: All categories in urology surgery were significantly reduced during a pandemic. Several procedures supposed to delay were still performed under patients’ and urologist’ safety considerations. Urology surgery unit follows the Indonesian Urological Association Recommendations during the COVID-19 pandemic.
Co-Authors . Zulfan Indrawarman Soeroharjo Sabudi, I Made Nugraha Gunamanta Tanaya Ghinorawa