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PENDEKATAN DIAGNOSIS SINDROM OHVIRA PADA FASILITAS KESEHATAN TERBATAS: SEBUAH TINJAUAN SISTEMATIS Hakim, Surahman; Kadarusman, Adib Kamil Putra; Fadhly, RM Ali; Suryoadji, Kemal Akbar; Hadinata, Valencia; Zahra, Reihana; Abdullah, Muhammad Raoul Taufiq; Kusuma, Fitriyadi
Jurnal Ilmiah Kesehatan Vol 23 No 03 (2024): Jurnal Ilmiah Kesehatan terbitan Desember Volume 23 Nomor 03 Tahun 2024
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikes.v23i03.3631

Abstract

Sindrom OHVIRA merupakan kelainan kongenital yang langka terjadi pada saluran reproduksi wanita. OHVIRA merupakan salah satu kelompok kelainan duktus mullerian yang terdiri dari trias uterus didelfis, obstruksi hemivagina, dan agenesis renal. Diagnosis menjadi sebuah tantangan, terutama pada fasilitas kesehatan yang memiliki keterbatasan sarana prasarana dikarnakan tingkat prevalensi yang rendah dan menifestasi klinis yang beragam. Tinjauan sistematis dilakukan dengan pencarian menggunakan kata kunci yang terstruktur pada beberapa database seperti PubMed, Cochrane, ScienceDirect, dan Google Scholar , scopus, dan cochrane. Seleksi artikel dilakukan menggunakan kriteria kelayakan yang ditetapkan. Berdasarkan pencarian artikel didapatkan 6 studi yang menunjukkan manifestasi klinis dari sindrom OHVIRA. Beberapa manifestasi klinis yang ada berupa nyeri punggung belakang kronis, nyeri perut, dyspareunia, dan adanya keputihan yang berbau. Pada pemeriksaan fisik didapatkan adanya abnormalitas seperti massa kistik, benjolan pada abdomen, anomali uterus, dan kelainan dinding vagina. Beragam keluhan dan temuan tersebut dapat menjadi landasan untuk menjadikan sindrom OHVIRA sebagai diagnosis banding untuk proses rujukan segera dan tatalaksana awal. Sindrom OHVIRA memiliki manifestasi klinis yang beragam, sehingga menjadikan keadaan ini sebuah tantangan untuk didiagnosis. Dokter pada layanan terbatas berperan penting dalam mengenali keluhan khususnya keluhan ginekologi kronis, dan menjadikan sindrom ini sebagai diagnosis banding untuk melakukan perujukan kasus ke fasilitas layanan kesehatan tingkat lanjut, dan memberikan tatalaksana untuk meringankan gejala.
Patient-reported outcomes and quality of life after pelvic organ prolapse surgery in Indonesia Hakim, Surahman; Hadinata, Valencia; Wiguna, Igor Ian; Tanoto, Kevin; Amelia, Safira; Kadarusman, Adib Kamil Putra
Medical Journal of Indonesia Vol. 35 No. 1 (2026): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.258009

Abstract

BACKGROUND Pelvic organ prolapse (POP) is a common condition in older women that significantly impacts quality of life (QoL). Traditional surgical success measures primarily focus on anatomical outcomes, but patient-reported outcomes provide offer a more comprehensive assessment of symptom relief and overall well-being. This study aimed to evaluate patient-reported outcomes and QoL with the Pelvic Floor Disability Index (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7) following POP surgery. METHODS This cross-sectional study analyzed secondary data from medical records and patient interviews at Cipto Mangunkusumo Hospital, Jakarta. Patients diagnosed with POP who underwent surgery were followed up at 1, 3, 6, and 12 months postoperatively. PFDI-20 and PFIQ-7 scores were used to assess symptom impact and QoL. RESULTS Among 34 patients, the most common surgical method was total vaginal hysterectomy (79%), followed by colpocleisis (59%), and sacrospinous hysteropexy (6%). Postoperative PFDI-20 scores showed 76% of patients experienced minimal to no impact, while PFIQ-7 scores indicated 91% reported minimal to no impact on their QoL. 2 patients reported moderate impact, particularly in the urinary domain. No patients experienced severe or very severe impairment at any follow-up interval. CONCLUSIONS Incorporating patient-reported outcomes with anatomical assessments provides a more accurate evaluation of surgical success in POP based on PFDI-20 and PFIQ-7 scores. Because POP is a multidimensional condition, assessing surgical outcomes requires a multimodal approach that considers symptom relief and QoL.
Smartphone-Based Kegel Exercises for Stress Urinary Incontinence: A Systematic Review and Meta-Analysis of RCT Hakim, Surahman; Djusad, Suskhan; Kadarusman, Adib Kamil Putra; Hadinata, Valencia; Amelia, Safira; Suskhan, Rizki Fauzi; Adriansyah, Putri Nadhira
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.1.1-15.2026

Abstract

Introduction : To evaluate the effectiveness of smartphone-based applications in supervising Kegel exercises for women with Stress Urinary Incontinence (SUI), specifically in improving treatment adherence and reducing symptom severity as measured by the ICIQ-UI-SF score. Method : This study compares smartphone-based applications for supervising Kegel exercise in women with SUI. Article retrieved from 3 databases using specific keywords. ICIQ-UI-SF scores and adherence data is the main outcome in this article.  Results : Five RCTs with a total of 475 participants were included. Three studies demonstrated improved adherence among intervention groups using smartphone applications. Meta-analysis revealed that application based supervision resulted in significantly better post-treatment ICIQ-UI-SF Score (SMD: -0.46, CI [-0.65,-0.28], p < 0.00001)  Conclusion : Smartphone applications as a supervision tool for SUI patients who underwent Kegel exercise as a conservative treatment is proven to reduce severity and increasing adherence of the therapy.