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All Journal Indonesian Journal of Urology
Umran, Amrizal
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Health Professions Medicine & Pharmacology Public Health

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EVALUATION OF STENOSIS AFTER LAPAROSCOPIC URETEROLITHOTOMY Andrea Putra, Aze; Wallad, Caesar Khairul; Umran, Amrizal; Hudaya, Syamsu; Hutasoit, Yonas Imanuel
Indonesian Journal of Urology Vol 32 No 1 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i1.899

Abstract

Objective: This study aims to evaluate the probability of stenosis that occurs in the ureter due to the use of electrocautery during ureteral incision procedures in Laparoscopic ureterolithotomy (LU). Material & Methods: This study was conducted in Fatmawati Hospital Jakarta, we collected the data retrospectively in 22 patients diagnosed with ureteral stones who underwent LU procedure from 2014 to 2021, are eligible and have completed the follow-up protocol. The patient was evaluated by assessing the condition of the kidney after the procedure using ultrasound and CT scan to evaluate the presence of ureteral stenosis. Result: Ureteral stenosis was found in 6 of 22 patients (27.3%). Median follow-up time was 45 months (3-4 years). All of them were asymptomatic. Conclusion: There is a 27.3% chance patient will develop ureteral stenosis after LU. Though LU is one of the best methods for extracting large ureteral stone, the late complication after LU should be considered. Keywords: Electrocautery, laparoscopy ureterolithotomy, ureteral stenosis.
ASSESSING THE EFFICACY OF HIGH INTENSITY FOCUSED ELECTROMAGNETIC (HIFEM) STIMULATION IN ALLEVIATING URINARY INCONTINENCE SYMPTOMS: INDONESIAN-BASED COMMUNITY Rahmita, Maulidina Medika; Dhaifullah, Althaf; Umran, Amrizal; Makshoem, Ahmad Asroruddin; Hudaya, Syamsu; Hutasoit, Yonas Immanuel; Syahputra, Firtantyo Adi; Wallad, Caesar Khairul
Indonesian Journal of Urology Vol 33 No 3 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i3.1086

Abstract

Introduction: Urinary incontinence (UI) is common in women and may impair quality of life. Pelvic floor muscle dysfunction contributes to stress and mixed urinary incontinence. High-Intensity Focused Electromagnetic (HIFEM) therapy is a promising non-invasive modality for improving pelvic floor muscle function. Objective: This study aims to evaluate whether HIFEM can offer a more effective alternative for managing urinary incontinence. Material & Methods: 31 women were enrolled in this cohort study. Patients are assessed before and after intervention using the International Consultation on Incontinence Questionnaire—Urinary Incontinence—Short Form (ICIQ-UI-SF). The intervention is a 28-minute HIFEM stimulation with 33 sequences and intensities between 50 to 100% and sequential amplitude modulation, once a week within 4 weeks. Results: 26 participants (83.8%), dominated by mixed-type UI (17 patients), followed by 7 stress-type and 2 urge-type, have experienced an improvement in UI symptoms and showed improvement in ICIQ scores, while the other 5 participants (16.2%) showed insignificant progress after the intervention. The enhanced group reported a transition from moderate-severe symptoms to mild symptoms or complete recovery, and statistical analysis showed a significance value of p = 0.001 (p < 0.05). Conclusion: The HIFEM stimulation procedure significantly alleviates urinary incontinence patients, particularly the mixed-type. Keywords: HIFEM, urinary incontinence, pelvic floor muscles training.
Co-Authors Andrea Putra, Aze Caesar Khairul Wallad, Caesar Khairul Dhaifullah, Althaf Firtantyo Adi Syahputra Hudaya, Syamsu Hutasoit, Yonas Imanuel Makshoem, Ahmad Asroruddin Rahmita, Maulidina Medika Yonas Immanuel Hutasoit, Yonas Immanuel