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All Journal Narra J
Endra Y. Ellistasari
Department of Dermatology and Venereology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia

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Determinant of recovery, recurrence and recurrence-free interval of condyloma acuminata: A five-year cross-sectional data from a provincial referral hospital in Indonesia Prasetyadi Mawardi; Muhammad I. Maulana; Endra Y. Ellistasari; Pratiwi P. Primisawitri; Rina Purnamasari
Narra J Vol. 6 No. 1 (2026): April 2026
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v6i1.3069

Abstract

Condyloma acuminata is a common sexually transmitted disease caused by human papillomavirus infection and is characterized by frequent recurrence despite available therapies. This study evaluated recovery, recurrence, and recurrence-free interval across therapeutic modalities among condyloma acuminata outpatients at Dr. Moewardi Regional General Hospital, Surakarta, Indonesia, from January 2020 to December 2024. Using a cross-sectional analysis of medical records, 132 eligible patients were included and analyzed with bivariate tests. Treatment modality was not significantly associated with recovery (p=0.157), although recovery was highest with trichloroacetic acid (71.2%), followed by excision (66.7%), combination therapy (trichloroacetic acid + cryotherapy) (64.7%), and cryotherapy alone (33.3%). In bivariate analysis, type of therapy (p=0.025) as well as type of condyloma (p<0.001), sexual orientation (p=0.019), and HIV status were associated with recurrence, with the highest recurrence observed after excision (42.4%) and the lowest after cryotherapy alone (11.1%). Mean recurrence-free interval varied across modalities (cryotherapy 8.00±0.00; trichloroacetic acid (TCA) 15.92±28.49; excision 18.93±13.64; combination therapy 27.50±36.67 weeks), with the longest interval observed in the combination group. However, statistical analysis revealed that only types of condyloma, sexual orientation, and HIV status were associated with the mean recurrence time. Overall, recovery and recurrence patterns differed descriptively across treatment modalities, with excision showing the highest recurrence and cryotherapy alone the lowest. Recurrence outcomes varied according to treatment modality; however, no significant association was observed between therapy type and recurrence-free interval.
Prevalence, co-occurrence patterns, and factors associated with multiple sexually transmitted infections among men living with HIV in Indonesia: A cross-sectional study in Surakarta Labitta P. Aquaira; Elsita Lisnawati; Endra Y. Ellistasari; Nugrohoaji Dharmawan; Adniana Nareswari
Narra J Vol. 6 No. 3 (2026): December 2026 (In Press)
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v6i3.3093

Abstract

Men living with human immunodeficiency virus (HIV) may experience a substantial burden of sexually transmitted infections (STIs), including concurrent infections. The aim of this study was to determine the prevalence and co-occurrence patterns of multiple STIs and identify factors associated with their occurrence among male patients living with HIV. A retrospective cross-sectional study was conducted using medical records of 70 male patients living with HIV who were diagnosed with at least one active STI at Dr. Moewardi Regional General Hospital, Surakarta, Indonesia, between January 2019 and December 2023. Demographic characteristics, sexual orientation, number of sexual partners, and STI diagnoses were analyzed using bivariate analysis and multivariable binary logistic regression. Multiple STIs were identified in 18.6% of participants. Condyloma acuminata was the most frequently documented single STI (50.0%), while condyloma acuminata with syphilis was the predominant multiple-STI combination (14.3%). In the bivariate analysis, sexual orientation (p=0.005) and number of sexual partners (p=0.003) were significantly associated with multiple STIs, whereas age and education level were not. After adjustment, having more than one sexual partner remained significantly associated with multiple STIs (OR=6.93; 95%CI: 1.20–39.95; p=0.030), while sexual orientation was not significantly associated in the overall multivariable model (p=0.165). These findings support comprehensive STI screening and careful assessment of sexual behavior among men living with HIV, particularly those reporting multiple sexual partners.