cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
-
Contact Email
-
Phone
-
Journal Mail Official
indonesianjurol@gmail.com
Editorial Address
Departemen/SMF Urologi RSUD Dr. Soetomo Jl. Prof. Moestopo No. 6-8, Surabaya, 60286
Location
Kota surabaya,
Jawa timur
INDONESIA
Indonesian Journal of Urology
Published by Universitas Airlangga
ISSN : 0853442X     EISSN : 23551402     DOI : 10.32421
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
The aim of Indonesian Journal of Urology is to encompass the whole spectrum of urology. The journal publishes papers on a wide range of urological issues such as oncology, functional urology, reconstructive urology, laparoscopy, robotic surgery, endourology, female urology, andrology, pediatric urology, and sexual medicine. We welcome authors for original article (research), review article, interesting case reports, special article, clinical practices, and medical illustrations that focus on the clinical area of urology.
Arjuna Subject : -
Articles 18 Documents
 1   2 
Search results for , issue "Vol 27 No 1 (2020)" : 18 Documents clear
MANAGEMENT OF BLADDER STONE WITH HOLMIUM-YAG LASER AT KARDINAH HOSPITAL TEGAL Abshari, Fatan; Ali, Zulfikar
Indonesian Journal of Urology Vol 27 No 1 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i1.473

Abstract

Objective: Transurethral lithotripsy using Holmium-YAG laser has been reported to be beneficial in breaking up bladder stones with large size (>4cm in diameter) with lower risk of mucosal injury and hematuria. The aim of this study is to evaluate the utilization of Holmium-YAG laser for the management of bladder stones at Kardinah General Hospital, Tegal. Material & Methods: This is a cross-sectional study conducted from January 2017 to March 2017. Patient’s demography, which included age, sex, length of surgery, stone size, and laser’s energy count were recorded. Results: We included 120 patients in this study. Mean of patients age in this study was 51.93 years old with age range were 41-85 years old. Most of the patients were male (109 vs 11) with a mean size of stone 25.09 ± 3.04 mm. Length of surgery ranges from 15 to 75 minutes and mean energy of the laser 28.99 ± 19.34 kJ. There was 100% stone’s clearance following surgery with no major complication occurred. Conclusion: Holmium-YAG laser is effective in managing bladder stones at Kardinah General Hospital particularly for large size stones. Length of surgery and energy of laser used depend on the stone size in which bigger stone size is associated with longer surgery time and bigger laser energy needed.
THE QUALITY OF SPERM AND FEMALE AGE AS FACTORS INFLUENCING PREGNANCY IN INTRACYTOPLASMIC SPERM INJECTION (ICSI) Hadibrata, Exsa; Utomo, Trisula
Indonesian Journal of Urology Vol 27 No 1 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i1.480

Abstract

Objective: To evaluate the quality of sperm and the female age influence on fertilization and pregnancy rate after Intracytoplasmic Sperm Injection (ICSI) procedure. Material & Methods: This study was an observational analytic study with a retrospective cohort design. The data of infertile and subfertile male undergoing ICSI for five years were analyzed and evaluated to determine factors influencing pregnancy post-ICSI in Central General Hospital Dr. Sardjito. The Data were analyzed by using Chi-squared test, Kolmogorov-Smirnov test, and Mann-Whitney U test with the confidence level of p<0.05 and α=0.05. Results: There was 52 male included in this study. A total of 52 males were infertile, with azoospermia, oligozoospermia, and oligoasthenoteratozoospermia. 2 patients (3.8%) were patients with oligozoospermia, 32 patients (61.5%) were patients with azoospermia and 18 patients (34.6%) were patients with oligoasthenoteratozoospermia. We evaluated 52 ICSI cycle, the percentage of fertilization and pregnancy are 84.6% and 36.5%, respectively. Bivariate analysis showed a significant relationship between wife under 37 years old variable and pregnancy post ICSI procedure with p=0.021 and OR 9.0 (95% CI 1.05-76.4). There was no significant difference between azoospermia, oligozoospermia, and oligoasthenoteratozoospermia and the occurrence of pregnancy post ICSI procedure, p=0.986. Conclusion: The percentage of fertilization and pregnancy post ICSI procedure were 84.6% and 36.5%. Azoospermia, oligozoospermia, and oligoasthenoteratozoospermia variables were not significantly associated with pregnancy post ICSI procedure. ICSI procedure must be carried out immediately before the age of the wife 37 years because of the high success rate.
COMPARISON OF THE EFFECTIVENESS OF EXTRACORPOREAL SHOCKWAVE THERAPY (ESWT) AND TADALAFIL ON ORGANIC ERECTILE DYSFUNCTION Wiradinata, Indra; Zulfiqar, Yefri; Myh, Etriyel; Hardisman
Indonesian Journal of Urology Vol 27 No 1 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i1.484

Abstract

Objective: To find a comparison of the effectiveness of ESWT and Tadalafil on organic erectile dysfunction. Material & Methods: This is a Quasi Experiment study that was carried out from February 2018 to April 2018. ESWT treatment was performed in Urology Outpatient Clinic. Cialis 10 mg was used in cased of Tadalafil. The sample size is 40 patients consists of 20 patients each treatment. The data was processed with a significance limit of p<0.05. Results: The sample age average is 61.7 years, the level of total cholesterol is 191 mg/dL, FBG 112.5 mg/dL, 2hPPBG 134.5 mg/dL, HDL 44.9 mg/dL, LDL 137.5 mg/dL, ureum 27 mg/dL, and creatinin 0.8 mg/dL. The proportion of Diabetes Mellitus patients in this study is 50% and hypertension 57.5%, which is 15% of them belong to mild erectile dysfunction category, 37.5% mild to moderate, 5% moderate, and 42.5% severe. We found an increasement of EHS on 75% patients that were treated with ESWT and 5% on patient that were treated with Tadalafil, and it is statistically significant (p<0.05). Conclusion: We found that ESWT and Tadalafil can increase EHS of organic erectile dysfunction patients, which ESWT is more effective than Tadalafil.
PROSTATE SPECIFIC ANTIGEN LEVEL FOLLOWING TRANSURETHRAL RESECTION OF THE PROSTATE Aritonang, Johannes; Ali, Zulfikar
Indonesian Journal of Urology Vol 27 No 1 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i1.499

Abstract

Objective: To evaluate the correlation of the weight of the resected prostate with the reduction of the PSA level. Material & methods: This is a prospective study of all BPH patients undergoing TURP procedure in Kardinah Hospital, Tegal, with a timeframe of April–June 2018. Patients consumed α-blocker and 5-α reductase inhibitor medication before the procedure were eliminated from the study. The data collected were the estimated prostate weight calculated using transabdominal ultrasonography (TAUS) of the prostate, PSA level before and after the procedure, and the calculated weight of the resected prostate. The resected tissues of the prostate were examined by an anatomy pathologist and the PSA level will be examined at 1, 14, and 30 days after the surgery. Data was analyzed using repeated measure ANOVA with SPSS version 23.0. Results: We included 35 cases of prostate enlargement in our center. 2.8% of the patients didn’t undergo definitive surgical procedure due to be postponed with various reasons. The patients mean age is 64.2 ± 8.26 with average BMI is 21.8 ± 3.56kg/m2. The median value of the prostate volume is 43.8 mL. The median preoperative PSA level was 8.7 ng/dL, while the median value of the 1st day, 14th days, and 30th days post-operative PSA level were17.67 ng/dL, 6.93 ng/dL, and 3.2 ng/dL, respectively, with significant reduction of PSA level (p<0.001). Conclusion: PSA level post-TURP shows a significant decrease. Every milliliters (mL) prostatic tissue resected could reduce the PSA level for 0.11 ng/mL. This calculation could further be used to predict how much tissue needed to resect, to treat the symptoms, and obtain normal PSA level. In addition, further research is needed, especially with larger sample size and longer follow up period to confirm these findings.
PROFILE OF PATIENTS WITH URINARY TRACT STONE AT UROLOGY DEPARTMENT OF SOETOMO GENERAL HOSPITAL SURABAYA IN JANUARY 2016-DECEMBER 2016 Kurniawan, Reza; Djojodimedjo, Tarmono; Rahayu, Anny Setijo
Indonesian Journal of Urology Vol 27 No 1 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i1.506

Abstract

Objective: To identify the profile of patients with urinary tract stones at the Urology Department of Soetomo General Hospital Surabaya in January 2016-December 2016. Material & methods: This was descriptive retrospective research conducted at the Urology Department of Soetomo General Hospital Surabaya. The data were obtained from medical records of patients diagnosed with urinary tract stone, with the amount of data collected was 62. The variables included were age, gender, address, main complaint, type and location of urinary tract stone. Results: The ratio of male:female among patients with urinary tract stone is 33:29. Most of the patients with urinary tract stone were aged 46-60 years old (52%), came with the main complaint of flank pain (79%), had the uric acid type of urinary tract stone (48%), and had urinary tract stone located at the kidneys (65%). Conclusion: Profile of patients with urinary tract stone at the Urology Department of Soetomo General Hospital Surabaya is as following: Ratio of male:female among patients with urinary tract stone is 33:29. Most of the patients with urinary tract stone were aged 46-60 years old, came with the main complaint of flank pain, had the uric acid type of urinary tract stone, and had urinary tract stone located at the kidneys.
VALIDATION OF AFFORDABLE AND APPLICABLE KIDNEY PHANTOM MODEL (AARM) FOR ULTRASOUND-GUIDED PERCUTANEOUS NEPHROSTOMY SIMULATION Septian, Regi; Adi, Kuncoro
Indonesian Journal of Urology Vol 27 No 1 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i1.515

Abstract

Objective: Percutaneous nephrostomy (PN) is a medical skill that requires the repetition of hand and eye coordination exercises. The limited opportunity to achieve learning curve at mastering it, increases the morbidity risk to the patient. We therefore developed an Affordable and Applicable Renal Model (AARM) phantom to simulate percutaneous nephrostomy with ultrasound (USG) guiding. Our goal is to present the development of an affordable cost kidney phantom model and evaluate validity (face, content, and construct) with its reliability. Material & Methods: The AARM phantom made from mixture of gelatin, glycerin and sorbitol, then molded with latex gloves comprising the parenchymal portion and the renal pelvicalyceal system connected to a 10Fr nasogastric tube and a 20 cc syringe. Phantom then assessed by urology residents at Hasan Sadikin Hospital Bandung. Senior resident (n=20) who are adept at performing independent PN then compared with junior resident (n=15), and then we analysis both group skills by measure PN initial puncture time and its failure to establish its validity and reliability. Results: This phantom cost production was 30USD (400.000 IDR) and after tested by urology residents, it had simulated the series of PN action steps which described the face and content validation test, with correlation results (Pearson, p<0.05); Very strong (53.8%), strong (30.8%), and medium (15.4%). The reliability test with cronbach alpha value was 0.934 (reliable if cronbach alpha>0.60). The average initial puncture time measure and PN failure result of junior and senior residents are respectively 37.03 ± 9.5 vs 10.90 ± 0.65 seconds and 4.93 ± 1.33 vs 0.75 ± 0.63 times. When both skills performance was analyzed, the senior resident showed significantly (p<0.01) faster and fewer errors. Conclusion: This AARM phantom had successfully represent the whole sequence actions key step of PN skills and this study has been established its validity (face, content and construct). In addition, this phantom material not only made from affordable cost but also applicable and could be used repeatedly (recycled). We propose the use of this AARM phantom simulator as an initial steps practices to introduce percutaneous nephrostomy skills to residents before they went to the operating room.
ENDOUROLOGIC MANAGEMENT IN NEGLECTED DOUBLE J STENT AT SOETOMO HOSPITAL SURABAYA RETROSPECTIVE-DESCRIPTIVE STUDY, PERIODE 2013-2016 Fathurrahman, Hasroni; Hakim, Lukman
Indonesian Journal of Urology Vol 27 No 1 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i1.525

Abstract

Objective: The use of various combinations of endourological techniques can be an effective solution in the management of neglected DJ stent. The variety of treatments that combine the extracorporeal shock wave lithotripsy (ESWL), retrograde cortolithotripsy (CLT) ureteroscopy with intracorporeal lithotripsy, percutaneous nephrolithotomy (PCNL) and open surgery have been used for the management of encrustation stent cases in a neglected DJ stent. Material & Methods: A Retrospective descriptive study by evaluating patients that have done undergoing endourological measures in the case of Neglected DJ stents in Soetomo General Hospital from January 2013 to December 2016. Data analysis based on age, gender, location of encrustation, indication of DJ stent insertion, duration of DJ stent insertion, and type of endourologic management. Results: In this study, the data of patients undergoing endourological action in Neglected DJ stent cases were 29 patients from January 2012 to December 2016. In Neglected DJ stent patients (41.4%) 12 were encrusted and (58.6%) 17 that there is no encrustation. From 29 patients neglected DJ stent, consisting of (20.7%) 6 males and (79.3%) 23 females, with ratio male to female 1:4, the incidence of DJ stent encrustation was 12 with ratio male to female 1:1, with ages ranging from 41-64 years. The most common cause of DJ stent insertion in Neglected DJ stent patients was malignancy that cause obstructive uropathy (72.4%) 2, all of them were female patients, followed by ureteral stones (24.1%) 7, where males (13.8%) 4 and women (10.3%) 3, and UPJ stenosis where there were only (3.4%) 1 men. In the neglected dentist stent there were 62 (62%) 18 unilateral stent (males (13.8%) 4 and female (48.3%) 14 while the bilateral stent were (37.9%) 11, where male (6.9%) 2 and female (31%) 9. Duration of DJ stent use in neglected DJ stent is higher in 15 weeks (20.7%) 6, followed by 17 weeks (17.2%) 5, 14 weeks (13.8%) 4, 16 weeks, 18 weeks, 20 weeks each (10.3%) 3, 13 weeks (6.9%) 2, and last order during 19 weeks, 26 weeks, 29 weeks each (3.4%) 1. Where the largest organ there is encrustation is Ureter (24.1%) 7, followed by renal with a kidney (10.3%) 3. After which the kidneys with ureter (3.4%) 1 and buli (3.4%) 1. Management of Neglected DJ stent without encrustation performed procedure of removing DJ stent 17 (58.6%), while management of Neglected DJ stent with stent encrustation. The majority procedure was URS (13.8%) 4, followed by URS + PCNL and ESWL pre op + URS respectively (6.9%) 2, and few with ESWL preoperative procedures, CLT, CLT + PCNL, and ESWL pre operation + CLT + PCNL about (3.4%) 1. Conclusion: The neglected ratio male to female 1:4, while the incidence of DJ stent encrustation was 12 with ratio male to female 1:11. The most common cause of DJ stent insertion in Neglected Dj stent patients was malignancy that cause obstructive uropathy, followed by ureteral stones and UPJ stenosis Patients with unilateral DJ stent more than those with bilateral DJ stent. Duration of DJ stent usage in Neglected DJ stent at most for 15 weeks and last order for 19-29 weeks. In Neglected DJ patients the patient incrustation ratio and no incrustation were 2:3. Management of the Neglected DJ stent without encrustation is performed by DJ stent with cystoscopy, while the management of the Neglected DJ stent with encrustation is performed with a multimodal endourology procedure, among others: a combination of URS, PCNL, ESWL pre-op and CLT. The most commonly organ that have encrustation is the ureter, the second sequence is the bladder with the kidney, and finally the kidney with the ureter and the bladder.
COMPARISON OF PAIN DEGREES USING VISUAL ANALOG SCALE (VAS) IN VARICOCELE PATIENT AFTER MICROSURGERY VARICOLECTOMY COMPARED TO NON MICROSURGERY VARICOCELECTOMY PROCEDURE AT HASAN SADIKIN HOSPITAL BANDUNG IN 2014 – 2015 Nurgoho, Firman; Noegroho, Bambang Sasongko; Adriansjah, Ricky
Indonesian Journal of Urology Vol 27 No 1 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i1.527

Abstract

Objective: This study aimed to report the demographic, presentation, and compare the pain degree after varicocelectomy procedure at Hasan Sadikin Hospital Bandung from 2014 until 2015. Material & Methods: We study the demographic, presentation, and outcome of varicocelectomy to pain degree in patient who came to Hasan Sadikin Hospital Bandung from 2014 until 2015. Results: The mean age of patients was 29.43 years old. Patient consist of 2 (2.89%) patients with varicocele grade I, 32 (46.37 %) patients with varicocele grade II, 33 (47.82%) patients with varicocele grade III, and 2 (2.89 %) with varicocele grade IV. We found incidences of varicocele at the right side in 1 (1.44 %) patient, at the left side in 34 (49.27%) patients, and at bilateral in 34 (49.27%) patients. Thirty eight patients (55%) patients underwent non-microsurgical varicocelectomy and 31 (45%) patients underwent microsurgical varicocelectomy. 22 (57.89%) patients still had pain after non microsurgical varicocelectomy and 30 (96.77%) patients had no pain after microsurgical varicocelectomy. Only one (4.34%) patient experienced scrotal pain after microsurgical varicocelectomy but the pain relieves after 6 months postoperative. Conclusion: Microsurgical varicocelectomy is an effective treatment of varicocele. Our comparative study among open surgical and microsurgical varicocelectomy has confirmed microsurgical varicocelectomy has a better postoperative outcome.
SUPERIOR INFERIOR CALYCES AXIS IN SAGITTAL VERSUS CORONAL PROJECTION OF NON CONTRAST ABDOMINAL MULTISLICE COMPUTED TOMOGRAPHY: AN ANATOMICAL STUDY IN SUPINE PCNL Krisna, Muhammad Sidharta; Soeroharjo, Indrawarman; Ali, Zulfikar
Indonesian Journal of Urology Vol 27 No 1 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i1.536

Abstract

Objective: Getting the right access to the kidney calyces that has been determined is the most important part of PCNL. Less optimal access can cause an increase in operating time and a decrease in stone free rate. The use of inferior calyx as access decreases the risk of complications, but there are difficulties in reaching the superior calyx, which affects the stone free rate. The angle and depth of the puncture on PCNL can be determined by coronal and sagittal cuts in the non contrast MSCT scan of the abdomen. Material & Methods: This is an analytical study with a prospective cross-sectional method. An analysis was done to 198 samples of patients in Kardinah Tegal Hospital. Samples were taken with 16 slices non-contrast abdominal MSCT using Philips MSCT MX16 (120 kVp; 2x0.75 mm slice thickness). Samples were collected with consecutive sampling method, excluding patients who had a history of other illnesses or surgical history that resulted in anatomical changes in kidney position, age<18 year old, BMI>30 (obesity), grade 4 hydronephrosis (calyces had disappeared). Reconstruction of 3D non contrast abdominal MSCT was performed by measuring the angle of the coronal cut which was simulated as a puncture in the supination position and sagittal cut which was simulated as puncture in pronation position. An imaginary line was drawn from the imaginary point between the iliac crest and 12th rib as high as 3th to 4th lumbar to the inferior renal calyx. Axis was drawn from the inferior renal calyx towards the superior renal calyx. Results: There is significant difference (P=0.000) in the angle of the imaginary line drawn from the inferior calyx to the superior calyx between the right supination position compared to the right pronation position. The angle in the supination position is more gentle 142.8 (±9.7)/(118-165) degrees compared to 96.5 (±13.2)/(11-138) degrees. On the left side, the angle formed from inferior calyx to the superior calyx in the supination position is more gentle 143.4 (±9.6)/(119-162) degrees) compared with 97.3 (±11.2)/(76-132) degrees formed in pronation position, with a value of P=0.000. Conclusion: PCNL puncture with an inferior calyx approach to reach the superior calix on abdominal MSCT without contrast will be easier to do in the supine position. This is because the angle from the inferior calyx to the superior calyx is more gentle in the supine position so that maneuvers are easier to do.
THE SIZE OF EXTERNAL URETHRAL MEATUS ON MAXIMUM STRETCH IN WEST JAVA PEDIATRIC MALE: IS THERE ANY CORRELATION WITH AGE? Yudawan, Herman; Sibarani, Jupiter
Indonesian Journal of Urology Vol 27 No 1 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i1.549

Abstract

Objective: To determine the average size of external urethral meatus in children in West Java, and to find out whether there was a correlation between the size of external urethral meatus and age of boys in West Java. Material & Methods: This research was an analytical with prospective study design. Our research subjects consist of children hospitalized between November 2017-November 2018 at Hasan Sadikin General Hospital, Bandung. Measurement is done by measuring the diameter of the external urethra using meatal calibrator, recorded as meatus size on a French scale. Inclusion criteria in this study were all pediatric patients aged 0-12 years who consented to be involved in the study. The exclusion criteria were patients who had urethral diseases such as hypospadias, epispadias, strictures, and history of instrumentation and interventional procedures on the urethra. After data collection, data were analyzed using SPSS 18. Results: We included 187 patients in our study, with the youngest being 1 month old and the oldest being 12 years. We documented the mean external urethra meatal measurement and grouped the subjects into 4 age groups. The average size of the external urethral meatus in the infant age group (0-12 months) was 5.82 Fr, the toddler age group (1-3 years) it was 6.34 Fr, in the preschool age group (3-6 years) it was 8.51 Fr, and in the primary school age group (6-12 years) it was 12.90 Fr. Based on the results of measurements, there is a correlation between age and external urethral meatal size (p=0,000). The older the child, the greater the size of the external urethral meatus obtained. Conclusion: The size of the external urethral meatus maximum stretch in boys in West Java increases with age. The results of this study are expected to be used as a reference of normal anatomical size, particularly the external urethral meatal size in boys in West Java.

Page 1 of 2 | Total Record : 18

 1   2 

Filter by Year

2020 2020


Reset
Filter By Issues
All Issue Vol 32 No 3 (2025) Vol 32 No 2 (2025) Vol 32 No 1 (2025) Vol 31 No 3 (2024) Vol 31 No 2 (2024) Vol 31 No 1 (2024) Vol 30 No 3 (2023) Vol 30 No 2 (2023) Vol 30 No 1 (2023) Vol 29 No 3 (2022) Vol 29 No 2 (2022) Vol 29 No 1 (2022) Vol 28 No 2 (2021) Vol 28 No 1 (2021) Vol 27 No 2 (2020) Vol 27 No 1 (2020) Vol 26 No 2 (2019) Vol 26 No 1 (2019) Vol 25 No 2 (2018) Vol 25 No 1 (2018) Vol 24 No 2 (2017) Vol 24 No 1 (2017) Vol 23 No 2 (2016) Vol 23 No 1 (2016) Vol 22 No 2 (2015) Vol 22 No 1 (2015) Vol 21 No 2 (2014) Vol 21 No 1 (2014) Vol 20 No 2 (2013) Vol 20 No 1 (2013) Vol 19 No 2 (2012) Vol 19 No 1 (2012) Vol 18 No 2 (2011) Vol 18 No 1 (2011) Vol 17 No 2 (2010) Vol 17 No 1 (2010) Vol 16 No 2 (2009) Vol 16 No 1 (2009) Vol 15 No 2 (2008) Vol 15 No 1 (2008) More Issue