Indonesian Journal of Urology
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.
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<![CDATA[CHARACTERISTIC AND MANAGEMENT FOURNIER’S GANGRENE IN ARIFIN ACHMAD REGIONAL GENERAL HOSPITAL OF RIAU PROVINCE ]]>
<![CDATA[Zamzami, Zuhirman]]>;
<![CDATA[Jaya, Indra]]>;
<![CDATA[Yashar, Muhammad Adan]]>;
<![CDATA[Zalena, Maria]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v27i2.474
<![CDATA[Objective: To evaluate the characteristic and the management of Fournier’s gangrene. Material & Methods: We reviewed medical records of Fournier’s gangrene patients including age, etiology, invasion of bacteria, underlying disorders, clinical symptom, radiology and laboratory findings, management, and complication in Arifin Achmad General Hospital, Pekanbaru, Riau Province, in January 2012–December 2017. Statistical analysis of univariate was used. Approval of the study was obtained from the Ethical Review Board for Medicine and Health Research, Medical Faculty, University of Riau. Results: There were 19 patients in the study. The result showed that Fournier’s gangrene cases occurred mostly in age 56-65 year old age group in 8 (42.1%) patients. The etiology was from urogenital cause in 15 (78.9%) patients. Most invasion bacteria was Acinetobacter baumannii in 5 (26.3% ) patients. The most underlying disorder was elderly age in 10 (5.6%) patients. The most frequent symptom was puss on the scrotal in 10 (52.6%)patients. The most laboratory examination was puss bacterial culture in 14 (73.7%) patients. The most frequent treatment for Fournier’s gangrene was initial and preoperative management in 19 (100%) patients. The acute complication of Fournier’s gangrene was sepsis in 5 (26.3%) patients. Conclusion: Fournier’s gangrene occurred mostly in elderly age in which Acinetobacter baumannii was the most invasion bacteria and sepsis was the most complication.]]>
<![CDATA[CHARACTERISTIC AND MANAGEMENT FOURNIER’S GANGRENE IN ARIFIN ACHMAD REGIONAL GENERAL HOSPITAL OF RIAU PROVINCE ]]>
<![CDATA[Zamzami, Zuhirman]]>;
<![CDATA[Jaya, Indra]]>;
<![CDATA[Yashar, Muhammad Adan]]>;
<![CDATA[Zalena, Maria]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
Show Abstract
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DOI: 10.32421/juri.v27i2.474
<![CDATA[Objective: To evaluate the characteristic and the management of Fournier’s gangrene. Material & Methods: We reviewed medical records of Fournier’s gangrene patients including age, etiology, invasion of bacteria, underlying disorders, clinical symptom, radiology and laboratory findings, management, and complication in Arifin Achmad General Hospital, Pekanbaru, Riau Province, in January 2012–December 2017. Statistical analysis of univariate was used. Approval of the study was obtained from the Ethical Review Board for Medicine and Health Research, Medical Faculty, University of Riau. Results: There were 19 patients in the study. The result showed that Fournier’s gangrene cases occurred mostly in age 56-65 year old age group in 8 (42.1%) patients. The etiology was from urogenital cause in 15 (78.9%) patients. Most invasion bacteria was Acinetobacter baumannii in 5 (26.3% ) patients. The most underlying disorder was elderly age in 10 (5.6%) patients. The most frequent symptom was puss on the scrotal in 10 (52.6%)patients. The most laboratory examination was puss bacterial culture in 14 (73.7%) patients. The most frequent treatment for Fournier’s gangrene was initial and preoperative management in 19 (100%) patients. The acute complication of Fournier’s gangrene was sepsis in 5 (26.3%) patients. Conclusion: Fournier’s gangrene occurred mostly in elderly age in which Acinetobacter baumannii was the most invasion bacteria and sepsis was the most complication.]]>
<![CDATA[SCAPHOIDAL MEGALOURETHRA: A RARE CASE PRESENTATION ]]>
<![CDATA[Hidianingsih, Septiani]]>;
<![CDATA[Yudha, Andre]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v27i2.488
<![CDATA[Objective: To propose reduction urethroplasty as a technique for urethral reconstruction for scaphoidal megalourethra. Case(s) Presentation: A male child with the age of one year and four months was known to suffer from megalourethra when dorsumcision was done. The procedure was done starting with marking sutures at the penile gland. Disclose the penile skin as proximal as possible. When disclosed, identify the urethra and dilation was seen so as a finger could be inserted for around 2 centimeters. Urethra was incised, then excise the excess urethral tissue, suturing was done based on the 6F Folley catheter to the point where the urethra dilates. After Folley catheter was inserted, inversion suture was done on the urethra with PDS 6.0 and glanulopasty with PDS 6.0. After evaluation, urethral lumen was found not narrowed, skin was sutured with PDS 6.0. Cystostomy was inserted to divert urine and maintained until one week post-operation. Discussion: Cosmetic and functional results were good and satisfactory. Patient could urinate with no hindrance. Post-operation complication was not found. However, erectile function was difficult to obtain in pediatric patients. Conclusion: Megalourethra is a rare case that needs appropriate diagnosing and management to prevent complication. Operation technique of reduction urethroplasty was done as the chosen management for scaphoidal megalourethra. Furthermore, more in depth research with better methodology was needed to determine the outcome of patients with megalourethra.]]>
<![CDATA[SCAPHOIDAL MEGALOURETHRA: A RARE CASE PRESENTATION ]]>
<![CDATA[Hidianingsih, Septiani]]>;
<![CDATA[Yudha, Andre]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
Show Abstract
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DOI: 10.32421/juri.v27i2.488
<![CDATA[Objective: To propose reduction urethroplasty as a technique for urethral reconstruction for scaphoidal megalourethra. Case(s) Presentation: A male child with the age of one year and four months was known to suffer from megalourethra when dorsumcision was done. The procedure was done starting with marking sutures at the penile gland. Disclose the penile skin as proximal as possible. When disclosed, identify the urethra and dilation was seen so as a finger could be inserted for around 2 centimeters. Urethra was incised, then excise the excess urethral tissue, suturing was done based on the 6F Folley catheter to the point where the urethra dilates. After Folley catheter was inserted, inversion suture was done on the urethra with PDS 6.0 and glanulopasty with PDS 6.0. After evaluation, urethral lumen was found not narrowed, skin was sutured with PDS 6.0. Cystostomy was inserted to divert urine and maintained until one week post-operation. Discussion: Cosmetic and functional results were good and satisfactory. Patient could urinate with no hindrance. Post-operation complication was not found. However, erectile function was difficult to obtain in pediatric patients. Conclusion: Megalourethra is a rare case that needs appropriate diagnosing and management to prevent complication. Operation technique of reduction urethroplasty was done as the chosen management for scaphoidal megalourethra. Furthermore, more in depth research with better methodology was needed to determine the outcome of patients with megalourethra.]]>
<![CDATA[METABOLIC SYNDROME TRAITS IN UROLITHIASIS PATIENTS ]]>
<![CDATA[Aritonang, Johannes]]>;
<![CDATA[Ali, Zulfikar]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v27i2.490
<![CDATA[Objective: To explore the relation of MetS and urolithiasis in our center. Material & Methods: This is a prospective study of all patients diagnosed with urolithiasis in Kardinah Hospital, Tegal, from April to June 2018, who were screened for metabolic syndrome criteria. The data was collected from the medical record and analyzed with SPSS ver. 23. Results: We included 71 cases of urinary tract stone in our center. 8.4% of the patients didn’t undergo definitive therapy for stones caused by patients’ preferences or the surgery being postponed with various reasons. The patient's mean age is 54.7 ± 11.24, with a male to female ratio 2.4:1. The average BMI is 20.9 ± 2.3 kg/m2. Most of the stones are found in kidney (38.0%) and bladder (26.8%). The average blood pressure is 127.2 ± 7.96 mmHg for systolic pressure and 81.6 ± 5.77 mmHg for diastolic pressure. The average values of lipid profile include total cholesterol, high- and low-density lipoprotein, and triglyceride were 177.0 ± 35.92, 52.0 (27-96), 107.3 ± 37.58 and 131 (50-406), respectively. The mean of patient’s blood glucose level is 122 mg/dL, and the highest level is 203 mg/dL. Conclusion: Not all of the MetS traits found in our patients in Kardinah Hospital. The HDL level is the only variable that shown abnormal level and it could be included into one of the MetS criteria of diagnosis. Thus, this observational study needs further research to confirm the correlation between urolithiasis and MetS, and also the underlying mechanism.]]>
<![CDATA[METABOLIC SYNDROME TRAITS IN UROLITHIASIS PATIENTS ]]>
<![CDATA[Aritonang, Johannes]]>;
<![CDATA[Ali, Zulfikar]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v27i2.490
<![CDATA[Objective: To explore the relation of MetS and urolithiasis in our center. Material & Methods: This is a prospective study of all patients diagnosed with urolithiasis in Kardinah Hospital, Tegal, from April to June 2018, who were screened for metabolic syndrome criteria. The data was collected from the medical record and analyzed with SPSS ver. 23. Results: We included 71 cases of urinary tract stone in our center. 8.4% of the patients didn’t undergo definitive therapy for stones caused by patients’ preferences or the surgery being postponed with various reasons. The patient's mean age is 54.7 ± 11.24, with a male to female ratio 2.4:1. The average BMI is 20.9 ± 2.3 kg/m2. Most of the stones are found in kidney (38.0%) and bladder (26.8%). The average blood pressure is 127.2 ± 7.96 mmHg for systolic pressure and 81.6 ± 5.77 mmHg for diastolic pressure. The average values of lipid profile include total cholesterol, high- and low-density lipoprotein, and triglyceride were 177.0 ± 35.92, 52.0 (27-96), 107.3 ± 37.58 and 131 (50-406), respectively. The mean of patient’s blood glucose level is 122 mg/dL, and the highest level is 203 mg/dL. Conclusion: Not all of the MetS traits found in our patients in Kardinah Hospital. The HDL level is the only variable that shown abnormal level and it could be included into one of the MetS criteria of diagnosis. Thus, this observational study needs further research to confirm the correlation between urolithiasis and MetS, and also the underlying mechanism.]]>
<![CDATA[COMPARISON OF INTERLEUKIN-6, PROCALCITONIN AND C-REACTIVE PROTEIN AS A DIAGNOSTIC BIOMARKER IN PATIENTS UROSEPSIS ]]>
<![CDATA[Nursanto, Trisno Fajar]]>;
<![CDATA[Soebadi, M. Ayodhia]]>;
<![CDATA[Soebadi, Doddy M]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v27i2.516
<![CDATA[Objective: To compare the diagnostic value of Interleukin-6 (IL-6), Procalcitonin (PCT) and C-Reactive Protein (CRP) in detecting urosepsis. Material & Methods: This study is an analytical descriptive cross-sectional study about the diagnostic value of IL-6, PCT, and CRP to determine the diagnosis of urosepsis. The study sample consisted of all SIRS patients with urological disorders. The entire sample was examined by IL-6, PCT, CRP, and urine culture as the gold standard diagnosis. Data were analyzed using 2x2 table analysis and ROC curve to obtain AUC value. Results: There are a total of 36 samples in this study. With a cut-off 140 pg/ml, IL-6 provides a sensitivity, specificity, Positive Predictive Value (PPV), Negative Predictive Value (NPV), Positive Likelihood Ratio (+LR) and Negative Likelihood Ratio (-LR) was 95.8%, 83.3%, 92%, 90%, 5.75, and 0.05 with AUC 90.8% (95% IK 80.2% -100%, p<0.001). Sensitivity and specificity for PCT with cut off 0.65 ng/ml were 75% and 83.3%. The sensitivity and specificity for CRP with cut off 41 mg/l was 70.8% and 58.3%. The AUC of PCT and CRP was 81.1% and 66.5%. Conclusion: IL-6 has the best diagnostic value followed by PCT and CRP in urosepsis cases. IL-6 can be used as a biomarker diagnostic of urosepsis.]]>
<![CDATA[COMPARISON OF INTERLEUKIN-6, PROCALCITONIN AND C-REACTIVE PROTEIN AS A DIAGNOSTIC BIOMARKER IN PATIENTS UROSEPSIS ]]>
<![CDATA[Nursanto, Trisno Fajar]]>;
<![CDATA[Soebadi, M. Ayodhia]]>;
<![CDATA[Soebadi, Doddy M]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v27i2.516
<![CDATA[Objective: To compare the diagnostic value of Interleukin-6 (IL-6), Procalcitonin (PCT) and C-Reactive Protein (CRP) in detecting urosepsis. Material & Methods: This study is an analytical descriptive cross-sectional study about the diagnostic value of IL-6, PCT, and CRP to determine the diagnosis of urosepsis. The study sample consisted of all SIRS patients with urological disorders. The entire sample was examined by IL-6, PCT, CRP, and urine culture as the gold standard diagnosis. Data were analyzed using 2x2 table analysis and ROC curve to obtain AUC value. Results: There are a total of 36 samples in this study. With a cut-off 140 pg/ml, IL-6 provides a sensitivity, specificity, Positive Predictive Value (PPV), Negative Predictive Value (NPV), Positive Likelihood Ratio (+LR) and Negative Likelihood Ratio (-LR) was 95.8%, 83.3%, 92%, 90%, 5.75, and 0.05 with AUC 90.8% (95% IK 80.2% -100%, p<0.001). Sensitivity and specificity for PCT with cut off 0.65 ng/ml were 75% and 83.3%. The sensitivity and specificity for CRP with cut off 41 mg/l was 70.8% and 58.3%. The AUC of PCT and CRP was 81.1% and 66.5%. Conclusion: IL-6 has the best diagnostic value followed by PCT and CRP in urosepsis cases. IL-6 can be used as a biomarker diagnostic of urosepsis.]]>
<![CDATA[RENAL INFUNDIBULAR STENOSIS WITH UROLITHIASIS: A LITERATURE REVIEW ]]>
<![CDATA[Firmanto, Rama]]>;
<![CDATA[Rasyid, Nur]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v27i2.541
<![CDATA[Objective: This literature review was performed to improve the insight in renal infundibular stenosis with urolithiasis. Material & Methods: We searched several literatures about infundibular stenosis and its association with urolithiasis. Pubmed and ScienceDirect databases were used to identify relevant studies. Results: Infundibulopelvic stenosis (IFPS) is rarely found. It is not always a congenital condition. IFPS is caused by extrinsic factor, such as carcinoma or retroperitoneal fibrosis, or intrinsic factor, such as inflammation, infection, calculus, Fraley’s syndrome, or surgery performed on kidney. Urinary stasis in the pelvicalyceal system that happened in IFPS increases the chance of stone formation. Its anatomical abnormality plays important role to stone formation. The clear treatment algorithm has not been found. The management for kidney stones depends on stone characteristic, location, and symptoms of the patient, as recommended by Koopman et al. Bayne et al. recommend methods of nephrotomy and calicocalicostomy. While Balbo et al. recommend holmium-based therapy. Conclusion: Infundibulopelvic stenosis is a risk factor of urolithiasis. It is a rare condition, but the treatment algorithm has not been found. There are several recommendations for kidney stone management in infundibulopelvic stenosis.]]>
<![CDATA[RENAL INFUNDIBULAR STENOSIS WITH UROLITHIASIS: A LITERATURE REVIEW ]]>
<![CDATA[Firmanto, Rama]]>;
<![CDATA[Rasyid, Nur]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
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DOI: 10.32421/juri.v27i2.541
<![CDATA[Objective: This literature review was performed to improve the insight in renal infundibular stenosis with urolithiasis. Material & Methods: We searched several literatures about infundibular stenosis and its association with urolithiasis. Pubmed and ScienceDirect databases were used to identify relevant studies. Results: Infundibulopelvic stenosis (IFPS) is rarely found. It is not always a congenital condition. IFPS is caused by extrinsic factor, such as carcinoma or retroperitoneal fibrosis, or intrinsic factor, such as inflammation, infection, calculus, Fraley’s syndrome, or surgery performed on kidney. Urinary stasis in the pelvicalyceal system that happened in IFPS increases the chance of stone formation. Its anatomical abnormality plays important role to stone formation. The clear treatment algorithm has not been found. The management for kidney stones depends on stone characteristic, location, and symptoms of the patient, as recommended by Koopman et al. Bayne et al. recommend methods of nephrotomy and calicocalicostomy. While Balbo et al. recommend holmium-based therapy. Conclusion: Infundibulopelvic stenosis is a risk factor of urolithiasis. It is a rare condition, but the treatment algorithm has not been found. There are several recommendations for kidney stone management in infundibulopelvic stenosis.]]>
