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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.
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Articles 36 Documents
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Search results for , issue "Vol 27 No 2 (2020)" : 36 Documents clear
THE ASSOCIATION OF URINARY SPECIFIC GRAVITY AND ACIDITY WITH UROLITHIASIS Agung Nugroho, Raden Fenditya; Hendri, Ahmad Zulfan; Ali, Zulfikar
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.547

Abstract

Objective: This study aimed to know the association between urinary specific gravity and acidity with the formation of urolithiasis. Material & Methods: This retrospective descriptive study was conducted among proven urolithiasis patients reporting to the Kardinah Hospital, Tegal. The patient’s age, gender, anatomical sites of the stone, and biochemical parameters were obtained from the case records. The correlation of kidneys stone with specific gravity and pH changed according to anatomical sites of stone was analyzed by One way Anova. Results: The resulted show urinary stones patients with lower pH tend to have a higher probability of stone formation but not specific to its location. Higher pH values were found in the patient with urinary stones at the kidney, ureter, and also bladder. The average of specific gravity in ureter stone patients was lower than stones on other sites. One-way ANOVA shows no statistically significant difference in patient's urinary pH with stones on different sites, but there is a statistically significant difference in specific gravity examination (p<0.05) on ureter stone patients compared to other locations. There is a statistically significant difference (p=0.000) of urine specific gravity of ureter stone compared to other anatomical sites with the lower mean value. Conclusion: A decrease in urinary pH is associated with the risk of urinary stone formation. The specific gravity value of the patient’s urine with kidney and bladder stones is higher than the patient with ureter stones but there is no association of urine specific gravity toward the risk of urinary stone formation.
THE ASSOCIATION OF URINARY SPECIFIC GRAVITY AND ACIDITY WITH UROLITHIASIS Agung Nugroho, Raden Fenditya; Hendri, Ahmad Zulfan; Ali, Zulfikar
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.547

Abstract

Objective: This study aimed to know the association between urinary specific gravity and acidity with the formation of urolithiasis. Material & Methods: This retrospective descriptive study was conducted among proven urolithiasis patients reporting to the Kardinah Hospital, Tegal. The patient’s age, gender, anatomical sites of the stone, and biochemical parameters were obtained from the case records. The correlation of kidneys stone with specific gravity and pH changed according to anatomical sites of stone was analyzed by One way Anova. Results: The resulted show urinary stones patients with lower pH tend to have a higher probability of stone formation but not specific to its location. Higher pH values were found in the patient with urinary stones at the kidney, ureter, and also bladder. The average of specific gravity in ureter stone patients was lower than stones on other sites. One-way ANOVA shows no statistically significant difference in patient's urinary pH with stones on different sites, but there is a statistically significant difference in specific gravity examination (p<0.05) on ureter stone patients compared to other locations. There is a statistically significant difference (p=0.000) of urine specific gravity of ureter stone compared to other anatomical sites with the lower mean value. Conclusion: A decrease in urinary pH is associated with the risk of urinary stone formation. The specific gravity value of the patient’s urine with kidney and bladder stones is higher than the patient with ureter stones but there is no association of urine specific gravity toward the risk of urinary stone formation.
THE IMMUNOEXPRESSION PROFILE OF FGFR3 AND P53 IN PUNLMP AND UROTHELIAL BLADDER CARCINOMA AT HASAN SADIKIN GENERAL HOSPITAL Suryanti, Sri; Agustina, Hasrayati; Mulyati, Sri
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.551

Abstract

Objective: To obtain FGFR3 and p53 immunohistochemistry of PUNLM and UBC basic data profile. Material & Methods: This retrospective observational analytic study used a cross-sectional design on formalin-fixed paraffin-embedded (FFPE) from patients diagnosed as PUNLMP and UBC then performed FGFR3 and p53 immunohistochemical staining. Statistical analysis of immunoexpression data using SPSS 24.0. Results: There are three main immunohistochemistry pattern profiles of PUNLMP and UBC in this research data, i.e. FGFR3+ p53+, FGFR+ p53- and FGFR3- p53+. There were no Cis sample obtained. FGFR+ was showed in PUNLMP, LG-PUC, HG-PUC, IUBC (pT1, pT2, pT3, pT4) with decreased percentage sequentially. As many as 51 of 54(94.44%) IUBC samples showed combination pattern with p53+ while 3 other samples were p53-. Conclusion: The FGFR3 and p53 immunohistochemistry profile, separately or as a pattern of combination, is in accordance with the oncogenesis molecular pathway of UBC.
THE IMMUNOEXPRESSION PROFILE OF FGFR3 AND P53 IN PUNLMP AND UROTHELIAL BLADDER CARCINOMA AT HASAN SADIKIN GENERAL HOSPITAL Suryanti, Sri; Agustina, Hasrayati; Mulyati, Sri
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.551

Abstract

Objective: To obtain FGFR3 and p53 immunohistochemistry of PUNLM and UBC basic data profile. Material & Methods: This retrospective observational analytic study used a cross-sectional design on formalin-fixed paraffin-embedded (FFPE) from patients diagnosed as PUNLMP and UBC then performed FGFR3 and p53 immunohistochemical staining. Statistical analysis of immunoexpression data using SPSS 24.0. Results: There are three main immunohistochemistry pattern profiles of PUNLMP and UBC in this research data, i.e. FGFR3+ p53+, FGFR+ p53- and FGFR3- p53+. There were no Cis sample obtained. FGFR+ was showed in PUNLMP, LG-PUC, HG-PUC, IUBC (pT1, pT2, pT3, pT4) with decreased percentage sequentially. As many as 51 of 54(94.44%) IUBC samples showed combination pattern with p53+ while 3 other samples were p53-. Conclusion: The FGFR3 and p53 immunohistochemistry profile, separately or as a pattern of combination, is in accordance with the oncogenesis molecular pathway of UBC.
AN EXPERIENCE OF SUPINE PCNL ON BILATERAL STAGHORN AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE Zulfiqqar, Andy; Soeroharjo, Indrawarman
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.562

Abstract

Objective: The aim of this article was to reports our experiences PCNL on ADPKD patients. Case(s) Presentation: We report the case of a 38-year-old male with autosomal dominant polycystic kidney disease associated with bilateral staghorn diseases. We performed a supine PCNL on left kidney. Discussion: ADPKD may arise sporadically, the developmental abnormality that resulting in multiple cysts, hypertension, hematuria, polyuria, plank pain, and are prone to reccurent urinary tract infection and renal stones. ADPKD is one most commonly genetics disorder than frequently results in End Stage Renal Disease (ESRD). Population of ADPKD has a higher risk to have a nephrolithiasis, thus it may hastened the onset of ESRD. Open surgeries was one of treatment of choices of ADPKD with staghorn stones, but considering of high rates of morbidity. Recently there’s consistent switching the trend on minimal invasive treatment such as ESWL and PCNL. Conclusion: PCNL may considered as an effective and safe procedure in managing nephrolithiasis in ADPKD, further studies with larger sample and longer periods observation is needed to confirmed role of PCNL in preserving kidney on ADPKD with staghorn kidney.
AN EXPERIENCE OF SUPINE PCNL ON BILATERAL STAGHORN AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE Zulfiqqar, Andy; Soeroharjo, Indrawarman
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.562

Abstract

Objective: The aim of this article was to reports our experiences PCNL on ADPKD patients. Case(s) Presentation: We report the case of a 38-year-old male with autosomal dominant polycystic kidney disease associated with bilateral staghorn diseases. We performed a supine PCNL on left kidney. Discussion: ADPKD may arise sporadically, the developmental abnormality that resulting in multiple cysts, hypertension, hematuria, polyuria, plank pain, and are prone to reccurent urinary tract infection and renal stones. ADPKD is one most commonly genetics disorder than frequently results in End Stage Renal Disease (ESRD). Population of ADPKD has a higher risk to have a nephrolithiasis, thus it may hastened the onset of ESRD. Open surgeries was one of treatment of choices of ADPKD with staghorn stones, but considering of high rates of morbidity. Recently there’s consistent switching the trend on minimal invasive treatment such as ESWL and PCNL. Conclusion: PCNL may considered as an effective and safe procedure in managing nephrolithiasis in ADPKD, further studies with larger sample and longer periods observation is needed to confirmed role of PCNL in preserving kidney on ADPKD with staghorn kidney.
STUDY ON IN VITRO DISSOLUTION OF CALCIUM OXALATE RENAL STONE BY SHILAJIT Ahmad, Shafiq; Ansari, Tariq Mahmood; Shad, Muhammad Aslam
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.563

Abstract

Objective: This study aims to test the solubility efficiency of Shilajit in vitro for calcium oxalate renal stone. Material & Methods: A small stone was selected for the experiment. The weighed stone was suspended in 25 ml of aqueous extract of Shilajit for 72 hours with the interval of 24 hours. After each 24 hours, the stone was taken out, washed, dried and difference in weight was calculated. The whole procedure was carried out at room temperature. Results: It was found that the weight of the stone was reduced. Conclusion: Shilajit has the ability to dissolve the calcium oxalate renal stone.
STUDY ON IN VITRO DISSOLUTION OF CALCIUM OXALATE RENAL STONE BY SHILAJIT Ansari, Tariq Mahmood; Shad, Muhammad Aslam; Ahmad, Shafiq
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.563

Abstract

Objective: This study aims to test the solubility efficiency of Shilajit in vitro for calcium oxalate renal stone. Material & Methods: A small stone was selected for the experiment. The weighed stone was suspended in 25 ml of aqueous extract of Shilajit for 72 hours with the interval of 24 hours. After each 24 hours, the stone was taken out, washed, dried and difference in weight was calculated. The whole procedure was carried out at room temperature. Results: It was found that the weight of the stone was reduced. Conclusion: Shilajit has the ability to dissolve the calcium oxalate renal stone.
PROSPECTIVE STUDY: COMPARISON OF PRONE AND SUPINE POSITION IN PERCUTANEOUS NEPHROLITHOTOMY (PCNL) AT ADAM MALIK HOSPITAL MEDAN Maharddhika, Manggala; Kadar, Dhirajaya Dharma; Prapiska, Fauriski Febrian
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.573

Abstract

Objective: This prospective study aims to compare the outcomes of PCNL with prone position compared to the supine position. Material & Methods: A total of 57 patients treated with PCNL from January 2017-December 2017 were included in the study. Inclusion criteria include patients with kidney stones greater than 20 mm in size measured with KUB imaging (Kidney-Ureter-Bladder) or abdominal NCCT (Non Contrast Computed Tomography) who were willing to be treated with PCNL. The exclusion criteria were patients younger than 17 years of age, patients who refused to surgery, patients with history of PCNL on the same side, patients with blood clotting disorders, pregnancy, and kidney stone in patients with congenital kidney disorders. Patients were randomized to undergo PCNL with prone or supine position. A total of 29 patients were treated with PCNL in prone position and 28 patients were treated in supine position. Data on patient characteristics, puncture location, number of puncture, use of post PCNL nephrostomy, duration of surgery, presence or absence of residual stones measuring ≥5 mm in size, total complications, postoperative fever, sepsis, bleeding requiring transfusion, retroperitoneal hematoma, pleural effusion, intestinal injury, and the difference between hemoglobin count before and after surgery was compared between the two groups. Results: There were no significant differences observed in terms of number, sex, age, BMI, stone size, hydronephrosis, and comorbidities in patients of both groups. Stone free rate in PCNL with prone position and supine position is 82.8% and 92.9% respectively. Significant comparisons were observed on differences in the mean duration of surgery in which PCNL duration of surgery with the prone position was 150 minutes whereas the supine position took 130 minutes (p=0.003). There were no significant differences between successful puncture, total complications, postoperative fever, sepsis, and bleeding requiring transfusion. There were no patients who had pleural effusion, intestinal injury, or death in this study. Conclusion: PCNL in supine position has the same effectiveness and safety as PCNL in prone position. The Stone free rate is higher in PCNL performed in supine position. The duration of PCNL surgery in supine position is significantly shorter than the PCNL prone position.
PROSPECTIVE STUDY: COMPARISON OF PRONE AND SUPINE POSITION IN PERCUTANEOUS NEPHROLITHOTOMY (PCNL) AT ADAM MALIK HOSPITAL MEDAN Maharddhika, Manggala; Kadar, Dhirajaya Dharma; Prapiska, Fauriski Febrian
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.573

Abstract

Objective: This prospective study aims to compare the outcomes of PCNL with prone position compared to the supine position. Material & Methods: A total of 57 patients treated with PCNL from January 2017-December 2017 were included in the study. Inclusion criteria include patients with kidney stones greater than 20 mm in size measured with KUB imaging (Kidney-Ureter-Bladder) or abdominal NCCT (Non Contrast Computed Tomography) who were willing to be treated with PCNL. The exclusion criteria were patients younger than 17 years of age, patients who refused to surgery, patients with history of PCNL on the same side, patients with blood clotting disorders, pregnancy, and kidney stone in patients with congenital kidney disorders. Patients were randomized to undergo PCNL with prone or supine position. A total of 29 patients were treated with PCNL in prone position and 28 patients were treated in supine position. Data on patient characteristics, puncture location, number of puncture, use of post PCNL nephrostomy, duration of surgery, presence or absence of residual stones measuring ≥5 mm in size, total complications, postoperative fever, sepsis, bleeding requiring transfusion, retroperitoneal hematoma, pleural effusion, intestinal injury, and the difference between hemoglobin count before and after surgery was compared between the two groups. Results: There were no significant differences observed in terms of number, sex, age, BMI, stone size, hydronephrosis, and comorbidities in patients of both groups. Stone free rate in PCNL with prone position and supine position is 82.8% and 92.9% respectively. Significant comparisons were observed on differences in the mean duration of surgery in which PCNL duration of surgery with the prone position was 150 minutes whereas the supine position took 130 minutes (p=0.003). There were no significant differences between successful puncture, total complications, postoperative fever, sepsis, and bleeding requiring transfusion. There were no patients who had pleural effusion, intestinal injury, or death in this study. Conclusion: PCNL in supine position has the same effectiveness and safety as PCNL in prone position. The Stone free rate is higher in PCNL performed in supine position. The duration of PCNL surgery in supine position is significantly shorter than the PCNL prone position.

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