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.
Articles
36 Documents
Search results for
, issue
"Vol 27 No 2 (2020)"
:
36 Documents
clear
<![CDATA[LATERAL PERCUTANEOUS NEPHROLITHOTOMY: A CASE SERIES ]]>
<![CDATA[Wijayanti, Zola]]>;
<![CDATA[Vijay Pramod, Sawkar]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.32421/juri.v27i2.580
<![CDATA[Objective: To report our experience on lateral PCNL in the management of complex kidney stone in patients with many morbidities. Case(s) Presentation: In our hospital, there were 2 cases of incomplete stone clearance after PCNL which underwent lateral PCNL. The first case was a 47 years old woman who was morbidly obese and some cardiac problems such as coronary artery disease (CAD) and arrhythmia. Her intravenous pyelography shows that she has incomplete double collecting system with kidney stone in her upper moiety. She underwent PCNL in supine position which was halted due to arrhythmia with rest stone on her upper moiety system. The second case was a 57 years old male with multiple right kidney stone with hydronephrosis in his upper calyceal system. He has some comorbidities such as obese and CAD. He had history of open kidney surgery and right PCNL. Due to incomplete stone clearance after first procedure and some morbidities of those patients, we decided to perform PCNL on lateral position of both cases. The surgery went successfully with duration of 100 minutes in average with less than 100cc of blood loss. Both of the patients were discharged on second operation day without any complication. Discussion: Positioning for the patient who undergo PCNL is important. The lateral position of PCNL is useful in morbid obesity and have least effect on cardiac and respiratory function. This technique proved to increase patient comfort and safety. Conclusion: Lateral PCNL is safe and effective procedure to treat kidney stone in patients with history of incomplete stone clearance after supine or prone PCNL. It also can be performed safely in patients with comorbidities.]]>
<![CDATA[LATERAL PERCUTANEOUS NEPHROLITHOTOMY: A CASE SERIES ]]>
<![CDATA[Wijayanti, Zola]]>;
<![CDATA[Vijay Pramod, Sawkar]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.32421/juri.v27i2.580
<![CDATA[Objective: To report our experience on lateral PCNL in the management of complex kidney stone in patients with many morbidities. Case(s) Presentation: In our hospital, there were 2 cases of incomplete stone clearance after PCNL which underwent lateral PCNL. The first case was a 47 years old woman who was morbidly obese and some cardiac problems such as coronary artery disease (CAD) and arrhythmia. Her intravenous pyelography shows that she has incomplete double collecting system with kidney stone in her upper moiety. She underwent PCNL in supine position which was halted due to arrhythmia with rest stone on her upper moiety system. The second case was a 57 years old male with multiple right kidney stone with hydronephrosis in his upper calyceal system. He has some comorbidities such as obese and CAD. He had history of open kidney surgery and right PCNL. Due to incomplete stone clearance after first procedure and some morbidities of those patients, we decided to perform PCNL on lateral position of both cases. The surgery went successfully with duration of 100 minutes in average with less than 100cc of blood loss. Both of the patients were discharged on second operation day without any complication. Discussion: Positioning for the patient who undergo PCNL is important. The lateral position of PCNL is useful in morbid obesity and have least effect on cardiac and respiratory function. This technique proved to increase patient comfort and safety. Conclusion: Lateral PCNL is safe and effective procedure to treat kidney stone in patients with history of incomplete stone clearance after supine or prone PCNL. It also can be performed safely in patients with comorbidities.]]>
<![CDATA[EFFECTS OF TAMSULOSIN 0.2 MILIGRAM AND TAMSULOSIN 0.4 MILIGRAM ON LOWER URINARY TRACT SYMPTOM SCORE OF USSQ IN PATIENTS WITH INDWELLING DJ STENTS ]]>
<![CDATA[Rizki, Dhika Ari]]>;
<![CDATA[Safriadi, Ferry]]>;
<![CDATA[Noegroho, Bambang S]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.32421/juri.v27i2.582
<![CDATA[Objective: To assess the difference in the administration of 0.2 mg and 0.4 mg tamsulosin to the patient's complaint with DJ stent based on USSQ parameters. Material & Methods: This was a prospective study conducted in Hasan Sadikin Hospital Bandung from October to December 2017. A total of 60 patients with indwelling DJ stents randomly divided into 2 groups (n=30). The first group was given tamsulosin 0.2mg daily and the second group was given tamsulosin 0.4 mg daily. LUTSs before and after tamsulosin administration for a week were evaluated in both groups using USSQ. Percentage decreases in USSQ score in both groups were then compared using Mann Whitney Test. Results: In group I, USSQ score means were 31.9 (20.0-40.0; SD 31.9) before tamsulosin 0.2 mg administration and 26.1 (15.0-35.0; SD 5.6) after tamsulosin 0.2 mg administration. Comparison test before and after tamsulosin 0.2 mg administration showed significant decrease in USSQ score. In group II, USSQ score means were 38.9 (31.0-44.0; SD 2.9) before tamsulosin 0.4 mg administration and 16.7 (13.0-21.0; SD 1.8) after tamsulosin 0.4 mg administration. Comparison test before and after tamsulosin 0.4 mg administration showed significant decrease in USSQ score. The percentage decreases in USSQ score were 18.7% in group I and 56.9% in group II. Different test score before and after treatment for both groups showed p-value<0.05. Scoring results after treatment showed the effectiveness of tamsulosin 0.4 mg was better than tamsulosin 0.2 mg. Conclusion: LUTS is the most common stent-associated symptom (SAS) in patients with indwelling DJ stent. Independent administration of tamsulosin 0.2 mg and 0.4 mg significantly alleviated SAS. Tamsulosin 0.4 mg had better effectiveness in alleviating SAS compared to tamsulosin 0.2 mg.]]>
<![CDATA[EFFECTS OF TAMSULOSIN 0.2 MILIGRAM AND TAMSULOSIN 0.4 MILIGRAM ON LOWER URINARY TRACT SYMPTOM SCORE OF USSQ IN PATIENTS WITH INDWELLING DJ STENTS ]]>
<![CDATA[Rizki, Dhika Ari]]>;
<![CDATA[Safriadi, Ferry]]>;
<![CDATA[Noegroho, Bambang S]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.32421/juri.v27i2.582
<![CDATA[Objective: To assess the difference in the administration of 0.2 mg and 0.4 mg tamsulosin to the patient's complaint with DJ stent based on USSQ parameters. Material & Methods: This was a prospective study conducted in Hasan Sadikin Hospital Bandung from October to December 2017. A total of 60 patients with indwelling DJ stents randomly divided into 2 groups (n=30). The first group was given tamsulosin 0.2mg daily and the second group was given tamsulosin 0.4 mg daily. LUTSs before and after tamsulosin administration for a week were evaluated in both groups using USSQ. Percentage decreases in USSQ score in both groups were then compared using Mann Whitney Test. Results: In group I, USSQ score means were 31.9 (20.0-40.0; SD 31.9) before tamsulosin 0.2 mg administration and 26.1 (15.0-35.0; SD 5.6) after tamsulosin 0.2 mg administration. Comparison test before and after tamsulosin 0.2 mg administration showed significant decrease in USSQ score. In group II, USSQ score means were 38.9 (31.0-44.0; SD 2.9) before tamsulosin 0.4 mg administration and 16.7 (13.0-21.0; SD 1.8) after tamsulosin 0.4 mg administration. Comparison test before and after tamsulosin 0.4 mg administration showed significant decrease in USSQ score. The percentage decreases in USSQ score were 18.7% in group I and 56.9% in group II. Different test score before and after treatment for both groups showed p-value<0.05. Scoring results after treatment showed the effectiveness of tamsulosin 0.4 mg was better than tamsulosin 0.2 mg. Conclusion: LUTS is the most common stent-associated symptom (SAS) in patients with indwelling DJ stent. Independent administration of tamsulosin 0.2 mg and 0.4 mg significantly alleviated SAS. Tamsulosin 0.4 mg had better effectiveness in alleviating SAS compared to tamsulosin 0.2 mg.]]>
<![CDATA[SURVIVAL OF PROSTATE CANCER PATIENTS WITH COMBINATION HORMONAL-RADIOTHERAPY BETTER THAN HORMONAL THERAPY ]]>
<![CDATA[Hadibrata, Exsa]]>;
<![CDATA[Tranggono, Untung]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.32421/juri.v27i2.583
<![CDATA[Objective: This study aims to determine the survival of prostate cancer (PCa) patients who did not undergo radical prostatectomy, but received hormonal therapy or a combination of radiotherapy and hormonal therapy. Material & Methods: This study was an observational analytic study with a retrospective cohort design, using secondary data to determine baseline data and diagnosis of patients, and using primary data to determine the survival of prostate cancer patients who received combination hormonal and radiotherapy therapy compared with hormonal therapy alone. The analysis was performed using chi-square and contingency coefficients to assess the relationship between survival with factors such as age, stage T, N, M, clinical stage, type of therapy, and prognosis. It also used the Kaplan Maeier curve to assess the survival picture of prostate cancer patients at Sardjito General Hospital. Results: 79 patients met the inclusion criteria. The mean age of the patients was 68 ± 8.4 years. A total of 52 (65.8%) patients received hormonal therapy, and 27 (34.2%) patients received combination hormonal and radiotherapy. There were 41 (51.9%) patients remain life, while 38 (48.1%) of patients died during the monitoring. We found that the Gleason score, PSA level, and clinical stage were significantly associated with patient survival with p <0.005. The 5 years survival rate patient with local, locally advanced clinical stage and PSA level ≤20 ng/ml who received combination hormonal and radiotherapy achieved 100%. Conclusion: Combination of hormonal and radiotherapy was more improving patient survival compared with hormonal therapy only in patient with locally advanced clinical stage, PSA level ≤20 ng/ml and Gleason score ≤7.]]>
<![CDATA[SURVIVAL OF PROSTATE CANCER PATIENTS WITH COMBINATION HORMONAL-RADIOTHERAPY BETTER THAN HORMONAL THERAPY ]]>
<![CDATA[Hadibrata, Exsa]]>;
<![CDATA[Tranggono, Untung]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.32421/juri.v27i2.583
<![CDATA[Objective: This study aims to determine the survival of prostate cancer (PCa) patients who did not undergo radical prostatectomy, but received hormonal therapy or a combination of radiotherapy and hormonal therapy. Material & Methods: This study was an observational analytic study with a retrospective cohort design, using secondary data to determine baseline data and diagnosis of patients, and using primary data to determine the survival of prostate cancer patients who received combination hormonal and radiotherapy therapy compared with hormonal therapy alone. The analysis was performed using chi-square and contingency coefficients to assess the relationship between survival with factors such as age, stage T, N, M, clinical stage, type of therapy, and prognosis. It also used the Kaplan Maeier curve to assess the survival picture of prostate cancer patients at Sardjito General Hospital. Results: 79 patients met the inclusion criteria. The mean age of the patients was 68 ± 8.4 years. A total of 52 (65.8%) patients received hormonal therapy, and 27 (34.2%) patients received combination hormonal and radiotherapy. There were 41 (51.9%) patients remain life, while 38 (48.1%) of patients died during the monitoring. We found that the Gleason score, PSA level, and clinical stage were significantly associated with patient survival with p <0.005. The 5 years survival rate patient with local, locally advanced clinical stage and PSA level ≤20 ng/ml who received combination hormonal and radiotherapy achieved 100%. Conclusion: Combination of hormonal and radiotherapy was more improving patient survival compared with hormonal therapy only in patient with locally advanced clinical stage, PSA level ≤20 ng/ml and Gleason score ≤7.]]>
<![CDATA[CHARACTERISTIC OF IATROGENIC BLADDER TRAUMA PATIENT IN HASAN SADIKIN GENERAL HOSPITAL FROM JANUARY 2013 - JANUARY 2018 ]]>
<![CDATA[Karim, Muhammad Ilhamul]]>;
<![CDATA[Adi, Kuncoro]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.32421/juri.v27i2.612
<![CDATA[Objective: This study was conducted to determine the characteristics of iatrogenic bladder trauma in Hasan Sadikin General Hospital from January 2013 – January 2018. Material & Methods: The study was conducted by retrospective descriptive methods. We reviewed iatrogenic bladder trauma from medical record at Hasan Sadikin General Hospital from January 2013 to January 2018. The data obtained is subsequently recapitulated and processed using a spreadsheet. Results: Most of the cases were found in female patients. There were 30 cases (73.17%) are recorded. Whilst on male patients, there were only 11 cases (26.83%). The average age was 42.35±2.35 years old. According to AAST grading, a total of 2 patients (4.88%) experienced AAST grade V, 28 patients (68.29%) experienced AAST grade IV, 8 patients (19.51%) experienced AAST grade III, and 3 patients (7.31%) experienced AAST grade I. In addition, there were 31 (75.61%) iatrogenic injuries due to gynecologic surgery, 6 (14.63%) iatrogenic injuries due to digestive surgery, and 4 (9.76%) iatrogenic injuries due to endourology surgery. Of all cases, 30 patients (73.17%) underwent immediate intraoperative reconstruction surgery, whilst the other 11 (26.83%) underwent delayed reconstruction surgery. As for the management, 33 (80.49%) patients underwent bladder repair, 1 (2.44%) patients underwent palliative cystectomy, 2 (4.88%) patients underwent damage control surgery, 3 (7.32%) patients underwent bladder exploration, and 2 (4.88%) patients underwent urethral catheter insertion. From all of 41 cases of patients with iatrogenic bladder injury, there were 3 (7.32%) mortality cases due to prolonged bleeding and sepsis. Conclusion: In this study, iatrogenic bladder trauma mostly affected female patients that underwent gynecologic surgery on the age group of 41-50 years old. Almost all of the cases were treated by bladder repair. By knowing the epidemiology of iatrogenic bladder injury and perform prompt treatment then we can take precautions to reduce the level of morbidity and mortality.]]>
<![CDATA[CHARACTERISTIC OF IATROGENIC BLADDER TRAUMA PATIENT IN HASAN SADIKIN GENERAL HOSPITAL FROM JANUARY 2013 - JANUARY 2018 ]]>
<![CDATA[Karim, Muhammad Ilhamul]]>;
<![CDATA[Adi, Kuncoro]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.32421/juri.v27i2.612
<![CDATA[Objective: This study was conducted to determine the characteristics of iatrogenic bladder trauma in Hasan Sadikin General Hospital from January 2013 – January 2018. Material & Methods: The study was conducted by retrospective descriptive methods. We reviewed iatrogenic bladder trauma from medical record at Hasan Sadikin General Hospital from January 2013 to January 2018. The data obtained is subsequently recapitulated and processed using a spreadsheet. Results: Most of the cases were found in female patients. There were 30 cases (73.17%) are recorded. Whilst on male patients, there were only 11 cases (26.83%). The average age was 42.35±2.35 years old. According to AAST grading, a total of 2 patients (4.88%) experienced AAST grade V, 28 patients (68.29%) experienced AAST grade IV, 8 patients (19.51%) experienced AAST grade III, and 3 patients (7.31%) experienced AAST grade I. In addition, there were 31 (75.61%) iatrogenic injuries due to gynecologic surgery, 6 (14.63%) iatrogenic injuries due to digestive surgery, and 4 (9.76%) iatrogenic injuries due to endourology surgery. Of all cases, 30 patients (73.17%) underwent immediate intraoperative reconstruction surgery, whilst the other 11 (26.83%) underwent delayed reconstruction surgery. As for the management, 33 (80.49%) patients underwent bladder repair, 1 (2.44%) patients underwent palliative cystectomy, 2 (4.88%) patients underwent damage control surgery, 3 (7.32%) patients underwent bladder exploration, and 2 (4.88%) patients underwent urethral catheter insertion. From all of 41 cases of patients with iatrogenic bladder injury, there were 3 (7.32%) mortality cases due to prolonged bleeding and sepsis. Conclusion: In this study, iatrogenic bladder trauma mostly affected female patients that underwent gynecologic surgery on the age group of 41-50 years old. Almost all of the cases were treated by bladder repair. By knowing the epidemiology of iatrogenic bladder injury and perform prompt treatment then we can take precautions to reduce the level of morbidity and mortality.]]>
<![CDATA[DIFFERENCES IN THE EFFECTIVENESS OF SELECTIVE ALPHA BLOCKER THERAPY COMBINED WITH 5-ALPHA REDUCTASE INHIBITOR ON IPSS VALUE OF BPH LUTS PATIENTS ]]>
<![CDATA[Wahyudi, Septa Surya]]>;
<![CDATA[Probosutiksna, Nuno Febrian]]>;
<![CDATA[Suswati, Enny]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.32421/juri.v27i2.615
<![CDATA[Objective: The purpose of this study is to know the differences in effectiveness between SAB administration with combination 5-ARI administration assessed by IPSS evaluation in BPH LUTS patients. Material & Methods: This observational analytic with a cross-sectional design study had been done to 50 BPH LUTS patients that obtained at Paru Jember, Bina Sehat Jember, and Bhayangkara Bondowoso Hospital. These samples had got by simple random sampling method and include in inclusion with exclusion criteria freely. Results: This comparison study between the type of medical therapy administration and total IPSS decrease, IPSS-voiding decrease, IPSS-storage decrease, IPSS-QoL, and prostate volume give significancies as follows: p=0.002; p<0.001; p<0.001; p<0.05; p<0.001. Conclusion: There are significant differences between the type of medical therapy (SAB or 5-ARI combination) and total IPSS decrease, IPSS-voiding decrease, IPSS-storage decrease, IPSS-QoL, and prostate volume.]]>
<![CDATA[DIFFERENCES IN THE EFFECTIVENESS OF SELECTIVE ALPHA BLOCKER THERAPY COMBINED WITH 5-ALPHA REDUCTASE INHIBITOR ON IPSS VALUE OF BPH LUTS PATIENTS ]]>
<![CDATA[Wahyudi, Septa Surya]]>;
<![CDATA[Probosutiksna, Nuno Febrian]]>;
<![CDATA[Suswati, Enny]]>
<![CDATA[ Indonesian Journal of Urology Vol 27 No 2 (2020) ]]>
Publisher : <![CDATA[Indonesian Urological Association ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.32421/juri.v27i2.615
<![CDATA[Objective: The purpose of this study is to know the differences in effectiveness between SAB administration with combination 5-ARI administration assessed by IPSS evaluation in BPH LUTS patients. Material & Methods: This observational analytic with a cross-sectional design study had been done to 50 BPH LUTS patients that obtained at Paru Jember, Bina Sehat Jember, and Bhayangkara Bondowoso Hospital. These samples had got by simple random sampling method and include in inclusion with exclusion criteria freely. Results: This comparison study between the type of medical therapy administration and total IPSS decrease, IPSS-voiding decrease, IPSS-storage decrease, IPSS-QoL, and prostate volume give significancies as follows: p=0.002; p<0.001; p<0.001; p<0.05; p<0.001. Conclusion: There are significant differences between the type of medical therapy (SAB or 5-ARI combination) and total IPSS decrease, IPSS-voiding decrease, IPSS-storage decrease, IPSS-QoL, and prostate volume.]]>
