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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 13 Documents
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Search results for , issue "Vol 33 No 1 (2026)" : 13 Documents clear
CHARACTERISTICS OF IATROGENIC URETERAL TRAUMA IN TERTIARY HOSPITAL IN WEST JAVA FROM JANUARY 2019 - DECEMBER 2023 Andrian Rivanda; Adi, Kuncoro
Indonesian Journal of Urology Vol 33 No 1 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i1.1024

Abstract

Objective: This study aims to identify the characteristics of iatrogenic ureteral trauma in patients at Dr. Hasan Sadikin General Hospital, Bandung, during the period from January 2019 to December 2023. Material & Methods: This study used a retrospective descriptive study method by collecting secondary data from the medical records of inpatients, outpatients, and emergency room installations at Dr. Hasan Sadikin General Hospital, Bandung. The characteristics of iatrogenic ureteral trauma data were manually processed and presented in the form of frequency distribution tables for analysis. Results: This study involved 58 cases of ureteral trauma over the past 5 years. The respondents were predominantly over 40 years old (55.1%) and mostly female (94.8%). The main cause of ureteral trauma was gynecological surgery (94.8%). The most common site of injury was the right ureter (58.6%), with right distal ureter injuries accounting for 34.4% of the cases. Based on the provided data, bladder involvement in ureteral trauma occurred on both the right side (13.7%) and the left side (10.27%). Early diagnosis (75.8%) is crucial to reduce the risk of serious complications, while selecting the appropriate management method is essential for the success of the intervention and patient recovery. In this study, ureteral re-implantation had the highest rate of success at 50%. Conclusion: Most cases of iatrogenic ureteral trauma are experienced by women, predominantly caused by gynecological procedures. Keywords: Iatrogenic ureteral trauma, characteristic, ureteral re-implantation.
COST ANALYSIS OF TRANSPERINEAL PROSTATE BIOPSY WITH VY DEVICE AND TRANSRECTAL PROSTATE BIOPSY AT HASAN SADIKIN ACADEMIC MEDICAL CENTER BANDUNG: A RETROSPECTIVE STUDY Pramod, Sawkar Vijay; Muhamad, Prasojo
Indonesian Journal of Urology Vol 33 No 1 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i1.1029

Abstract

Objective: This study aimed to determine the analysis for the cost of Transperineal Prostate Biopsy using the VY device (VY-TPPB) and Transrectal Prostate Biopsy (TRPB). Material & Methods: This study is a retrospective descriptive study with the sample being patients who underwent TRPB or TPPB at Hasan Sadikin Academic Medical Center, Bandung for the period of January 2019 to December 2023. The total sample was 108 patients, with 53 patients having undergone TPPB and 55 patients having undergone TRPB. The cost for each procedure are then analyzed and divided into pre-procedure, intra-procedure, and post-procedure costs. Results: The average cost per patient is Rp 8.005.356 (USD 507.4) for VY-TPPB procedures and Rp 11.748.976 (USD 744.7) for TRPB procedures. Comparison of the average costs of VY-TPPB with TRPB was higher in the TRPB group (p < 0.05). Comparison of the average intra-procedure and post-procedure costs was also significantly higher in the TRPB group (p < 0.05). There was no significant difference in pre-procedure costs. Conclusion: The TPPB-VY technique is more cost-effective compared to TRPB, although further research is needed to understand the advantages of each method. Keywords: Prostate biopsy, VY device, cost.
TESTICULAR TORSION IN AN ADULT: A CASE REPORT OF AN UNCOMMON CLINICAL IN A 43-YEAR-OLD MALE Fazri, Akhmad Miftahudin; Pramod, Sawkar Vijay
Indonesian Journal of Urology Vol 33 No 1 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i1.1044

Abstract

Objective: This report aims to document the occurrence of testicular torsion in adult males, explicitly highlighting a case involving a 43-year-old man. It emphasizes the importance of maintaining awareness of this condition within the productive age group. Case(s) Presentation: We present a rare unilateral late-onset left testicular torsion case in a 43-year-old male. Testicular torsion is predominantly observed in youth and teenagers, making its diagnosis infrequent in mature individuals. The patient experienced acute testicular pain along with atypical symptoms, which are crucial for the accurate diagnosis of adult testicular torsion. Discussion: Testicular torsion is the most prevalent surgical emergency concerning the testis, primarily affecting younger populations. This case underscores that adult males are also susceptible to this condition, necessitating a high index of suspicion among healthcare providers. Notably, acute testicular pain in adults may not always manifest in a typical manner, complicating timely diagnosis and treatment. Conclusion: This case serves as an essential reminder for healthcare professionals to remain vigilant regarding the potential for testicular torsion in adult males, particularly those in the productive age group. Early recognition and intervention are critical to preventing complications associated with ischemia, underscoring the need for heightened awareness and prompt assessment in such scenarios. By doing so, healthcare providers can significantly improve outcomes for affected patients. Keywords: Adult, testicular torsion, left testicular.
EVALUATING THE EFFECTS OF TADALAFIL ON LOWER URINARY TRACT SYMPTOMS DUE TO BENIGN PROSTATIC HYPERPLASIA: A SYSTEMATIC REVIEW AND META-ANALYSIS Nofrian, Rifki Adhi; Adriansjah, Ricky
Indonesian Journal of Urology Vol 33 No 1 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i1.1048

Abstract

Objective: This review aims to assess tadalafil's efficacy and safety in managing BPH-LUTS, providing insights for clinical practice. Material & Methods: A systematic search strategy was conducted across several electronic reference databases (PubMed, Google Scholar, Proquest, and Cochrane) and included articles published between 2014-2024. Duplicate publications, review articles, and incomplete articles were excluded. Results: Database search yielded 302 articles, which were systematically eliminated, leaving 10 relevant articles. A total of 1.645 patients were involved in the 10 included studies. Of the 10 included studies, 9 were single-center studies and 1 was a multi-center study. Of all the studies, 7 were randomized controlled trials, 2 were observational trials, and 1 was a cohort study. From the meta-analysis test, it was found that the increase in IPSS 12 weeks after therapy was no different when administering tadalafil and tamsulosin. Conclusion: In conclusion, tadalafil monotherapy demonstrates comparable efficacy to tamsulosin in treating LUTS/BPH, with its approval stemming from its effectiveness in managing ED. The IPSS score between tadalafil and tamsulosin is considered similar statistically. Studies suggest synergistic effects when combined with alpha-blockers, offering promise for patients with concurrent conditions. Safety findings support its utility across diverse populations. Keywords: BPH, LUTS, tadalafil.
THE PROFILE OF URINE CULTURE IN PEDIATRIC PATIENTS WITH UPPER URINARY TRACT DILATATION AT DR. SOETOMO GENERAL HOSPITAL FROM 2020-2023. Aji, Iwan Purnomo; Renaldo, Johan; Vermasari, Naritha
Indonesian Journal of Urology Vol 33 No 1 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i1.1122

Abstract

Objective: To describe the bacteriologic profile and antimicrobial-susceptibility patterns of urine cultures from pediatric UUTD patients treated at Dr Soetomo General Hospital, Indonesia, between 2020 and 2023. Material & Methods: This retrospective descriptive study reviewed medical records of 154 inpatients aged 0–17 years with confirmed UUTD. Demographic data, cultured species, and antibiotic susceptibilities were extracted and reported as frequencies. Results: From 154 bacterial isolates, Gram-negative bacteria dominated (78.6%) compared to Gram-positive (21.4%). The most frequent species were Escherichia coli (31.8%), Pseudomonas aeruginosa (16.9%), and Klebsiella pneumoniae (12.3%). Antibiotics with the highest sensitivity against major uropathogens were amikacin (83.7%), piperacillin-tazobactam (77.6%), and meropenem (81.6%). In contrast, gentamicin and nitrofurantoin demonstrated lower sensitivities, 61.2% and 71.4%, respectively. Severe hydronephrosis occurred in 52.6% of cases and was associated with more resistant bacterial isolates. Conclusion: Urinary tract infections in pediatric UUTD patients at Dr. Soetomo General Hospital are predominantly caused by Escherichia coli, with the highest antibiotic sensitivities observed for amikacin, meropenem, and piperacillin-tazobactam. Gentamicin and nitrofurantoin should be administered based on culture results, especially for uncomplicated cystitis. Regular antibiotic resistance surveillance is essential to ensure effective empirical treatment. Keywords: Urine Culture, hydronephrosis, pediatrics, antibiotic, Escherichia coli.
COMPARATIVE STUDY OF CLINICAL SAFETY OUTCOME OF NEOADJUVANT INTRAVESICAL MITOMYCIN-C THERAPY IMMEDIATELY BEFORE TRANSURETHRAL RESECTION OF BLADDER TUMOR VS PERIOPERATIVE INTRAVESICAL MITOMYCIN-C IN PATIENTS WITH NONMUSCLE-INVASIVE BLADDER CANCER Dhirendra Singh; Umesh Sharma; Hemant Kumar Goel; Abhishek Saini
Indonesian Journal of Urology Vol 33 No 1 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i1.1125

Abstract

Objective: This study aims to compare the outcome and complications of adjuvant vs neoadjuvant IMMC (intravesical mitomycin C) for non-muscle-invasive bladder cancer (NMIBC). Material & Methods: This prospective randomized observational study was conducted from June 2023 to December 2024. Sixty-two patients with clinico-radiological evidence of bladder growth were randomized into two arms: Neoadjuvant IMMC and Perioperative IMMC. Results: Immediate complications were more frequent in Group B, with significantly higher dysuria, suprapubic pain (74.2% vs 32.3%), and febrile UTIs (29% vs 3.2%). Haematuria was also more common in Group B (58.1%). Early complications showed similar trends: dysuria (51.6% vs 19.4%), haematuria (45.2% vs 19.4%), and bladder changes (23.3% vs 0%) were more prevalent in Group B. Allergic reactions were slightly lower in Group B (6.5%) than in Group A (9.7%). Conclusion: Pre-operative MMC instillation was more effective in reducing recurrence and improving resection ease, with fewer complications. Perioperative MMC was associated with increased inflammation and adverse events. Pre-TURBT MMC is recommended for improved clinical outcomes, while peri-operative MMC may be considered for select low-risk patients. Keywords: Complication, IMMC, bladder cancer.
MANAGEMENT OF CONSOLIDATED PYONEPHROSIS MIMICKING PYELUM STONE IN A PATIENT WITH URETEROLITHOTOMY HISTORY: A CASE REPORT Akhmad Dikhyak; Andhika, Dimas Panca; Surya, Prima Ardiansah
Indonesian Journal of Urology Vol 33 No 1 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i1.1130

Abstract

Objective: This study presents a case of consolidated pyonephrosis mimicking a pyelum stone. Case(s) Presentation: A 34-year-old woman presented with right flank pain and intermittent fever. NCCT showed severe right hydronephrosis with a 2.5 x 2.0 x 2.8 cm pyelum stone (1300 HU). Supine PCNL was performed, revealing consolidated pus. The stone, found incidentally, was later treated with RIRS. Discussion: Consolidated pyonephrosis may mimic a stone radiologically. Prompt infection control and urinary diversion are critical to prevent sepsis. Conclusion: Multiple procedures were required in atypical stone disease to prevent systemic complications. Keywords: Pyelum stone, consolidated pyonephrosis, infection.
TESTICULAR TORSION INDUCED BY EPIDIDYMO-ORCHITIS: A RARE CASE REPORT Febriansyah, Nafis Audrey; Djatisoesanto, Wahjoe; Rizaldi, Fikri
Indonesian Journal of Urology Vol 33 No 1 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i1.1132

Abstract

Objective: We report a case of an episode of acute scrotum within 4 days. To our knowledge, this is a rare case of epididymo-orchitis predisposing to testicular torsion. This paper has been reported in line with the SCARE 2023 criteria. Case(s) Presentation: This case involves a 17-year-old male with worsening scrotal pain and swelling following minor trauma, accompanied by intermittent fever. Physical examination revealed left testicular enlargement and tenderness, with a negative Prehn’s test. Doppler ultrasound indicated decreased blood flow and a whirlpool sign, suggesting torsion. Discussion: Emergency scrotal exploration confirmed a 180-degree spermatic cord torsion with partial testicular necrosis, necessitating orchiectomy and orchidopexy. The patient had a smooth recovery. Conclusion: Testicular torsion requires prompt diagnosis and intervention for optimal outcomes. Keywords: Testicular torsion, epididymo-orchitis, case report.
SUPER SELECTIVE EMBOLIZATION AND ETOPOSIDE ISOFOSFAMIDE CHEMOTHERAPY ON A PEDIATRIC BLADDER EMBRYONAL RHABDOMYOSARCOMA: A CASE REPORT Ilmawan, Muhammad; Penta Seputra, Kurnia; Daryanto, Besut
Indonesian Journal of Urology Vol 33 No 1 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i1.1136

Abstract

Objective: This study reports our experience in managing pediatric ERMS cases treated with super-selective embolization and chemotherapy. Case(s) Presentation: We present a case report about a 2-year-old boy with urinary retention. The complaint began with a history of urination difficulty that has not improved with urethral catheter insertion, thus percutaneous cystostomy was performed. However, a mass appeared in the cystostomy wound. Discussion: The biopsy result confirmed the diagnosis as a bladder embryonal rhabdomyosarcoma. Afterward, the patient was treated with super-selective embolization in both of internal iliac artery branches and it succeed to omit the bleeding symptom and growth of the suprapubic mass. The chemotherapy regimen (Etoposide, Mesna, and Ifosfamide) was administered subsequently for 2 cycles and it showed a satisfactory result in form of the reduction of obstruction symptoms and mass volume. Conclusion: Our case report shows that super-selective embolization and Etoposide Isofosfamide chemotherapy can provide adequate local control in a pediatric patient with bladder ERMS. Keywords: Embryonal rhabdomyosarcoma, etoposide, isofosfamide.
TEKNO KLEM: NOVEL DISPOSABLE DEVICE FOR PEDIATRIC CIRCUMCISION–A CASE REPORT Yuri, Prahara; Darsono; Indrasyafrudin, Anwar
Indonesian Journal of Urology Vol 33 No 1 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i1.1137

Abstract

Objective: This case report aimed to present the use of Tekno Klem, a novel disposable circumcision device. Unlike existing devices, Tekno Klem allows immediate clamp removal, potentially reducing the risk of postoperative complications. Case(s) Presentation: A 6-year-old boy presented to the Urology Outpatient Clinic with difficulty in retracting the foreskin of the penis. Physical examination revealed a non-retractable foreskin with a constrictive ring, classified as grade 3 phimosis. Elective dorsal slit surgery using Tekno Klem device was scheduled. The circumcision procedure using the Tekno Klem device began with measuring the glans size to ensure appropriate device selection. The appropriate Tekno Klem clamp size was selected from the available options: 12 mm, 14 mm, 16 mm, 18 mm, 22 mm, and 27 mm. The preputial skin was marked to define the excision area. The safety tube was then carefully positioned around the glans. Subsequently, the clamp frame was inserted. Once the desired positioning was confirmed, the screw cap was applied, locking the clamp securely in place through its serrated and threaded mechanism. The preputial skin was excised using thermal cautery. After clamp removal, N-butyl cyanoacrylate ointment was applied to protect the wound. The procedure lasted 15 minutes. Discussion: Postoperative pediatric penile perception scored 10, indicating improved penile appearance, while voiding satisfaction scored 5, reflecting favorable functional outcomes. No complications, including bleeding, hematoma, infection, glans injury, meatal stenosis, or delayed healing, were observed. The circumcision site healed properly with satisfactory cosmetic and functional results. Conclusion: Tekno Klem offers enhanced precision, safety, and ease of use over conventional devices, with the potential to reduce complications and optimize outcomes, particularly in settings prioritizing surgical accuracy and patient safety. Keywords: Tekno Klem, circumcision, disposable, pediatric, clamp.

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