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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 3 (2026)" : 13 Documents clear
A CONSERVATIVE APPROACH IN PENILE HEMATOMA MIMICKING PENILE FRACTURE AFTER STRADDLE INJURY IN 42-YEAR-OLD MALE: A CASE REPORT Mikha; Yusfiatuzzahra, Nazamta
Indonesian Journal of Urology Vol 33 No 3 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i3.977

Abstract

Introduction: Penile fracture is a rather infrequent occurrence. The incidence of penile fractures is predominantly associated with instances of direct trauma that occur during sexual intercourse. This case report provides a case of a middle-aged man with penile trauma after a straddle injury that mimics penile fracture symptoms. Case(s) Presentation: A 42-year-old male came to primary healthcare due to pain in penis while sexual intercourse with women on top position. He complained the penis was immediately detumescence, swelling, and bent into an “L” shaped position. At the physical examination, vital signs and general examinations were normal, but at the genital site, there was a hematoma at the right side of corpus cavernous midshaft of the penis. This hematoma also made a curve in the penis that caused angulation of the penis into an “L” shape. Discussion: Ultrasound examination is needed to evaluate the patient thus, he was referred to the hospital with penile angulation and penile hematoma as the main diagnosis. Ultrasound imaging showed free fluid at the outer part of the tunica albuginea of a penis. Structural damage was not examined in the urethra and tunica albuginea of the corpus cavernosum. Conclusion: This patient's symptoms of pain, angulation, detumescence, and swelling are similar to penile fracture. However, we noticed that penile fracture is a tear of the tunica albuginea of the corpus cavernous that has to be proved by imaging diagnostic tools. Keywords: Penile fracture, hematoma, trauma.
A RARE CASE OF TESTICULAR TUBERCULOSIS IN THE MIDDLE-AGED¬ MALE: CASE REPORT Fitra, Ahmad Fathira; Aspitriani; Sandria; Tandi, Adi Putra
Indonesian Journal of Urology Vol 33 No 3 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i3.1002

Abstract

Introduction: Tuberculosis is an infection that involves multiple organs. Testicular tuberculosis is a rare type of extra-pulmonary tuberculosis, accounting for only 3% of total genital tuberculosis cases. Objective: We report a case of testicular tuberculosis in a 40 year old male patient with severe pain in the right testicle for the last one month. Case(s) Presentation: Patients with a history of pulmonary tuberculosis and undergoing intensive phase anti-tuberculosis drug therapy. The patient has a fever accompanied by redness, swelling, and puffiness in the scrotal area. Laboratory examination, leukocytosis and no increase in ESR. Testicular ultrasound examination showed swelling in the right scrotum area as well as normal size and hydrocele in the left testicle. Discussion: The patient was diagnosed with testicular tuberculosis and underwent orchidectomy on the right testicle, followed by anti-tuberculosis drug treatment for six months, then continued with an anatomical pathology examination. Anatomical pathology results showed specific chronic granulomatous inflammation due to tuberculosis in the right testicle. Conclusion: The combination of discontinuation and OAT needs to be done immediately to prevent further complications. Keywords: Tuberculosis, testicles, urogenital, orchidectomy.
RELATIONSHIP BETWEEN RISK FACTORS AND LENGTH OF STAY OF PATIENTS AFTER OPEN PROSTATECTOMY AT RSU NEGARA IN 2023: A CROSS-SECTIONAL STUDY 'Azmy, Ahmad Farid; Gede Hendra Wijaya; Gede Wirya Kusuma Duarsa; Soetojo
Indonesian Journal of Urology Vol 33 No 3 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i3.1012

Abstract

Introduction: Open prostatectomy (OP) remains an important treatment for benign prostatic hyperplasia (BPH) in resource-limited settings. OP was routinely performed for BPH patients in 2023 at RSU Negara. Objective: This study aims to determine the relationship between risk factors of the patients and the length of stay after open prostatectomy in all patients with BPH underwent OP at RSU Negara during 2023. Material & Methods: All patients with BPH who had undergone open prostatectomy at RSU Negara during 2023 with complete medical records were recruited using a consecutive sampling method. Associations between variables were analyzed using Chi-square and Fischer exact test. P<0.05 (95% CI) was considered significant. Results: A total of 26 patients were recruited in this study. The average LOS was 7.6 days. The shortest LOS was 6 days and the longest was 12 days. Age (p=0.257), hypertension (p=0.051), volume of bleeding (p=0.427), and duration of surgery (p=1.00) did not indicate any significant association with hospital LOS. Conclusion: Risk factors such as age, hypertension, volume of bleeding during surgery, and duration of surgery did not have any significant association with the length of stay after open prostatectomy in BPH. Keywords: Benign prostate hyperplasia, open prostatectomy, length of stay.
THE EFFECT OF ROBUSTA COFFEE CONSUMPTION ON THE INCIDENT OF LOWER URINARY TRACT SYMPTOMS (LUTS) IN HEALTHY UNDERGRADUATE Wahyuni, Siska; Sugiyanta; Indreswari, Laksmi
Indonesian Journal of Urology Vol 33 No 3 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i3.1045

Abstract

Introduction: Lower urinary tract symptoms (LUTS) are common and may impair quality of life. Coffee consumption has been associated with LUTS, although evidence remains inconsistent. Objective: This study aimed to evaluate the effect of robusta coffee consumption on LUTS. Material & Methods: A quasi-experimental design was conducted with 20 medical students. The participants consumed robusta coffee once daily for 14 days as an intervention. LUTS were assessed before and after the intervention using the LURN SI-10 questionnaire, covering storage, voiding, and post-micturition symptom. Results: All 20 participants completed the study. Significant aggravation was observed in urinary urgency (P= 0.035) and nocturia (P= 0.046) after the intervention. However, no significant changes were noted in urinary frequency, incontinence, bladder pain, hesitancy, weak stream, and post-micturition dribble (P> 0.05). Conclusion: Robusta coffee consumption significantly aggravates urinary urgency and nocturia. Keywords: LUTS, robusta coffee, healthy undergraduate.
THE EFFECTIVENESS OF MINIMALLY INVASIVE SURGICAL TREATMENTS WITH REZŪM SYSTEM FOR BENIGN PROSTATIC HYPERPLASIA: A SYSTEMATIC REVIEW AND META-ANALYSIS Habib, Moh; Tripana, Arip Heru; Muhammad, Hadiyan Adli; Yashar, Muhammad Adan
Indonesian Journal of Urology Vol 33 No 3 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i3.1049

Abstract

Introduction: Benign prostatic hyperplasia (BPH) is a common chronic condition frequently associated with the progressive development of voiding and obstructive lower urinary tract symptoms (LUTSs). Objective: This research aims to assess the effectiveness of the Rezūm system for BPH. Material & Methods: A literature search was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Clinical baseline characteristics, international prostate symptom score (IPSS), maximum flow rate (Qmax), postvoid residual (PVR), and quality of life (QoL) were analyzed using Revman 5.3. The risk of bias assessments was conducted by two independent authors and resolved through discussion. Results: A total of 288 studies were retrieved from PubMed, Cochrane, and Google Scholar. Four studies, including 590 patients, were analyzed, with a follow-up period of up to 12 months after treatment using the Rezūm system. The mean (SD) change from baseline to follow-up in IPSS improved from 20.58 (5.9) to 9.53 (6.7); Qmax increased from 9.2 (3.2) to 13.48 (6.5); PVR decreased from 128.2 (137.8) to 76.0 (88.8); and QoL improved from 4.6 (1.2) to 2.0 (1.4). The greatest improvement was observed in QoL (56.52%) followed by IPSS (55.88%), Qmax (46.74%), and PVR (40.72%). Conclusion: The Rezūm system is an effective therapy for BPH, providing significant relief of LUTSs. Keywords: Benign prostatic hyperplasia, LUTS, Rezūm system
HYPOSPADIA REPAIR SURGERY LEARNING CURVE IN PEDIATRIC UROLOGY FELLOWSHIP PROGRAM Nurtanto Putra, Christian; Reinaldi Situmorang, Gerhard; Wahyudi, Irfan; Rodjani , Arry; Mirza , Hendy; Immanuel Hutasoit , Yonas; Hadiansyah , Hilman; Yudha Alfanius Hutahaean, Andre; Angga Risky Raharja , Putu
Indonesian Journal of Urology Vol 33 No 3 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i3.1064

Abstract

Introduction: The paediatric urology fellowship program was designed to accelerate the learning curve of junior urologist in various paediatric urology procedures, including hypospadias repair. Objective: This study aimed to provide insight in the learning curve of hypospadia repair during the paediatric urology fellowship program. Material & Methods: Three paediatric urology fellows performed 176 hypospadias repairs at four Jakarta, Indonesia, centers throughout their six-month fellowship training program between January 2022 and January 2023. Secondary repair or the initial stage of staged repair were excluded from the analysis. Complications such as urethrocutaneous fistula formation and wound dehiscence requiring secondary repair were documented. The learning curve of each fellow in hypospadias repair was documented. Results: Each fellow performed a median of 58 procedures (range: 56–62) during their training period. A total of 34 (19.3%) experienced complications, including 19 cases of fistula formation and 15 cases of wound dehiscence, over a mean follow-up period of 24.1±17.1 weeks. There were no significant differences in demographics, distribution of hypospadias, or complication rates observed among the fellows. Notably, there was a significant improvement in the learning curve for each fellow after performing 30 consecutive cases, achieving a success rate of over 84%. The average success rate showed a significant increase from 74.4% to 87.2% after 30 cases (p=0.032). Conclusion: Significant improvement of hypospadia repair success rate was observed among paediatric urology fellows after performing 30 consecutive hypospadia repair during their training. This improvement suggests that the fellowship program likely played a pivotal role in accelerating their learning curve. Keywords: Fellowship, hypospadias, learning curve, urethrocutaneous.
PYELO-NATIVE-URETERAL ANASTOMOSIS IN URETERAL STRICTURE DUE TO IATROGENIC TRAUMA OF KIDNEY TRANSPLANTATION: A CASE REPORT Ayudia Husain, Gladwyn; Daryanto, Besut; Nurhadi, Pradana
Indonesian Journal of Urology Vol 33 No 3 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i3.1079

Abstract

Introduction: Kidney transplantation may encounter challenges from medical or surgical complications. Iatrogenic injuries are responsible for more than half of ureteral stricture cases, which are a rare (0.6% to 12.5%) yet complex challenge in the realm of urology surgery. Objective: In this report, we presented a case stricture ureteral resulting from iatrogenic trauma in the context of kidney transplantation that was treated using pyelo-native-ureteral anastomosis. Case(s) presentation: A 33-year-old woman post-kidney transplant with iatrogenic ureteral trauma and developed recurrent urinary tract infections (UTI), Retrograde Pyelogram (RPG) was performed showing a partial stricture of proximal and distal right ureteral. Pyelo-to-Native Ureteral Anastomosis was performed to overcome the complication. After 35 days, kidney function was improved, USG and RPG for the improvement of hydronephrosis. Discussion: Pyelo-to-native ureteral anastomosis is a feasible treatment option for complex post-transplant ureteral strictures, particularly when endourological approaches are unsuccessful. Conclusion: Pyelo-to-native ureteral anastomosis can be an alternative treatment for stricture following kidney transplantation. Keywords: Kidney transplant, ureteral stricture, pyelo-to-native ureteral anastomoses.
THE ASSOCIATION BETWEEN COLLAGEN, INFLAMMATION, AND FIBROSIS WITH MAXIMUM URINARY FLOW RATE IN HYPOSPADIAS PATIENTS AFTER URETHROPLASTY Bharata, Made Bagus Sastrapramaya; Gede Wirya Kusuma Duarsa; Tirtayasa, Pande Made Wisnu; Wiargitha, I Ketut; Adiputra, Putu Anda Tusta
Indonesian Journal of Urology Vol 33 No 3 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i3.1083

Abstract

Introduction: Hypospadias repair may cause long-term urinary dysfunction. Collagen, inflammation, and fibrosis may influence urethral healing and urinary flow, but their association with postoperative Qmax remains unclear. Objective: This study aims to investigate the relationship between collagen, inflammation, and fibrosis with maximum urinary flow rate in patients with hypospadias after urethroplasty. Material & Methods: This retrospective cohort study included 72 hypospadias patients who underwent surgery at Ngoerah General Hospital, Denpasar, from 2003 to 2013. Urethral tissue samples were histopathologically assessed for collagen, inflammation, and fibrosis. Urinary flow was evaluated 10 years postoperatively using uroflowmetry, with Qmax categorized based on the optimal ROC-derived cutoff. Associations were analyzed using chi-square and logistic regression. Results: The results showed a significant association between collagen and maximum urinary flow rate (RR=0.573; 95% CI=0.350–0.936; p=0.019), where low collagen levels were protective against weak urinary stream. Moderate-to-severe fibrosis increased the risk of weak urinary stream by 1.6 times (RR=1.659; 95% CI=1.071–2.568; p=0.026). However, no significant association was found between inflammation and maximum urinary flow rate (p=0.964). Logistic regression analysis indicated that patient age was significantly associated with maximum urinary flow rate (OR=1.32; p=0.002). Conclusion: There is an association between collagen levels and maximum urinary flow rate in patients after hypospadias surgery. However, no significant association was found between inflammation and fibrosis with urinary flow. Patient age was the dominant factor influencing urinary flow post-surgery. Keywords: Collagen, inflammation, fibrosis, maximum urinary flow rate, urethroplasty.
ASSESSING THE EFFICACY OF HIGH INTENSITY FOCUSED ELECTROMAGNETIC (HIFEM) STIMULATION IN ALLEVIATING URINARY INCONTINENCE SYMPTOMS: INDONESIAN-BASED COMMUNITY Rahmita, Maulidina Medika; Dhaifullah, Althaf; Umran, Amrizal; Makshoem, Ahmad Asroruddin; Hudaya, Syamsu; Hutasoit, Yonas Immanuel; Syahputra, Firtantyo Adi; Wallad, Caesar Khairul
Indonesian Journal of Urology Vol 33 No 3 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i3.1086

Abstract

Introduction: Urinary incontinence (UI) is common in women and may impair quality of life. Pelvic floor muscle dysfunction contributes to stress and mixed urinary incontinence. High-Intensity Focused Electromagnetic (HIFEM) therapy is a promising non-invasive modality for improving pelvic floor muscle function. Objective: This study aims to evaluate whether HIFEM can offer a more effective alternative for managing urinary incontinence. Material & Methods: 31 women were enrolled in this cohort study. Patients are assessed before and after intervention using the International Consultation on Incontinence Questionnaire—Urinary Incontinence—Short Form (ICIQ-UI-SF). The intervention is a 28-minute HIFEM stimulation with 33 sequences and intensities between 50 to 100% and sequential amplitude modulation, once a week within 4 weeks. Results: 26 participants (83.8%), dominated by mixed-type UI (17 patients), followed by 7 stress-type and 2 urge-type, have experienced an improvement in UI symptoms and showed improvement in ICIQ scores, while the other 5 participants (16.2%) showed insignificant progress after the intervention. The enhanced group reported a transition from moderate-severe symptoms to mild symptoms or complete recovery, and statistical analysis showed a significance value of p = 0.001 (p < 0.05). Conclusion: The HIFEM stimulation procedure significantly alleviates urinary incontinence patients, particularly the mixed-type. Keywords: HIFEM, urinary incontinence, pelvic floor muscles training.
PREVALENCE AND CHARACTERISTICS OF END-STAGE RENAL DISEASE REQUIRING HEMODIALYSIS IN JAMBI PROVINCE: IS KIDNEY TRANSPLANTATION WORTH CONSIDERING? Rahmadi, Rio; Oktavia, Aulianisa; Basri, Hasan; Herman, Hendra; Rachman, Wendi; Fauzan, Randy; Sitompul, Ardiansyah Periadi
Indonesian Journal of Urology Vol 33 No 3 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i3.1094

Abstract

Introduction: Chronic kidney disease may progress to ESRD, requiring renal replacement therapy. Updated data on ESRD incidence and mortality in Jambi Province remain limited, highlighting the need for current epidemiological data to guide treatment planning. Objective: To determine whether kidney transplantation services need to be developed in Jambi Province and to determine the prevalence and characteristics of ESRD patients who underwent hemodialysis in Jambi Province. Material & Methods: This descriptive observational study was conducted using secondary data and questionnaire instruments. The secondary data were taken from a total of six hospitals with hemodialysis facilities in Jambi Province, Indonesia. The study sample included 100 people from the two largest hemodialysis centers in Jambi Province. Results: The total of ESRD patients who underwent hemodialysis in Jambi from 2022 increased to 1.306 patients in 2023, with an increase of hemodialysis procedures in 2023(9.2%). The patients who deceased during the hemodialysis phase has also increased, from 259 people in 2022 to 317 people in 2023, with a mortality rate of 25.7%. The results of the questionnaire from 100 respondents revealed that 69% of patients wished to undergo kidney transplant, only 14% were willing to be referred to other provinces due to socioeconomic barriers, 87% of patients agreed that if there is a kidney transplant service in Jambi, it would give them additional hope during hemodialysis, because it might be their turn to undergo a kidney transplant. Conclusion: The incidence of ESRD and the number of hemodialysis procedures in Jambi Province increase annualy, followed by an increase of deceased patients and high mortality rates. This study also revealed that the majority of respondents who underwent hemodialysis hope can undergo kidney transplantation in Jambi Province. Keywords: ESRD, renal replacement therapy, hemodialysis, kidney transplantation, Jambi province.

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