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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 498 Documents
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COMPARISON BETWEEN TRANSRECTAL ULTRASONOGRAPHY GUIDED TRANSRECTAL PROSTATE BIOPSY AND TRANSRECTAL ULTRASONOGRAPHY GUIDED TRANSPERINEAL PROSTATE BIOPSY Halfian, Randa; Soebadi, Doddy M; Rizaldi, Fikri
Indonesian Journal of Urology Vol 26 No 2 (2019)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v26i2.505

Abstract

Objective: Prostate cancer is the fourth most common malignancy in men. TRUS guided transperineal prostate biopsy and TRUS guided transrectal prostate biopsy are two main approach to take prostate tissue as diagnostic of prostate cancer. To compare prostate biopsy approach between TRUS guided transrectal and TRUS guided transperineal toward duration of examination, pain perception, and complications. Material & Method: This study was an experimental study with prospective approach. There were two groups, group one was performed TRUS guided transrectal prostate biopsy (TRB) and group two was performed TRUS guided transperineal prostate biopsy (TPB). Evaluation was based on the duration of examination, pain perception, and complication. Data was analyzed using independent T test for duration of examination and Mann-Whitney test for pain perception. Data was performed using SPSS 21.0 version. The statistical significant difference was consider if p value <0.05. Results: There were 20 samples in this study. There was a significant difference in the duration of examination, the average duration of TPB examination (17.40 ± 2.50) was longer than the duration of TRB examination (14.1 ± 2.77). There was no significant statistical difference between TPB group and TRB group in pain perception when USG probe into the anal (p=0.65), anesthesia process (p=0.28), prostate tissue sampling (p=1.00), and post biopsy (p=0.34). Rectal bleeding was found mostly in TRB group (40%) compared to TPB group (0%). Hematuria was experienced by three patients (30%) in TRB group and two patients (20%) in TPB group. Conclusion: TRB was more effective in duration of biopsy than TPB. The complications of rectal bleeding and hematuria were more in TRB group than TPB. The pain perception were the same between both groups. There were no fever, sepsis, hematospermia and vasovagal event in two groups.
PROFILE OF PATIENTS WITH URINARY TRACT STONE AT UROLOGY DEPARTMENT OF SOETOMO GENERAL HOSPITAL SURABAYA IN JANUARY 2016-DECEMBER 2016 Kurniawan, Reza; Djojodimedjo, Tarmono; Rahayu, Anny Setijo
Indonesian Journal of Urology Vol 27 No 1 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i1.506

Abstract

Objective: To identify the profile of patients with urinary tract stones at the Urology Department of Soetomo General Hospital Surabaya in January 2016-December 2016. Material & methods: This was descriptive retrospective research conducted at the Urology Department of Soetomo General Hospital Surabaya. The data were obtained from medical records of patients diagnosed with urinary tract stone, with the amount of data collected was 62. The variables included were age, gender, address, main complaint, type and location of urinary tract stone. Results: The ratio of male:female among patients with urinary tract stone is 33:29. Most of the patients with urinary tract stone were aged 46-60 years old (52%), came with the main complaint of flank pain (79%), had the uric acid type of urinary tract stone (48%), and had urinary tract stone located at the kidneys (65%). Conclusion: Profile of patients with urinary tract stone at the Urology Department of Soetomo General Hospital Surabaya is as following: Ratio of male:female among patients with urinary tract stone is 33:29. Most of the patients with urinary tract stone were aged 46-60 years old, came with the main complaint of flank pain, had the uric acid type of urinary tract stone, and had urinary tract stone located at the kidneys.
THE EFFECT OF NIFEDIPINE ON SURVIVE CELL, APOPTOTIC CELL AND NECROTIC CELL OF IPSILATERAL TESTICULAR GERMINAL EPITELIAL CELLS ON MALE WISTAR RATS WITH UNILATERAL TESTICULAR TORSION Kurniawan, Andrie Rhomdhon; Hakim, Lukman; Soebadi, Doddy M
Indonesian Journal of Urology Vol 26 No 2 (2019)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v26i2.507

Abstract

Objective: This study aimed to compare the number of survival, apoptotic and necrotic cells of ipsilateral testicular germinal epithelial cells in male wistar rats with unilateral testicular torsion between nifedipine given and control groups. Material & Methods: Thirty male wistar rats aged 10-12 weeks were randomly divided into 5 groups, each consisted of 6 rats. The negative control group (KN) underwent a sham procedure and left orchidectomy. Positive control group 4 (KP4) and 10 (KP10) performed left torsio testis 3 x 360 degrees medially for 4 hours and 10 hours respectively, then performed orchidectomy 4 hours after detorsion. The 4-hour (N4) and 10 hours (N10) nifedipine treatment group received the same treatment with positive control, but 30 min before detorsion performed, nifedipine were given intraperitoneal 100μg/kg. Within 1 hour after orchidectomy, cell count was calculated using flow cytometry. Results: It was found that the 4 (N4) and 10 hours (N10) nifedipine treatment group had a higher survival cells and also a lower number of apoptotic and necrotic cells compared to the positive control group. It was found that the 10 hours nifedipine treatment group (N10) had a lower number of apoptotic and necrotic cells compared to the 10 hour positive control group (KP10). The difference was statistically significant with p value <0.05. However, in KP4 and N4 group compared with KP10 and N10 group, higher apoptotic cells was obtained. This was a new phenomenon that needs to be investigated more deeply. Conclusion: Intraperitoneal administration of nifedipine prior to testicular detorsion may reduce the number of apoptotic and necrotic cells of testicular germinal epithelial cell, and may increase the number of survival cells in ipsilateral testes with unilateral testicular torsion.
THE EFFECTIVITY OF EUTECTIC MIXTURE OF LOCAL ANESTHETICS CREAM AS EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY ADJUVANT ANALGESIA IN SOETOMO GENERAL HOSPITAL Sholihin, Riza Mazidu; Hakim, Lukman; M. Soebadi, Doddy
Indonesian Journal of Urology Vol 26 No 2 (2019)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v26i2.509

Abstract

Objective: The Extracorporeal Shockwave Lithotripsy (ESWL) procedure is the first choice for kidney stone therapy with the size ≤20mm. One of the complications of ESWL is the pain. Pain control during ESWL is essential to maintain the focus point of ESWL and give enough time to achieve complete stone fragmentation. Until now there is still no data about the effectiveness of Eutectic Mixture of Local Anesthetics (EMLA) cream as an adjuvant analgesic for ESWL procedure in Soetomo Hospital Surabaya. To compare the onset of pain and ESWL Wong-Baker Pain Scale (WBPS) between the EMLA group and placebo group. Material & Methods: The design of this study was a single-blind randomized control trial comparing the onset of pain and Wong Baker pain scale between the patient in EMLA group and placebo one. WBPS is assessed in minute 15, 30, 45, and 60 of ESWL sessions and 60 minutes post ESWL procedure. The results were analyzed with SPSS. Pain onset and differences of WBPS were tested by using independent T-test if the data is normally distributed and using Mann-Whitney test if the data is not normally distributed. Results: 10 patients were obtained in each group. The mean onset of pain in the EMLA group was longer than the mean onset of pain in the placebo group but statistically not significant (p>0.05). The WBPS in the EMLA group was significantly lower compared with the placebo group in the 30, 45, and 60 minutes of ESWL (p<0.05). Conclusion: EMLA cream application before ESWL was effective and safe as an adjuvant analgesic to reduce pain during ESWL.
THE EFFECTS OF NICOTINE EXPOSURE PER INHALATION TO THE CHANGE OF MOTILITY AND MORPHOLOGY OF THE RAT’S SPERM Nugroho, Puruhito Eko; Rizaldi, Fikri; Soesanto, Wahjoe Djati
Indonesian Journal of Urology Vol 26 No 2 (2019)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v26i2.511

Abstract

Objective: Smoking are known to have detrimental effect on sperm. The effects are suspiciously come from nicotine as its main pharmacologic component. This study is carried out to analyze the effect of nicotine exposure per inhalation to the difference of motile sperm percentage and normal morphology sperm percentage of male wistar rats. Material & Methods: Thirty male rats were used for this research. They were randomly divided into 5 groups and treated with nicotine inhalation 0.5 mg/kgBW,  1 mg/kgBW, 2 mg/kgBW and 4 mg/kgBW for 30 days while the control rats were not given any treatment. At the end of experiment, sperm analysis was carried out to measure the percentage of motile sperm and percentage of sperm with normal morphology. Results: Percentage of motile sperm significantly decreased (p<0.05) in all treatment groups compared to control group. Comparison between treatment groups revealed that the percentage of motile sperm significantly decreased in 0.5 mg/kgBW vs 2 mg/kgBW, 0.5 mg/kgBW vs 4 mg/kgBW, and 1 mg/kgBW vs 4 mg/kgBW. Percentage of normal morphology sperm decreased significantly (p<0.05) in 1 mg/kgBW, 2 mg/kgBW, and 4 mg/kgBW compared to control groups. Comparison between treatment groups revealed that there were no significant decreased between each treatment groups. Conclusion: This research conclude that nicotine exposure per inhalation can deteriorate the percentage of motile sperm and the percentage of normal morphology sperm of male wistar rats.
THE EFFECT OF CHRONIC EXPOSURE OF NICOTINE INHALATION TO THE COUNT OF SPERMATOGONIA, SERTOLI CELLS AND LEYDIG CELLS OF YOUNG WHITE RAT WISTAR STRAIN Rizaldi, Aril; Soebadi, Doddy M; Soetojo, Soetojo
Indonesian Journal of Urology Vol 26 No 2 (2019)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v26i2.512

Abstract

Objective: To analyze the difference in the number of spermatogonia, leydig cells and sertoli cells in young age of  white mice Wistar strain after inhalation of chronic nicotine exposure. Material & Method: Laboratory experimental study with post test only control group design, measurement of spermatogonium, leydig cell, sertoli cell in 5 groups of young male Wistar strain, negative control group and treatment group given nicotine exposure 0.5 mg, 1 mg, 2 mg, and 4 mg/kg body weight/day for 30 days. Results: A significant reduction in spermatogonium was found in the group given nicotine 0.5 mg/kgBW/day (p=0.048), 1 mg/kgBW/day (p=0.002), 2 mg/kgBW/day (p=0.002) and 4 mg/kgBW/day (p=0.000) when compared to the control group. Significant decreases were also seen in the group receiving 4 mg of nicotine exposure compared with 0.5 mg (p=0.018). Significant decrease in sertoli cell count was seen only in the nicotine group of 4 mg/kgBW/day compared with the control group (p=0.047). A significant decrease in leydig cell count was found in the nicotine 2 mg/kgBW/day (p=0.037) and nicotine group 4 mg/kgBW/day (p=0.023) when compared with the control group. Significant decreases were also found in the 4 mg/kgBW/day group compared to the 0.5 mg/kgBW/day group (p=0.004). In this study there were also a decrease in the number of spermatogonia, sertoli cells, and leydig cells in the increased dose of nicotine given although not statistically significant. Conclusion: Chronic exposure of nicotine per inhalation may decrease the number of spermatogonia, sertoli cells, and leydig cells. The higher the dose of nicotine given the greater the decrease in the number of spermatogonium cells, sertoli cells, and leydig cells that occur. This proves that nicotine is one of the causes of infertility in men.
EFFECT OF NIFEDIPINE ON APOPTOSIS, NECROSIS AND VIABILITY OF GERMINAL EPITHELIAL CELLS IN THE CONTRALATERAL TESTICLE AND PLASMA TESTOSTERONE LEVELS IN MALE WHITE RATS (RATTUS NORVEGICUS, WISTAR STRAIN) AFTER UNILATERAL TESTICULAR TORSION Mardihusodo, Hajid Rahmadianto; Rizaldi, Fikri; Hakim, Lukman
Indonesian Journal of Urology Vol 26 No 2 (2019)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v26i2.513

Abstract

Objective: To compare the number of apoptosis, necrosis and viability of germinal epithelial cells in the contralateral testicle (CT) and plasma testosterone (PT) levels in white male rats which administered Nifedipine after unilateral testicular torsion (TT) compared with control group. Material & Methods: This research was an experimental study using male white rats (Rattus Norvegicus, Wistar strain) aged 10-12 weeks and body weight 150-200 gram. A total of 30 rats were then randomly divided into 5 groups (n=6) which were negative control group (KN), positive control group (KP1 and KP2) and Nifedipine-administered group (N1 and N2). Each group performed unilateral left side torsion of testicular of 1080o anticlockwise except the KN group. There was 4-hour ischemic duration in the KP1 and N1 groups while 10 hours in the KP2 and N2 groups. Administration of Nifedipine 30 minutes before detorsion by intraperitoneal injection dosed 100 μg/kgBW. All groups performed right orchidectomy and plasma blood sampling. Measurement of apoptosis, necrosis and viability of germinal epithelial cells in the CT using flowcytometry. Measurement of PT levels using Enzyme-Linked Immunosorbent Assay (ELISA). Results: The number of apoptosis, necrosis and viability of contralateral testicular germinal epithelial cells and PT levels in the KN group compared with KP1 and KP2 groups were significantly different (p<0.05). There was no significant discrepancy in apoptosis (p>0.05) in KP1 group compared with N1 group, as well as in KP2 group compared with N2 groups. The number of necrosis, viability of germinal epithelial cells in the CT and PT level in KP1 group in compared with N1 group, as well as in KP2 group in compared with N2 group were significantly different (p<0.05). Conclusion: Nifedipine administration prior to testicular detorsion can maintain cell viability and decrease the amount of necrotic germinal epithelial cells in the CT and prevent the decrease in PT levels after unilateral TT.
VALIDATION OF AFFORDABLE AND APPLICABLE KIDNEY PHANTOM MODEL (AARM) FOR ULTRASOUND-GUIDED PERCUTANEOUS NEPHROSTOMY SIMULATION Septian, Regi; Adi, Kuncoro
Indonesian Journal of Urology Vol 27 No 1 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i1.515

Abstract

Objective: Percutaneous nephrostomy (PN) is a medical skill that requires the repetition of hand and eye coordination exercises. The limited opportunity to achieve learning curve at mastering it, increases the morbidity risk to the patient. We therefore developed an Affordable and Applicable Renal Model (AARM) phantom to simulate percutaneous nephrostomy with ultrasound (USG) guiding. Our goal is to present the development of an affordable cost kidney phantom model and evaluate validity (face, content, and construct) with its reliability. Material & Methods: The AARM phantom made from mixture of gelatin, glycerin and sorbitol, then molded with latex gloves comprising the parenchymal portion and the renal pelvicalyceal system connected to a 10Fr nasogastric tube and a 20 cc syringe. Phantom then assessed by urology residents at Hasan Sadikin Hospital Bandung. Senior resident (n=20) who are adept at performing independent PN then compared with junior resident (n=15), and then we analysis both group skills by measure PN initial puncture time and its failure to establish its validity and reliability. Results: This phantom cost production was 30USD (400.000 IDR) and after tested by urology residents, it had simulated the series of PN action steps which described the face and content validation test, with correlation results (Pearson, p<0.05); Very strong (53.8%), strong (30.8%), and medium (15.4%). The reliability test with cronbach alpha value was 0.934 (reliable if cronbach alpha>0.60). The average initial puncture time measure and PN failure result of junior and senior residents are respectively 37.03 ± 9.5 vs 10.90 ± 0.65 seconds and 4.93 ± 1.33 vs 0.75 ± 0.63 times. When both skills performance was analyzed, the senior resident showed significantly (p<0.01) faster and fewer errors. Conclusion: This AARM phantom had successfully represent the whole sequence actions key step of PN skills and this study has been established its validity (face, content and construct). In addition, this phantom material not only made from affordable cost but also applicable and could be used repeatedly (recycled). We propose the use of this AARM phantom simulator as an initial steps practices to introduce percutaneous nephrostomy skills to residents before they went to the operating room.
ROLE OF VITAMIN E (α TOCOPHEROL) TO PREVENT THE SPERMATOGONIA, SERTOLI CELL, AND LEYDIG CELL DAMAGE IN RATS TESTICLE (STRAIN WISTAR) AFTER CISPLATIN TREATMENT Krismantoro, Rahmad; Rizaldi, Fikri; Soebadi, Doddy M
Indonesian Journal of Urology Vol 26 No 2 (2019)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v26i2.519

Abstract

Objective: To determine the difference in spermatogonium cells, leydig cells and sertoli cells count in white rats testicle (wistar strains) obtained with the combination of cisplatin and vitamin E compared with that only received cisplatin. Material & Methods: There were 4 random groups out of a total of twenty four winstar strain rats (n=6). The control group (I) injected normal saline 0.9% intraperitoneally (i.p.) as the placebo on the 3rd week. Group (II) given cisplatin (5 mg/kgbw) injection i.p. on 3rd week, Group (III) given cisplatin injection 5 mg/kgbw i.p. on 3rd week + vitamin E 50 mg/kgbw by gavage for 7 weeks and group (IV) cisplatin injection 5mg/kgbw i.p. on 3rd week + vitamin E 200 mg/kgbw by gavage for 7 weeks. Vitamin E was given 3 weeks before up to 4 weeks after cisplatin injection (total 7 weeks). Observations by calculating the average number of spermatogonia, sertoli and leydig cells on a cross-sectional section of the seminiferous tubule with Haematoxylin-Eosin staining using a 400x light magnification microscope. Results: Cisplatin decreases spermatogonia, sertoli, and leydig cells significantly against control. Vitamin E 200 mg/kgbw significantly increased the number of spermatogonium, sertoli, and leydig cells (p<0.05) compared to group in combination with vitamin E 50 mg/kg bw and cisplatin or cisplatin only group. Only leydig cells count was significantly increased in the combination group of vitamin E 50 mg/kgbw  and cisplatin compared to the cisplatin group. Conclusion: Vitamin E 200 mg/kgbw provides a protective effect against decreased spermatogonia, sertoli and leydig cells due to cisplatin 5 mg/kgbw exposure which its protectivity depends on the given dose.
ENDOUROLOGIC MANAGEMENT IN NEGLECTED DOUBLE J STENT AT SOETOMO HOSPITAL SURABAYA RETROSPECTIVE-DESCRIPTIVE STUDY, PERIODE 2013-2016 Fathurrahman, Hasroni; Hakim, Lukman
Indonesian Journal of Urology Vol 27 No 1 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i1.525

Abstract

Objective: The use of various combinations of endourological techniques can be an effective solution in the management of neglected DJ stent. The variety of treatments that combine the extracorporeal shock wave lithotripsy (ESWL), retrograde cortolithotripsy (CLT) ureteroscopy with intracorporeal lithotripsy, percutaneous nephrolithotomy (PCNL) and open surgery have been used for the management of encrustation stent cases in a neglected DJ stent. Material & Methods: A Retrospective descriptive study by evaluating patients that have done undergoing endourological measures in the case of Neglected DJ stents in Soetomo General Hospital from January 2013 to December 2016. Data analysis based on age, gender, location of encrustation, indication of DJ stent insertion, duration of DJ stent insertion, and type of endourologic management. Results: In this study, the data of patients undergoing endourological action in Neglected DJ stent cases were 29 patients from January 2012 to December 2016. In Neglected DJ stent patients (41.4%) 12 were encrusted and (58.6%) 17 that there is no encrustation. From 29 patients neglected DJ stent, consisting of (20.7%) 6 males and (79.3%) 23 females, with ratio male to female 1:4, the incidence of DJ stent encrustation was 12 with ratio male to female 1:1, with ages ranging from 41-64 years. The most common cause of DJ stent insertion in Neglected DJ stent patients was malignancy that cause obstructive uropathy (72.4%) 2, all of them were female patients, followed by ureteral stones (24.1%) 7, where males (13.8%) 4 and women (10.3%) 3, and UPJ stenosis where there were only (3.4%) 1 men. In the neglected dentist stent there were 62 (62%) 18 unilateral stent (males (13.8%) 4 and female (48.3%) 14 while the bilateral stent were (37.9%) 11, where male (6.9%) 2 and female (31%) 9. Duration of DJ stent use in neglected DJ stent is higher in 15 weeks (20.7%) 6, followed by 17 weeks (17.2%) 5, 14 weeks (13.8%) 4, 16 weeks, 18 weeks, 20 weeks each (10.3%) 3, 13 weeks (6.9%) 2, and last order during 19 weeks, 26 weeks, 29 weeks each (3.4%) 1. Where the largest organ there is encrustation is Ureter (24.1%) 7, followed by renal with a kidney (10.3%) 3. After which the kidneys with ureter (3.4%) 1 and buli (3.4%) 1. Management of Neglected DJ stent without encrustation performed procedure of removing DJ stent 17 (58.6%), while management of Neglected DJ stent with stent encrustation. The majority procedure was URS (13.8%) 4, followed by URS + PCNL and ESWL pre op + URS respectively (6.9%) 2, and few with ESWL preoperative procedures, CLT, CLT + PCNL, and ESWL pre operation + CLT + PCNL about (3.4%) 1. Conclusion: The neglected ratio male to female 1:4, while the incidence of DJ stent encrustation was 12 with ratio male to female 1:11. The most common cause of DJ stent insertion in Neglected Dj stent patients was malignancy that cause obstructive uropathy, followed by ureteral stones and UPJ stenosis Patients with unilateral DJ stent more than those with bilateral DJ stent. Duration of DJ stent usage in Neglected DJ stent at most for 15 weeks and last order for 19-29 weeks. In Neglected DJ patients the patient incrustation ratio and no incrustation were 2:3. Management of the Neglected DJ stent without encrustation is performed by DJ stent with cystoscopy, while the management of the Neglected DJ stent with encrustation is performed with a multimodal endourology procedure, among others: a combination of URS, PCNL, ESWL pre-op and CLT. The most commonly organ that have encrustation is the ureter, the second sequence is the bladder with the kidney, and finally the kidney with the ureter and the bladder.

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