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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 485 Documents
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INTRACTABLE HEMATURIA IN BLADDER CANCER WITH UNILATERAL HIGH GRADE VESICOURETERAL REFLUX: A CONSERVATIVE APPROACH USING INTRAVESICAL FORMALDEHYDE INSTILLATION Rustandi, Reginald; Santoso, Rachmat Budi; Harahap, Edward Usfi; Bramono, Ikhlas Arief
Indonesian Journal of Urology Vol 32 No 2 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i2.930

Abstract

Objective: This study aims to report a case of intractable hematuria in a patient with bladder cancer after radiotherapy. Case(s) Presentation: This case reported a 41-year-old male with urothelial carcinoma of bladder who came to our hospital hematuria symptoms that arised four months after radiotherapy session. The patient was admitted several times with intractable hematuria along with low levels of hemoglobin, and diagnosed with cystitis radiation. Discussion: Voiding cystourethrogram (VCUG) showed unilateral high grade vesicoureteral reflux (VUR). The patient showed no sign of improvement after transarterial embolization (TAE), radiation, and high-dose of steroids. However, the symptoms finally resoluted after formaldehyde instillation. Conclusion: Patients with a history of bladder cancer who develop hematuria after radiotherapy should be evaluated promptly to exclude the possibility of recurrent disease. The administration of formaldehyde instillation could lower the symptoms of hematuria and maintain hemoglobin levels. Keywords: Intractabel hematuria, formaldehyde, bladder cancer.
CHARACTERISTICS OF URETEROVAGINA FISTULA PATIENTS AT HASAN SADIKIN HOSPITAL BANDUNG IN 2017 -2021 Helmi, Kiki; Tjahjodjati
Indonesian Journal of Urology Vol 32 No 2 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i2.931

Abstract

Objective: The study aims to determine the characteristics of ureterovaginal fistula patients at Hasan Sadikin Hospital in Bandung for the 2017-2021 period. Material & Methods: This research was conducted using a descriptive method with a cross-sectional approach. The inclusion criteria in this study were all patients who experienced ureterovaginal fistula and underwent surgery at Hasan Sadikin Hospital. Exclusion criteria in this study were incomplete patient data until the variables studied did not exist. Results: From a total of 35 people who experienced ureterovaginal fistula the most in 2020 were 7 people (23.3%). The mean age was 39.93 ± 11.26 years, the longest distance to surgery was 10.17 ± 9.56 months, and duration of hospitalization 7.31 ± 5.45 days. The highest percentage of age who experienced ureterovaginal fistula was 36-45 years as many as 3 people (30%). Based on the etiology, the most common was supravaginal hysterectomy as many as 5 people (45.5%). The most frequently performed procedure in this study was ureteroneocystostomy with a percentage of 65%. Conclusion: The most common cases of ureterovaginal fistula in 2017 to 2021 were in 2020, the most common age for experiencing ureterovaginal fistula was 36-45 years of age and the most common etiology was supravaginal hysterectomy. Keywords: Ureterovaginal fistula, characteristics, Hasan Sadikin Hospital
A COMPLETE DUPLICATED SYSTEM WITH INTRAVESICAL URETEROCELE IN A 60-YEARS-OLD WOMAN: A CASE REPORT Hady Prabowo, Satria Adji; Budaya, Taufiq Nur; Kustono, Andri
Indonesian Journal of Urology Vol 32 No 2 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i2.942

Abstract

Objective: This case report presents a 60-year-old woman with intravesical ureterocele complicated by severe right upper-moiety hydronephrosis. Case(s) Presentation: A 60-year-old woman came with the chief complaint of right flank pain radiating to the umbilicus and groin accompanied by nausea, vomiting and decreased appetite. Ultrasound examination showed severe hydronephrosis of the right kidney. Abdominal CT revealed a double collecting system with severe hydroureteronephrosis at the upper pelvicalyceal system and the presence of an intravesical ureterocele. Cystoscopy and right RPG of upper and lower moiety procedures were performed and showed right severe hydroureteronephrosis with stenosis of right upper moiety ureteral orifice and ureterocele, followed by uroterocele incision and upper moiety ureteral re-implantation. No further complaints or complications were found after discharge from the hospital. Discussion: Adult ureterocele is a rare congenital anomaly often detected incidentally or due to complications like obstruction and infection. Diagnosis relies on imaging modalities such as ultrasonography, intravenous urography, and CT urography, while treatment options range from minimally invasive endoscopic decompression to surgical excision, depending on severity and associated complications. Conclusion: Ureterocele is a rare congenital urological abnormality found in non-Caucasians. Due to the rarity of the case, a thorough examination is required to establish this dia\gnosis and the choice of the appropriate treatment procedure. The managements include incision of ureterocele and ureteroneocystostomy. Keywords: Adult ureterocele, intravesical ureterocele, hydronephrosis, complete double collecting system, vesicoureteral reflux
CORRELATION OF STORAGE SYMPTOMS OR OVERACTIVE BLADDER SYMPTOMS POST TRANSURETHRAL RESECTION OF THE PROSTATE WITH THE DURATION OF CATHETER USE IN A PATIENT WITH URINARY RETENTION DUE TO BENIGN PROSTATE HYPERPLASIA Perdinan, Alfindy; Alvarino; Ilmiawati, Cimi; Myh, Etriyel
Indonesian Journal of Urology Vol 32 No 2 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i2.944

Abstract

Objective: Find out the correlation of catheter use duration with the incidence of overactive bladder symptoms (OABS) post Transurethral Resection of The Prostate (TURP) in patients with urinary retention due to Benign Prostate Hyperplasia (BPH). Material & Methods: An observational analytical research correlation with a cohort approach was carried out on 29 patients with urinary retention due to BPH post TURP in five hospitals in Padang from January 2019 to August 2019. Data collected included the characteristics and duration of catheter use, which were obtained through interviews using questionnaires, while those of OABS were obtained based on the total score by using the overactive bladder symptoms score (OABSS) standard questionnaire. Results: The average duration of catheter use was 14.9 ± 8.0 days, and the average total OABSS score was 4.7 ± 2.5. Bivariate analysis results showed a positive correlation with a weak strength between the duration of catheter use and the total OABSS score (Pearson’s correlation, r = 0.396, p = 0.033). Conclusion: It is necessary to shorten the duration of catheter use to decrease the incidence and severity of OABS in patients with urinary retention due to BPH post TURP. Keywords: Benign Prostate Hyperplasia, duration of catheter use, overactive bladder, urinary retention.
SECONDARY BLADDER CARCINOMA METASTASIS FROM OTHER ORGAN: A LITERATURE REVIEW Wahyudi, Yuvi; Mustafa, Akhmad
Indonesian Journal of Urology Vol 32 No 2 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i2.945

Abstract

Objective: This review article discusses the importance of considering metastasis malignancy in the differential diagnosis of high-grade urothelial lesions. Material & Methods: The review presents a summary of metastasis of bladder carcinoma from various organs. The most common sources of secondary bladder tumors are stomach, breast, colon cancer, and melanoma. The article highlights the need for careful evaluation and further workup in patients being treated for metastatic cancer who present with hematuria and symptomatic anemia. Results: Diagnosis of secondary bladder carcinoma involves imaging, cystoscopy, and transurethral resection. Biopsies should be collected from patients with suspected urothelial bladder metastasis from other cancer origins or those with suggestive symptoms. The article emphasizes the importance of differentiating metastatic adenocarcinoma of the lung from primary bladder adenocarcinoma, especially when bladder examination does not correlate with imaging results. It also discusses the increased risk of secondary bladder carcinoma in rectal cancer survivors who have undergone radiation therapy. Conclusion: In conclusion, secondary bladder carcinoma metastasis from other organs presents a diagnostic dilemma and requires comprehensive evaluations. Healthcare professionals should consider metastasis malignancy in the differential diagnosis of high-grade urothelial lesions, especially in the absence of readily available clinical history of primary cancer. Keywords: Bladder cancer, secondary tumors, metastasis, differential diagnosis, primary cancer.
LONG-TERM ADMINISTRATION OF TAMSULOSIN INCREASE APOPTOSIS ON PROSTATE CELL OF BPH PATIENT: STUDY ON TGF-ß1, SMAD-4, AND NF- KB Ghifary, Faathir Baihaqi; Daryanto, Besut; Mintaroem, Karyono
Indonesian Journal of Urology Vol 32 No 2 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i2.1028

Abstract

Objective: In this study we aimed to know further mechanism and relation between the long-term usage of tamsulosin with the apoptotic mechanism on prostatic cells of BPH patients qualitatively. Material & Methods: A Case-control study from prostate resection specimens. Subjects were 20 male who underwent the TUR-P procedure, were divided into two groups equally, a group who got long-term administration of tamsulosin 0.4 mg, and one without tamsulosin. TGF-β1 and Smad-4 expression was measured by Enzyme-Linked Immunosorbent Assay (ELISA), meanwhile expression of NF- kB measured by immunohistochemistry assay. Results: There was a significant difference on the Independent T-Test that showed an increase in expression of TGF-β1 and Smad-4 expression and a decrease in expression of NF- kB p= 0.003 (p<0,05) from a group of patients who got long-term oral administration of tamsulosin 0.4 mg, compared with a group of patients who didn’t get any treatment. Conclusion: Long-term tamsulosin would induce an apoptotic process in the prostate cells shown by the activity of TGF-β1, Smad-4, and NF- kB. Keywords: BPH, tamsulosin, TGF-β1, Smad-4, NF- kB, apoptosis
BACTERIAL PATTERNS AND URINE CULTURE SENSITIVITY DESCRIPTION OF UROLOGY PATIENTS IN THE PAEDIATRIC POPULATION AT TERTIARY HOSPITAL Permata, Veryne Ayu; Renaldo, Johan; Vermasari, Naritha
Indonesian Journal of Urology Vol 32 No 2 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i2.1050

Abstract

Objective: The aim of this research is to determine trends in urine culture and antibiotic resistance in pediatric urology patients in Soetomo General Hospital, January 2021-December 2023. Material & Methods: Medical record data and the microbiology laboratory database were studied retrospectively using a descriptive method. Identification of the pattern of antibiotic sensitivity for bacterial infection is the objective of the present study. Results: The most frequent bacteria cultured from 1,234 urine samples were: Escherichia coli 45%, Klebsiella pneumoniae 25%, and Pseudomonas aeruginosa 15%. E. coli exhibited high sensitivity to Meropenem (95%), Imipenem (93%), and Amikacin (90%), but strong resistance to Ampicillin (75%), Trimethopral-Sulfamethoxazole (70%), and Ciprofloxacin (65%). K. pneumoniae also displayed comparable resistance patterns. pneumoniae and P. aeruginosa, whose resistance to several drugs over the research period was clearly increasing. Conclusion: In summary, for juvenile uropathogens carbapenems and amikacin are still quite powerful therapeutic choices. These results highlight the critical requirement of responsible antibiotic use and continuous antimicrobial resistance surveillance in order to counteract increasing resistance trends and protect efficient treatment possibilities for children. Keywords: Urinary Tract Infections, Pediatric urology, Antibiotic resistance, Uropathogens, Escherichia coli
CLINICAL PROFILE OF PATIENTS WITH HYPOSPADIAS IN SAIFUL ANWAR GENERAL HOSPITAL, MALANG Henrizal, Fenni; Daryanto, Besut; Nurhadi, Pradana
Indonesian Journal of Urology Vol 32 No 2 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i2.1051

Abstract

Objective: This study aims to present the clinical profile of hypospadias patients in the Urology Department of Saiful Anwar Hospital. Material & Methods: This retrospective study analysed the characteristics of delayed hypospadias cases at Saiful Anwar General Hospital in Malang. The study utilized a descriptive design with a quantitative approach, conducted from January 2019 to February 2024. All patients with hypospadias who visited were included in this study. Data were presented in percentage format to illustrate the distribution of cases. Results: Among the 250 patients, 242 (97%) were classified as having a delayed diagnosis. Of all the cases, 141 (56%) were located in Malang. Proximal hypospadias was the most prevalent anomaly, affecting 131 (52%) of the patients. Additionally, there were 88 cases (35% of the total) of mid-shaft hypospadias and 31 cases (13% of the total) of distal hypospadias. Out of the total, 39 patients (16%) had undescended testis (UDT), while 53 patients (22%) had bifid scrotum as an additional condition. Of the 46 patients, 18.4% experienced preterm labor, and approximately 78% of the newborns, specifically 194 of them, had a birth weight over 2500 grams. The healthcare provider participated in 226 out of 232 births, accounting for 97% of the total. The condition was primarily diagnosed by obstetricians, who identified 42% of cases, while midwives identified 58% of the cases. Conclusion: Most hypospadias patients presenting at Saiful Anwar Hospital are diagnosed late, with proximal hypospadias being the most prevalent type. Accompanying conditions include bifid scrotum, occurring in 22%, and undescended testes, present in 16% of cases. This finding presents a potential opportunity to enhance the standard of care. Keywords: Hypospadias, UDT, bifid scrotum.
PEDIATRIC URINARY STONE PROFILE IN SAIFUL ANWAR HOSPITAL Balafif, Muhammad Firas; Daryanto, Besut; Nurhadi, Pradana
Indonesian Journal of Urology Vol 32 No 2 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i2.1054

Abstract

Objective: This study aims to provide an overview of the characteristics of age, gender, stone location, stone side, stone analysis, and management of pediatric urinary stone in the tertiary hospital. Material & Methods: This was a retrospective study done over a period of four years from January 2019 - December 2023 in our institution. The patient has undergone supporting examinations to confirm the diagnosis. Clinical data including the patient’s age, gender, stone location, stone side, stone analysis, and management were observed. Data were analyzed descriptively and using SPSS 17.0. Results: Total of 55 cases of upper and lower urinary tract stones were encountered in our study with a mean age of 11.2 years. The highest incidence was 15-18 years old (36.4%). The distribution by gender showed a higher prevalence in males (67.2%) compared female patients (32.8%). The kidney stone was the most frequent clinical presentation (36.3%). From the upper urinary tract stone, the left side becomes the predominant area (54.2%). The most common stone constituent was calcium oxalate (41.8%). The kidney stone was mostly treated with Percutaneous Nephrolithotomy (PCNL) (75.0%). Conclusion: Pediatric urinary tract stone patients in our institution are predominantly male, with a peak rate in 15- 18 years old, most commonly found in the kidney, predominantly on the left side, and the most common stone constituent was calcium oxalate. Th kidney stone is mostly treated with PCNL. Keywords: Bladder stone, pediatric urinary stone, cystolithotripsy.
QUALITY OF LIFE OF ADVANCED CERVICAL CANCER PATIENTS WITH PERCUTANEOUS NEPHROSTOMY IN HASAN SADIKIN HOSPITAL BANDUNG FROM 2018-2020 Wahyudi, Yuvi; Tjahjodjati
Indonesian Journal of Urology Vol 32 No 3 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i3.947

Abstract

Objective: This study aims to assess the quality of life patients with advanced stage of cervical cancer in RSUP Dr. Hasan Sadikin Bandung from 2018-2020. Material & Methods: This is a retrospective cohort study. The data collected from woman with advanced stages of cervical cancer without history of mental health problems or recurrent cancer, and interviewed using a validated EORT CQLQ-C30 questionnaire to assess their quality of life, and functional status based Karnofsky Performance Score (KPS) and Eastern Cooperative Oncology Group (ECOG) Performance Scale. Scores are calculated into raw score and linear transformation to standardized the range of 1-100. Results: 77 women were included in this study. The average age was 47.98 ± 8.46 years. Cervical cancer predominated by stage IIIa and IV (37,66%) with bilateral nephrostomy (58.44%). This study revealed an average of 63.1 in overall health status, which means there is an improvement over patient’s symptoms resulted from the insertion of nephrostomy, and a poor quality of life with an average score of 48.3 which shows the progression of cervical cancer conditions suffered by patients. Conclusion: The use of nephrostomy in patients with advanced-stage cervical cancer (IIIa, IIIb, and IV) could help alleviate patient’s symptoms, but the progressive condition of cervical cancer has made the patient's quality of life continue to decline. This is shown by the poor quality of life score in the advanced stages of cervical cancer patients, even with nephrostomy insertion. A better understanding of the complexity of the relationship between patient’s quality of life, cervical cancer staging, and the use of nephrostomy is necessary to help cervical cancer patients deciding the best consent before any actions taken. Keywords: EORTC QLQ-C30, cervical cancer, quality of life.

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