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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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PSA LEVEL AND ADVERSE EVENTS IN SIXTH AND TENTH SERIES DOCETAXEL CHEMOTHERAPY IN CASTRATE-RESISTANT PROSTATE CANCER (CRPC) PATIENTS Seputra, Kurnia Penta; Kustono, Andri; Hakim, Muhammad Baihaqy Ibnu
Indonesian Journal of Urology Vol 32 No 1 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i1.917

Abstract

Objective: This study aims to compare the efficacy of docetaxel on PSA levels and to analyze the adverse events caused by docetaxel. Material & Methods: The study design was retrospective cohort. Participants were prostate cancer patients at Saiful Anwar Hospital who received androgen deprivation therapy with increased PSA level 3 times the nadir or 2 bone lesions or soft tissue lesions > 2cm. PSA levels were assessed monthly. Participants were grouped into 6 and 10 series regimens. Adverse events of nausea, diarrhea, alopecia, SGOT SGPT abnormailties, creatinine abnormalities, anemia, and neutropenia were observed. Statistical analysis was performed using a differential T-test. Results: A total of 32 participants were involved. The PSA levels between 6 and 10 series groups were as follows: 1st month (142.2 vs 28.24 ng/mL,p=0.000), 2nd month (101.78 vs 16.98 ng/mL,p=0.001), 3rd month (472.35 vs 13.95 ng/mL,p=0.439), 4th month (120.64 vs 4.0 ng/mL,p=0.180), 5th month (64.325 vs 24.6 ng/mL, p=0.015), 6th month (41.915 vs 20.7 ng/mL,p=0.497). Adverse events in the 6 and 10 series regimens were nausea (25% vs 81.25%), diarrhea (37.5% vs 50%), alopecia (6.25% vs 43.75%), SGOT SGPT abnormalities (25% vs 56.25%), creatinine abnormalities (6.25% vs 37.5%), anemia (18.75% vs 31.25%), leukocytosis (6.25% vs 0%), and neutropenia (25% vs 12.5%). Adverse events in 6 series regimen began to occur in 3rd series with 1 participant experiencing nausea, and the most were 3 participants experiencing diarrhea in 6th series. Adverse events in 10 series regimen began to occur in 4th series with 1 participant experiencing nausea, 1 participant experiencing SGOT SGPT abnormalities, 1 participant experiencing diarrhea, and the most were 4 participants experiencing nausea in the 9th series. Conclusion: The 10 series of docetaxel chemotherapy is not superior to 6 series. Adverse events are more prominent in the 10 series. Keywords: Docetaxel, PSA, adverse events.
INTRAVESICAL FOREIGN BODIES MIMICKING BLADDER CALCULI: A CASE REPORT Amal, Rizki Jaya; Irfansyah; Putra, Aulia Rahman; Alvieda Nainggolan, Irbah Rea
Indonesian Journal of Urology Vol 32 No 1 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i1.923

Abstract

Objective: In this case report, we will present a patient with an intravesical foreign body mimics bladder calculi. Case(s) presentation: A 37-year-old man presented with pain in the suprapubic area. The patient had a history of several urological procedures. First, at the age of 11 years, He had an augmentation cystoplasty due to a congenital neurogenic bladder. Later, at the age of 15 and 20, He experienced two traumatic bladder ruptures requiring open repair, and the Mitrofanoff appendicovesicostomy for intermittent self-catheterization was performed. Discussion: The patient underwent an emergency cystoscopy that revealed calcified cut ends of four urethral catheter tips. Cystolitholapaxy was performed to crush these calcified foreign bodies facilitating cystoscopic removal. Conclusion: A 37-year-old man presented with intermittent suprapubic pain caused by intravesical foreign bodies. Hence, Cystolitholapaxy was performed to remove these calcified foreign bodies. The patient was observed and discharged from the hospital after seven days of treatment. Keywords: Bladder, foreign bodies, suprapubic pain, vesica urinaria.
A MULTICENTER STUDY OF BENIGN PROSTATIC HYPERPLASIA PATIENTS UNDERGOING TRANSURETHRAL RESECTION OF THE PROSTATE IN INDONESIA: A DESCRIPTIVE ANALYSIS Daryanto, Besut; Penta Seputra, Kurnia; Satyagraha, Paksi; Nur Budaya, Taufiq; Kurniawan Dhani, Fauzan; Rasyidan Yulizar, Deddy; Hendry, Marta; Rhomdhon, Andrie; Ambeng, Yudi; Akhmad Adhi, Ryan
Indonesian Journal of Urology Vol 32 No 1 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i1.1018

Abstract

Objective: The study aims to provide a detailed understanding of the patient demographics and clinical features associated with TURP procedures in several tertiary hospital in Indonesia. Material & Methods: This study is a descriptive cross-sectional study conducted at four provinces in Indonesia. Patient data were collected from January 2021 to December 2023, including all patients diagnosed with BPH and who underwent TURP. The data were analyzed using the Statistical Package for Social Sciences (SPSS) version 28.0 (SPSS Inc., Chicago, Illinois, USA). Results: A total of 812 patients met the inclusion criteria for the study. The highest number of patients undergoing TURP (Transurethral Resection of Prostate) was at Saiful Anwar General Hospital, with 287 patients. The average prostate volume across all patients was 57.6±20.6 ml with an IPP (Intravesical Prostatic Protrusion) of 13.0±5.2 ml. Diabetes Mellitus was the most common comorbidity among the patients, affecting 271 patients (33.3%). Urinary retention was the most frequent reason for patients undergoing TURP, affecting 664 patients (81.7%), followed by bladder stones, which affected 58 patients (7.1%). Conclusion: Advanced age and a history of smoking are the primary clinical features observed in BPH patients undergoing TURP in Indonesia. Additionally, urinary retention has been identified as the main indication for TURP procedures in these patients. Keywords: TURP, BPH, IPP.
CLINICAL PROFILE OF PATIENTS WITH UNDESCENDED TESTIS IN TERTIARY HOSPITAL Sulistyanti, Rachma Fitri; Daryanto, Besut; Nurhadi, Pradana
Indonesian Journal of Urology Vol 32 No 1 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i1.1020

Abstract

Objective: The objective of this study is to present the clinical profile of patients with UDT in tertiary hospital. Material & Methods: This study used a descriptive retrospective approached with approved ethical number 400/019/K.3/102.7/2024. Collecting identification was done by tracing UDT case-patient documents from January 2015 to December 2023. The characteristics observed were age, location of UDT, unpalpable or palpable, patient's address, and antenatal care examination. Results: From 107 UDT patients, 16 patients (24.31%) was diagnosed at the age 19 until 24 months old and decreased in puberty ages. 74 cases of UDT (69.16%) are unilateral UDT with almost the same distribution between left and right. In 75 cases of unpalpable UDT (70.09%), it was found that the testis were still viable in 57 cases during diagnostic laparoscopic. On average, there are 63 patients (58.87%) coming from the Malang area. The average number of patients receiving antenatal care from midwives is 61 cases (62.61%). Conclusion: In all, many cases of UDT under 12 years old were found, with the majority is Unpalpable Unilateral UDT, patient come from the Malang area and have received antenatal care from midwives. The data obtained can be used as a database for enhancing the standard of care. Keywords : Clinical profile, UDT, Malang
SCREENING AND FACTOR ANALYSIS OF DELAYED TREATMENT OF UNDESCENDED TESTIS (UDT) IN EARLY CHILDHOOD Subrata, Gabriella; Daryanto, Besut; Nurhadi, Pradana
Indonesian Journal of Urology Vol 32 No 1 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i1.1025

Abstract

Objective: To determine the prevalence of undescended testis (UDT) cases in the integrated health service post of the Wagir health center working area, the level of parental knowledge of UDT disorders, and to find out what factors affect the delay in UDT treatment. Materials and Methods: Physical examination by a urology specialist education doctor and distributing questionnaires to parents of toddlers with UDT disorders which were then analyzed with SPSS software using the chi square method followed by the binary logistic regression method. Result : Factors that were found to significantly affect the delay in UDT treatment included antenatal care history (sig. = 0.023) and parental knowledge about UDT (sig.=0.044). Factors found to be less significant in influencing the delay in UDT treatment included affordability of health facilities, insurance ownership, parents' monthly income, latest education, and family history. Conclusion: The prevalence of this with the majority of the population having poor knowledge about UDT. The factors that most influence the delay in treatment are antenatal care history and parental knowledge about UDT Keywords: Undescended Testis (UDT), Delayed Treatment, Parental Knowledge, Delayed Factors Objective: This study aims to determine the prevalence of undescended testis (UDT) cases in the integrated health service post of the Wagir health center working area, the level of parental knowledge of UDT disorders, and to find out what factors affect the delay in UDT treatment. Material & Methods: Physical examination by a urology specialist education doctor and distributing questionnaires to parents of toddlers with UDT disorders which were then analyzed with SPSS software using the chi square method followed by the binary logistic regression method. Results: Factors that were found to significantly affect the delay in UDT treatment included antenatal care history (sig. = 0.023) and parental knowledge about UDT (sig.=0.044). Factors found to be less significant in influencing the delay in UDT treatment included affordability of health facilities, insurance ownership, parents' monthly income, latest education, and family history. Conclusion: The prevalence of this with the majority of the population having poor knowledge about UDT. The factors that most influence the delay in treatment are antenatal care history and parental knowledge about UDT. Keywords: Undescended Testis (UDT), parental knowledge, physical examination
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.

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