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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.
Arjuna Subject : -
Articles 498 Documents
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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.
PREDICTORS FACTORS OF BLADDER INJURY IN PLACENTA ACCRETA SPECTRUM SURGERY AT A TERTIARY HOSPITAL Akbar, Fariz Kemal; Daryanto, Besut; Satyagraha, Paksi
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.v33i1.1138

Abstract

Objective: This study aims to determine the predictors factors associated to bladder injury sustained following placenta accreta spectrum surgeries. Material & Methods: This retrospective cohort study was conducted at the Saiful Anwar General Hospital from 2020-2024. Pregnant women with PAS undergoing hysterectomy or caesarean deliveries were included in the study population. Age, gestational age, number of previous cesarean deliveries, and placenta acreta index (PAI) Score were recorded. Univariate and multivariate analyses were performed to compare women with and without operative bladder injuries. Results: A total of 112 women were included in the study. The incidence of bladder injuries was 10,7%. Preoperative ultrasound examinations revealed an 84% concordance rate with surgical findings, confirming the diagnosis of placenta accreta spectrum. The average age of pregnant women with PAS was 33.71 ± 4.66 years, with the most common age range being 31-35 years (34.8%). In univariate analysis, gestational age, number of prior cesarean section, and PAI score include lacuna grade, myometrial thickness, and bridging vessel associated with risk of bladder injury. However, the number of prior cesarean sections and myometrial thickness measured by PAI showed a significant association in multivariate analysis. Conclusion: PAS condition carries a risk of bladder injury during surgery. Predictors factors associated to bladder injury of PAS cases include the number of prior cesarean section and myometrial thickness in PAI. Keywords: Bladder injury, placenta accreta spectrum, predictors factors.
THE EFFECT OF HIGH-INTENSITY FOCUSED ELECTROMAGNETIC (HIFEM) THERAPY ON PATIENTS WITH URGE URINARY INCONTINENCE Daryanto, Besut; Nur Budaya, Taufiq; Satria, Hikmat
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.v33i1.1139

Abstract

Objective: This study aims to determine the effect of HIFEM on OABSS and pad usage through the Voiding Diary. Material & Methods: An experimental study with pre and post-test. Patients will be given a questionnaire before and after undergoing HIFEM therapy for six sessions, and be followed for one month. Data analysis was carried out using SPSS software. Paired T-test was used for data with normal distribution, while the Wilcoxon Non-parametric test was used for data which is not normally distributed. Data are considered statistically significant if the p-value <0.05. Results: Twenty-eight patients completed the study. After six HIFEM sessions, the mean OABSS significantly decreased from 12.89 ± 1.03 to 11.61 ± 1.59 (p < 0.001), and pad usage reduced from 8.39 ± 1.20 to 2.82 ± 1.56 (p < 0.001). Conclusion: Six sessions of HIFEM therapy were associated with a decrease in OABSS and pad use in patients with urinary incontinence. But OABSS did not significantly reduce in patient with DM and HT. Keywords: HIFEM, urinary incontinence, OABSS.
SYSTEMIC INFLAMMATORY RESPONSE AFTER TRANSRECTAL VS TRANSPERINEAL PROSTATE BIOPSY Husain, Gladwyn Ayudia; Seputra, Kurnia Penta; Budaya, Taufiq Nur
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.v33i1.1154

Abstract

Objective: This study compares the inflammatory responses of TR and TP biopsies, using the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) as biomarkers. Material & Methods: A retrospective cohort study was conducted at Dr. Saiful Anwar General Hospital, Malang, Indonesia, from January 2023 to August 2025, involving 46 patients who underwent TR or TP biopsies. Pre- and post-procedure blood samples were analyzed for NLR and PLR. Statistical analysis was performed using SPSS, employing paired t-tests and Mann-Whitney U tests. Results: NLR before the procedure was significantly higher in the TR group (p = 0.034). Post-procedure, there were no significant changes in NLR or PLR (p > 0.05). Infections and fever occurred more frequently in the TR group (12% and 24%, respectively), with no complications in the TP group. Prostate cancer detection rates were similar between both groups (p = 0.760). Discussion: Both biopsy methods induced systemic inflammation, as reflected by increased NLR and PLR post-procedure. However, TR biopsies were linked to a higher incidence of infections and febrile episodes. This aligns with prior studies indicating a greater complication rate with TR biopsies. NLR may serve as a potential biomarker for assessing tumor aggressiveness, especially in TR biopsy patients, where NLR changes were more pronounced among those diagnosed with prostate cancer. Conclusion: TP biopsies present lower infection risk and similar diagnostic accuracy compared to TR biopsies. NLR and PLR may be useful biomarkers for tracking inflammatory responses post-biopsy. Larger studies are needed to confirm these findings. Keywords: Prostate cancer, prostate biopsy, transrectal biopsy, transperineal biopsy, NLR, PLR, inflammatory response, infection.

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