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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 511 Documents
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PROFILE OF PATIENTS WITH UROLITHIASIS IN RSUP DR. M. DJAMIL IN 2022 Hanif, Pandu Muhammad; Zulfiqar, Yevri; Windasari, Noverika; Alvarino; Rustam, Erlina; Arisanty, Dessy
Indonesian Journal of Urology Vol 33 No 2 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i2.972

Abstract

Introduction: Urolithiasis or urinary stone refers to the stone formation along the urinary tract, from the kidney to the urethra. Urolithiasis prevalence is known to differ across continents and across the country. A study in Indonesia in 2013 reported a national prevalence of 0.6% and a regional prevalence 0.4% in West Sumatra. Objective: This study aimed to determine patients characteristics and provide an overview of stone distribution among patients with urolithiasis at RSUP Dr. M. Djamil Padang. Material & Methods: This study was a descriptive observational research with a cross-sectional design using medical record data of patients with urolithiasis in RSUP Dr. M. Djamil Padang during January - July 2022. A total sampling method was used to collect data from 273 patients. Results: This research showed that most of the patients were males (58.24%) and aged between 51 - 60 years old (34.43%). The stones found were more commonly located in the upper urinary tract, comprising the kidney (73.26%) and ureter (14.65%). Conclusion: This study concluded that male was more likely to develop urolithiasis than female, and so did people aged 51 - 60 years old compared to the other age range. The stone’s location was more likely to occur in the kidney. Keywords: Urolithiasis, patients characteristics, stone’s location.
RELATIONSHIP BETWEEN BENIGN PROSTATIC HYPERPLASIA AND CORONARY ARTERY DISEASE: A SYSTEMATIC REVIEW AND META-ANALYSIS Laksono Purwowiyoto, Sidhi; Partogu, Bernard; Friska, Jeni
Indonesian Journal of Urology Vol 33 No 2 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i2.974

Abstract

Introduction: The prevalence of Benign Prostate Hyperplasia (BPH) increased to 40% in men over 40 and then to about 80% in men over 70. Prior research has demonstrated a correlation between inflammatory processes in the development of Benign Prostatic Enlargement (BPE), Lower Urinary Tract Syndrome (LUTS), and coronary artery disease (CAD) and symptoms of atherosclerotic illness, such as dyslipidemia, hypertension, and non-insulin-dependent diabetic mellitus. Objective: In this study, we would like to review studies regarding the relationship between BPH and CAD. Material & Methods: This study was a combination of systematic review followed by a meta-regression analysis. Performed on PubMed and Google Scholar. Randomized controlled trials, prospective and retrospective cohort studies were included in the study. The search was performed in English and was limited to articles published between January 1st, 2000 until October 31st, 2023. Results: Database search yielded a total of 103 articles, which were systematically eliminated, leaving 7 relevant articles. Analyzed articles showed a significant relationship between BPH and CAD. CAD was proven to be significantly able to provide a higher risk on BPH by 2.99 times compared to control. Conclusion: Compared to individuals without BPH, there was a substantial correlation between CAD and BPH patients. Keywords: Benign prostate hyperplasia, coronary artery disease, lower-urinary tract syndrome, systemic review.
IMPROVING QUALITY OF LIFE POST KIDNEY TRANSPLANTATION: INSIGHTS FROM A SYSTEMATIC REVIEW IN ASIAN RECIPIENTS Wibawa, Alviano Satria; Fidiandra, Muhammad Bagus; Sofia, Nurizzah Farahiyah; Paradilan, Zulfikar Dian
Indonesian Journal of Urology Vol 33 No 2 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i2.979

Abstract

Introduction: Kidney transplantation (KT) offers significant benefits regarding its effectiveness in improving cure rate and enhanced quality of Life (QoL) compared to long-term dialysis, making it a critical intervention option for patients with End Stage Renal Disease (ESRD) in Asia. Objective: This systematic review aims to identify the factors influencing post-transplant QoL in Asian recipients to provide valuable insights for guided healthcare interventions. Material & Methods: Structured by the updated Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, we performed a comprehensive electronic-based literature search on PubMed, Cochrane, ScienceDirect, JSTOR, and Mendeley using the new PRISMA 2020 recommendations. We included observational studies that reported post-transplant quality of life and related variables, focusing on KT recipients with ESRD, and that were published between 2018 and 2023. We evaluated the reliability and validity of the included studies using the Joanna Briggs Institute Qualitative Assessment and Review Instrument, or JBI-QARI. Results: Out of 154 initial studies, we excluded 145 during screening and eligibility tests, resulting in nine applicable studies for this review. KT recipients consistently reported experiencing good QoL post-transplantation, with lower rates of depression compared to CKD patients. We observed significant differences in QoL between pre- and post-kidney transplant patients. Conclusion: This systematic review highlights the positive impact of KT on the QoL of Asian recipients. Understanding the factors influencing QoL, such as appearance, uncertainty/fear, physical symptoms, fatigue, and emotional well-being, can lead to personalized care and support, optimizing the overall well-being of KT recipients. Immunosuppressant benefits in graft rejection prevention must be balanced with potential risks to enhance patient outcomes. This study provides valuable insights to guide healthcare interventions for better patient care in the Asian population undergoing kidney transplantation. Keywords: Kidney transplant, end stage renal disease, quality of life.
RETROPERITONEAL LAPAROSCOPIC NEPHRECTOMY FOR RENAL TUBERCULOSIS: A META-ANALYSIS AND SYSTEMATIC REVIEW Ariandy, Zaky; Nugroho, Firman
Indonesian Journal of Urology Vol 33 No 2 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i2.983

Abstract

Introduction: Renal tuberculosis is one of the most common form of urogenital tuberculosis. Objective: This study aims to compare the outcomes of retroperitoneal laparoscopic nephrectomy (RLN) compared to other surgical approaches for treating renal tuberculosis. Material & Methods: A comprehensive search of the scientific literature was conducted using databases such as PubMed, Scopus, ScienceDirect, and Cochrane to identify randomized controlled trials (RCTs) as well as prospective and retrospective studies comparing the effectiveness of RLN with other treatments (transperitoneal laparoscopic nephrectomy and open surgery) in the management of renal tuberculosis. Data from the included studies were pooled and analyzed. Results: A total of 6 cohort studies were incorporated into this meta‐analysis. The overall RLN was associated with a significantly shorter length of stay (WMD: −1.92; 95% CI: −3.22, - 0.62; p = 0.004). The terms of operative duration (p = 0.56), blood loss (p = 0.59), and overall complications (p = 0.76) did not show any differences. The present meta-analysis has limitations that need to be considered. The limited number of research studies may have impacted the statistical findings, and all the studies included were observational, which may have resulted in bias. Blinding was not implemented, and there was high heterogeneity in some outcomes, which may have affected the accuracy of the results. Recalculating the mean and standard deviation could have introduced bias. Conclusion: RLN shows a potential advantage regarding the lower length of stay. Keywords: Urogenital tuberculosis, nephrectomy, laparoscopy.
PROFILE OF BPH PATIENTS UNDERGOING TURP AT JASA KARTINI HOSPITAL TASIKMALAYA FROM 2021 TO 2023 Mahendra, Ilyasa Bani; Abriansyah , Aryo Teguh
Indonesian Journal of Urology Vol 33 No 2 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i2.992

Abstract

Introduction: Transurethral Resection of Prostate (TURP) has become the most frequently recommended minimally invasive procedure for patients with LUTS caused by BPH. BPH being the most common cause of LUTS in men and TURP being the most commonly recommended procedure in its management. Objective: This study aims to provide the profile of BPH patients undergoing TURP procedures at Jasa Kartini Hospital, Tasikmalaya, from January 2021 to September 2023. Material & Methods: This study is a descriptive cross-sectional conducted using consecutive sampling method. Results: During the period of January 2021 to September 2023, there were 214 BPH patients who underwent TURP procedures and this number had increasing trend each year. The prevalence of BPH patients undergoing TURP procedures was highest in the age group of 60-69 years (37.38%). 52.34% of patients resided in Tasikmalaya Regency. The most common comorbidities were hypertension (71.03%), vesicolithiasis (14.95%), and fatty liver (10.28%). Among BPH patients undergoing TURP procedures, 59.35% had prostate volumes ranging from 30 to 80ml. TURP procedures in this study lasted ≤ 60 minutes in 80.84% of cases and 73.83% had a hospital stay of 3 days. The majority of BPH patients undergoing TURP with prostate volumes of 30-80 ml were in the aged group of 60-69 years, while those with prostate volumes >80 ml were mostly aged 70-79 years. Conclusion: The prevalence of BPH patients undergoing TURP procedures from January 2021 to September 2023 at Jasa Kartini Hospital Tasikmalaya was 214 patients, with the highest prevalence observed in the age group of 60-69 years. The majority of BPH patients undergoing TURP procedures had prostate volumes ranging from 30 to 80 ml and underwent procedures lasting ≤ 60 minutes. Keywords: TURP, BPH, LUTS.
ACUTE TOXICITY TEST OF RED ONION (Allium Cepa L) SKIN EXTRACT ON KIDNEY HISTOPATHOLOGY OF RATS (Rattus Norvegicus) Brahmantya Putra, Denny Christian; Helianti, Dina; Wahyudi, Septa Surya; Dewi, Rosita
Indonesian Journal of Urology Vol 33 No 2 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i2.1000

Abstract

Introduction: Shallots (Allium cepa L.) are known to contain quercetin, which is helpful as an antioxidant, but its accumulation in the body can be toxic. Objective: This study aims to determine the effect of administering red onion skin extract on histopathology and weight of the kidney, body weight, and clinical symptoms, as well as determining the LD50. Material & Methods: This research was conducted according to OECD guideline No. 420 Fixed Dose Procedures. Rats were allocated to a control group that was given 3% DMSO and a treatment group that was given red onion peel extract at a dose of 5000 mg/kgBW. Kidney histopathology slides with Hematoxylin-eosin staining were observed by two observers in five fields of view using Fiji ImageJ software and assessed based on the Kocoglu scoring. Kidney histopathology data was analyzed using the Mann-Whitney test, while kidney weight and body weight gain used the Independent Sample T-test. Results: The treatment group experienced significantly higher body weight gain than the control group. On the other hand, observations of the histopathological appearance and weight of the kidney did not show any significant differences. Observation of clinical symptoms showed normal results with no deaths. Conclusion: Administration of 5000 mg/kgBW red onion skin extract in the acute toxicity test had no effect on the histopathology and weight of kidney rats, but had a significant effect on body weight gain. The LD50 of red onion skin extract was found to be >5000 mg/kgBW. Keywords: Red onion skin extract, acute toxicity test, LD50, kidney histopathology.
LOW-INTENSITY EXTRACORPOREAL SHOCKWAVE THERAPY (LI-ESWT) IN PATIENTS WITH TYPICAL DIABETES MELLITUS ERECTILE DYSFUNCTION: A SYSTEMATIC REVIEW AND META-ANALYSIS Ferdinand, Charles; Puspitasari, Juwita; Tarigan, Rehulina BR; Tandi, Adi Putra; Davin, Darian; Fitra, Ahmad Fathira
Indonesian Journal of Urology Vol 33 No 2 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i2.1001

Abstract

Introduction: Erectile dysfunction and diabetes mellitus present a challenging condition to treat due to the involvement of vasculogenic, endocrinogenic, and neurogenic factors. Although PDE5I is usually the treatment of choice, not all patients are suitable or respond to it. Currently, Low-Intensity Extracorporeal Shockwave Therapy (Li-ESWT), known as a vasculogenic erectile dysfunction treatment, tends to be safe, non-invasive, and effective. Objective: This study aims to determine the efficacy of Li-ESWT on patients with erectile dysfunction and diabetes mellitus. Material & Methods: RCT data were collected from PubMed, Science Direct, and Cochrane databases. Patients with erectile dysfunction and diabetes who underwent Li-ESWT assessed through the International Index of Erectile Function (IIEF) were included. In this study, we used RevMan 5.4, Cochrane Risk of Bias 2.0, and the PRISMA checklist. Out of 603 records identified, four RCTs were identified for qualitative synthesis. Three of these studies met the criteria for inclusion in the meta-analysis. Results: All four studies reported a statistically significant increase in the Li-ESWT group compared to the control group, with the average pre-therapy IIEF score increasing from 11.68 to 17.50 after treatment (p < 0.05). Moreover, Li-ESWT combined with other therapy was found more superior than monotherapy. Meta-analysis showed that Li-ESWT was effective to improve erectile function in diabetic patients (SMD 1.24; 95% CI: 0.85-1.63; p < 0.00001; I2 = 0%). Conclusion: Li-ESWT was effective for mild to moderate erectile dysfunction patients with Diabetes Mellitus. Keywords: Shockwave therapy, diabetes mellitus, erectile dysfunction.
RIGHT TESTICULAR SEMINOMA IN AN ADULT WITH BILATERAL CRYPTORCHIDISM PRESENTING AS AN ABDOMINAL MASS: A CASE REPORT AND REVIEW OF LITERATURE Azis, Abdul; Syarif; Mayidah, Maryam; Giffari Makkaraka, Moh. Anfasa; Palinrungi, Muhammad Asykar
Indonesian Journal of Urology Vol 33 No 2 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i2.1046

Abstract

Introduction: Testicular seminomas are relatively rare malignancies that typically present in younger males with normal testicular descent. However, in the context of bilateral cryptorchidism, the presentation and diagnostic challenges are more complex. Objective: This study aims to report a case of a patient with bilateral cryptorchidism with a seminoma originating from the undescended right testis presenting as a rapidly growing abdominal mass. Case(s) Presentation: We reported a 29-year-old man complaining of a mass in the right lower abdomen for the past four months and no palpable testicles. A whole-abdomen computed tomography image revealed an intra-abdominal mass measuring 11 x 10 x 7 cm and suspected malignancy originating from the undescended testicles. Discussion: The patient underwent a right orchidectomy and a left orchidopexy. Histopathology confirmed seminoma of the specimen with pT1N0M0 staging. The patient was discharged and later referred to the oncology department. Conclusion: This case emphasizes the importance of promptly genitourinary evaluation during a regular physical examination and closely monitoring individuals with undescended testis due to the potential for it to be a malignancy, especially in patients presenting with an abdominal mass. Keywords: Testicular seminoma, cryptorchidism, case report.
CARDIOVASCULAR RISK FACTORS AMONG NEWLY DIAGNOSED PROSTATE CANCER PATIENTS Warman, Putri Liana; Pramod, Sawkar Vijay
Indonesian Journal of Urology Vol 33 No 2 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i2.1100

Abstract

Introduction: Patients with prostate cancer (PCa) are less likely to die of prostate cancer than of non-prostate causes such as cardiovascular disease (CVD). Recently, Jakarta Cardiovascular Risk score prediction models were developed and validated with good reliability in predicting 10-year cardiovascular events in the Indonesian population. Objective: This study aims to describe cardiovascular risk factors among newly diagnosed prostate cancer patients. Material & Methods: This is a cross-sectional, retrospective study of patients with newly diagnosed prostate cancer at Hasan Sadikin Academic Medical Center from 2013 to 2023. The Jakarta CV Risk score was calculated on all populations and among groups according to tumor extension: local (T1-T2), locally advanced (T3-T4), and metastatic. A score of -7 to 1 was considered a low risk for CV event, 2 – 4 was intermediate risk, and >4 was considered high-risk. Results: There were a total of 118 subjects included in this study. The mean age was 67.5 ± 9.7 years, the mean BMI was 22.3 ± 2.79 kg/m2. The average Jakarta cardiovascular score in this population was 7.25 ± 2.24. In the local PCa group (T1-T2) was 6.97 ±1.99 (high risk); in the locally advanced PCa group (T3-T4) was 7.30 ± 1.70 (high risk); and in the metastatic group was 7.14 ± 2.08 (high risk). Unfortunately, there are 22 (19.5%) patients who will be planned to receive Androgen-deprivation therapy based on staging. Conclusion: Patients with newly diagnosed PCa commonly have high cardiovascular risk and it should be our consideration for giving ADT treatment. Keywords: Prostate cancer, cardiovascular disease, Jakarta cardiovascular risk score, androgen-deprivation therapy.
MANAGING FEMALE STRESS URINARY INCONTINENCE IN DEVELOPING WORLD – A RANDOMIZED CONTROL TRIAL ON EVALUATION OF SUPERVISED AND UNSUPERVISED PELVIC FLOOR MUSCLE TRAINING Saini, Abhishek; Goel, Hemant Kumar; Makkar, Arun; Gupta, Mansi; Kaur, Jaswinder
Indonesian Journal of Urology Vol 33 No 2 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i2.1134

Abstract

Introduction: Stress urinary incontinence is a common condition affecting women, often underreported in developing countries. Pelvic Floor Muscle Training is the first-line treatment. Supervised PFMT showing better outcomes compared to unsupervised, home-based PFMT. Objective: This study compares the effectiveness of both approaches in improving SUI symptoms and pelvic floor muscle strength. Material & Methods: A randomized controlled trial was conducted at a Tertiary care center, from June 2023 to December 2024. Sixty women with confirmed SUI were randomly assigned to supervised PFMT (Group A) or unsupervised PFMT (Group B). The primary outcome was the reduction in urinary leakage, measured by the pad test. Secondary outcomes included pelvic floor muscle strength, urinary symptoms, and patient satisfaction. Results: Group A showed a significant reduction in leakage, with the pad test decreasing from 22.89 grams to 3.24 grams (p < 0.001), compared to Group B, which reduced from 25.71 grams to 17.82 grams (p = 0.07). Group A also demonstrated a greater improvement in pelvic floor strength, with 66.7% reaching Oxford grades 4-5 versus 13.3% in Group B (p = 0.023). A significant difference in daily leak episodes was observed, with Group A reducing from 7.63 to 1.69 compared to 8.88 to 7.75 in Group B (p < 0.001). Conclusion: Supervised PFMT is more effective than unsupervised PFMT in treating SUI. However, unsupervised PFMT remains a feasible alternative in resource-limited settings when patients adhere to the regimen. Keywords: Stress urinary incontinence, pelvic floor muscle training, urinary leakage.

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