Indonesian Journal of Urology
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CORRELATION OF FEMALE SEXUAL DYSFUNCTION WITH OCCUPATIONAL BURNOUT IN MARRIED NURSE
Full text linkObjective: This study aims to see the correlation between occupational burnout and sexual dysfunction in Indonesian female nurses. Material & Methods: A cross sectional study was conducted in Kardinah General Hospital, Tegal, Central Java, Indonesia between January 2022, and March 2022. An anonymous, self-administered online questionnaire was used. Our study subjects are female nurses from outpatient clinics, inpatient wards, high/intensive care unit, emergency unit, and operating theater. We distributed online questionnaires to female nurses who matched our inclusion and exclusion criteria. Occupational burnouts among nurses were assessed using Copenhagen Burnout Inventory (CBI), while Female sexual dysfunction (FSD) was assessed using Female Sexual Function Index (FSFI). Statistical analysis was conducted using IBM SPSS software ver 25.0. Results: A total of 285 nurses participated as samples of this study, 164 nurses (57.54%) were in the low workload group and 121 nurses (42.46%) in the high workload group. The prevalence of sexual dysfunction in female nurses in this study was as high as 87.7% While occupational burnout in high and low workload nurses in our study was 42.2% and 19.5%, respectively. The analysis shows a significant negative correlation between CBI score, sub scores, and burnout status to FSFI score (p < 0.05) although these correlations were weak. Our data proved that there were no independent variables that can become a predictor variable. Conclusion: Married female nurses have a relatively high occupational burnout and are prone to sexual dysfunction. This study showed statistically significant but weak correlation between occupational burnout with sexual dysfunction in married female nurses from the CBI total score, subscores and burnout status with FSFI total score and subscores in terms of lubrication, orgasm, satisfaction, and pain.
Keyword: Female sexual dysfunction, occupational burnout, married, nurse, CBI, FSFI
CHARACTERISTICS OF URETEROVAGINA FISTULA PATIENTS AT HASAN SADIKIN HOSPITAL BANDUNG IN 2017 -2021
Full text linkObjective: 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 Hospita
SECONDARY BLADDER CARCINOMA METASTASIS FROM OTHER ORGAN: A LITERATURE REVIEW
Full text linkObjective: 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
BACTERIAL PATTERNS AND URINE CULTURE SENSITIVITY DESCRIPTION OF UROLOGY PATIENTS IN THE PAEDIATRIC POPULATION AT TERTIARY HOSPITAL
Full text linkObjective: 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 col
EFFECT OF PELVIC FLOOR MUSCLE BIOFEEDBACK ON IMPROVED ERECTILE FUNCTION IN PATIENTS WITH LOWER URINARY TRACT SYMPTOMS: PRELIMINARY STUDY
Full text linkObjective: This study aims to determine the effect of giving pelvic floor muscle biofeedback on improving erectile function in patients with LUTS. Improvement in erectile function was assessed by IIEF (International Index of Erectile Function), EHS (Erectile Hardness Score), and pelvic floor muscle strength. Improvement in LUTS symptoms was assessed by an IPSS (International Index of Prostate Symptoms). Material & Methods: This research was a randomized controlled trial study on outpatients at Cipto Mangunkusumo General Hospital. The research subjects were divided into 2 groups, the treatment group received 10 sessions of pelvic floor muscle biofeedback and home exercise. The control group only received home exercise. Results: There were 21 LUTS patients with ED. A total of 10 subjects (50%) had mild ED, 4 subjects (20%) had moderate ED, and 6 subjects (30%) had severe ED. From the results of the study, it was found that the scores for IIEF, IPSS, EHS, slow twitch, and fast twitch were improved in the treatment group (p-value <0.05), whereas in the control group there were only improvements in IIEF and IPSS scores (p-value <0.05). Conclusion: There was an improvement in erectile function (increased IIEF score, EHS score, decreased IPSS score, and increased pelvic floor muscle strength) after pelvic floor muscle biofeedback in ED patients with LUTS for 10 sessions.
Keywords: Biofeedback, erectile dysfunction, pelvic floor muscle exercises, lower urinary tract symptoms (LUTS)
A MULTICENTER STUDY OF BENIGN PROSTATIC HYPERPLASIA PATIENTS UNDERGOING TRANSURETHRAL RESECTION OF THE PROSTATE IN INDONESIA: A DESCRIPTIVE ANALYSIS
Full text linkObjective: 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.
 
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
Full text linkObjective: 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
PREVALENCE AND SCREENING OF PHIMOSIS IN TODDLERS AT THE INTEGRATED SERVICE POST WITHIN THE WORKING AREA OF WAGIR COMMUNITY HEALTH CENTER, MALANG REGENCY
Full text linkObjective: This study aimed to determine the prevalence of phimosis in toddlers at the health posts within the working area of the Wagir Health Center, Malang Regency, assess parents' knowledge, and analyze the factors that influenced parents' knowledge about phimosis. Material & Methods: This study was descriptive and observational analytical and involved 248 male toddlers. Data were obtained through questionnaire responses and physical Examination which were then analyzed using the SPSS software by Pearson’s Chi-Square comparative test and Binary Logistic regression. Results: Phimosis cases were found in 71.77% of 248 toddlers, with 82.6% of them having parents with a lack of knowledge. There was a significant association (p-value <0.05) between family history factors and parents' income level with parents' knowledge of phimosis. However, there was no significant relationship (p-value > 0.05) between the factors of parents' education history and the access to healthcare facilities with parents' knowledge of phimosis. Conclusion: Parents' knowledge of phimosis is low or still lacking.
Keywords: Phimosis, parents' knowledge, sociodemographic factors, health factors, prevalence
CHARACTERISTICS OF FEMALE GENITO-PELVIC PAIN-PENETRATION DISORDERS IN UROLOGY PATIENTS
Full text linkObjective: This study aims to identify the characteristics of GPPPD in urologic patients. Material & Methods: The research design used descriptive cross-sectional study conducted at urology clinic patients of Arifin Achmad Hospital, Pekanbaru, Riau Province in October 2021 to January 2022 The patients were interviewed based on validated questionaire. The data collected were urology diseases and disorders, age, symptoms, risk factors of biology, interpersonal, psychological, socio-cultural, sexual satisfaction. The study had been approved by ethical committee of Medical Faculty, Riau University. Univariate analysis were used. Results: There were 22 patients in the study with most urology disease were urinary tract infection (54.5%), while the most common age group was 41-60 years(77.3%) and the common risk factors were biological (41%), psychological (13.6%) and socio-cultural ones (100%). Conclusion: The characteristics of GPPPD in urologic patients were mostly with UTI, age group of 41-60 years and socio-cultural factors.
Keywords: GPPPD, urology, urinary tract infection
INTRAVESICAL FOREIGN BODIES MIMICKING BLADDER CALCULI: A CASE REPORT
Full text linkObjective: 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