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GAMBARAN KLINIS TRAUMA UROLOGI DI RSUD ARIFIN ACHMAD PEKANBARU PERIODE JANUARI 2009 – DESEMBER 2013 A, Sri Meutia; ", Zuhirman; Amelia, Siti Mona
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Urological trauma can present in kidney, ureter, bladder, urethra, penile, testis and scrotum. Urological trauma not only caused decrease quality of life but also create complicaton if not dealt with appropriately and quickly. This research was purposed to know clinical representation of urological trauma in RSUD Arifin Achmad Pekanbaru since Januari 2009 – Desember 2013. This study was a descriptive retrospective study. Data has shown 23 medical records of urological trauma parients. Result from this study is total of urological trauma is 38 cases of all trauma cases (0,40%) in RSUD Arifin Achmad Pekanbaru sinse Januari 2009 – Desember 2013. Urologic organ often affected is kidney is 8 cases (32%). Urological trauma patients There are 19 cases (82,6%) were males and 4 cases (17,4%) were females. The most common age was 20-30 years old (30,5%). The most coomon etiology of urological trauma was blunt trauma is 16 cases (69,5%) whereas the most management of urological trauma is konservatif as 21 cases (605). The multiple trauma of this research are one cases for trauma of urology organ with urology organ and two cases for urology organ and non urology organ.Keyword : urological trauma, urethral trauma, renal trauma, blunt trauma

HUBUNGAN KORPORA AMILASEA DENGAN PROSTATITIS, BENIGN PROSTAT HIPERPLASIA, DAN KARSINOMA PROSTAT PADA TURP DI RSUD ARIFIN ACHMAD PROPINSI RIAU PERIODE 2008-2013 Alcan, Firdath Rubenzani; ", Zuhirman; Malik, Zulkifli
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Corpora amylacea is a substance of protein secret produced by gland epithelial cell when the gland shape changed. Prostatitis is an inflammation of the prostate. Benign prostate hyperplasia is a benign enlargement of the prostate varied from gland hyperplasia or fibromuscular hyperplasia. Carcinoma of the prostate is an abnormal growth of the prostate cells. This study uses the medical record of pathological examination in the Anatomic Pathology Department Arifin Achmad Hospital of Riau Province. Based on correlation of prostatitis, benign prostate hyperplasia and carcinoma of the prostate with corpora amylacea, benign prostate hyperplasia has the strongest correlation (0.214) then prostatitis (-0.63) and carcinoma of the prostate (-0.233). The conclusion is corpora amylacea has the strongest relation with benign prostate hyperplasia, then followed by prostatitis and carcinoma of the prostateKeywords : Corpora amylacea, prostatitis, BPH and Ca prostate.

EVALUATION OF ADVANCED STAGE TESTICULAR CANCER UNDERWENT CHEMOTHRAPY WITH BLEOMYCIN, ETOPOSIDE AND CISPLATIN IN ARIFIN ACHMAD REGIONAL GENERAL HOSPITAL IN 2009-2014 Fellyana Putri; Zuhirman "; Muhammad Yulis Hamidy
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Testicular cancer has become the only curable malignancy especially in advanced stage with chemotherapy. The aim of the study was to evaluate the complications, curability and recurrency of advanced stage testicular cancer underwent chemotherapy with bleomycin (B), etoposide (E) and cisplatin (P). All cases of advanced stage testicular cancer underwent chemotherapy with bleomycin, etoposide and cisplatin in Arifin Achmad Regional General Hospital of Riau Province were included in this study. There were 15 cases of advanced stage testicular cancer in this study in which 9 cases (60%) were advanced stage and 6 cases (40%) were the initial stage. In all advanced stage cases, 6 cases (66,7%) underwent chemotherapy, from these 6 cases, 5 cases (83,3%) underwent complete chemotherapy and 1 case (16,6%) underwent uncomplete chemotherapy (1 cycle). The most common short-term complication was nausea and vomiting (90,5%) followed by anxiety (85,7%), fatigue (80,9%), alopecia (42,85%), hyperthermia (9,52%), bleeding (4,7%) and thrombocytopenia (4,7%). Nephrotoxicity (42,8%) was the most common long-term complication of the chemotherapy followed by pulmotoxicity (9,5%) and neurotoxicity (4,76%). All cases (100 %) were curable after finishing 4 cycles of bleomycin, etoposide and cisplatin chemotherapy. The recurrency was 20%. Management of advanced testicular cancer with 4 cycles of bleomycin, etoposide and cisplatin chemotherapy proved low complication, high rate of curability and low recurrency.Keywords : testicular cancer, advanced stage, BEP, chemotherapy, recurrency.

HUBUNGAN BENIGN PROSTATE HYPERTROPHY DENGAN DISFUNGSI EREKSI DI RSUD ARIFIN ACHMAD PROVINSI RIAU Nadya Fitriana; Zuhirman "; Suyanto "
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Both erectile dysfunction (ED) and benign prostate hypertrophy (BPH) are two related health problems experienced by men aged over forty years. BPH and ED highly affect on men’s quality of life (QOL). It’s necessary to do research about the correlation between BPH and ED by using two kinds of valid scores i.e. International prostate symptoms scores (IPSS) for determining the severity of BPH and International index of erectile function-5 (IIEF-5) which as screening for ED on patients of BPH. Aim of this study was to know the description about BPH patients with ED and their relation by using IPSS and IIEF-5. This is a cross-sectional study which analyze the correlation between severity of BPH and ED by using IPSS and IIEF-5 in Urology Clinic of Arifin Achmad Regional General Hospital. Results obtained from 60 subjects who fulfill the inclusion criterias. Highest incidence of BPH patients present on the age group 60-69 years (38.3%). There are 90% patients of BPH with ED. The degree of BPH and ED experienced by patients are mostly severe, respectively 53.3% and 40%. Level of QOL scores is mostly unsatisfied (58.3%). From Spearman test acquired that there is a significant and very strong correlation between the severity of BPH and ED (r=0.836, p<0.001). High incidence for ED on patients of BPH was found and there’s a correlations between severity of BPH and ED where if the severity of BPH is increasing, the severity of ED will be increased too. Key words : BPH, ED, QOL, Age

GAMBARAN PASIEN VARIKOKEL KIRI YANG MENJALANI OPERASI PALOMO PROCEDURE DI RUMAH SAKIT PEKANBARU MEDICAL CENTER PERIODE JANUARI 2009 – DESEMBER 2013 Nia Mustika; Zuhirman "; Suyanto "
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Palomo Procedure operation is one of a selection therapy used for therapy of varicocele. This is caused this operation easier to performed and the costs more affordable. This research aims to gain an overview of patients with left varicocele undorge Palomo Procedure operation in Pekanbaru Medical Center hospital from January 2009 – December 2013. This research is descriptive retrospective research. The datas used in this research are the 152 datas from patients with varicocele’s medical records. The results of this research indicate that all incidence of left varicocele found in range 16 – 20 years old and bilateral varicocele found in range 41 – 45 years old. Left varicocele grade 2 (40,13%), varicocele grade 3 (59,21%), and bilateral varicocele grade 3 (0,66%). Palomo Procedure is done with indication of varicocele grade 2 and 3 and in terms of a job (99,34%) and by indication of bilateral varicocele (0,66%). Complications of this operation are wound dehiscence (3,29%), wound dehiscence and hydrocele (0,66%). The conclusions from the results of this research are all left varicocele incidence found in range 16 – 20 years old and bilateral varicocele in range 41 – 45 years old, most in the grade 3. Palomo procedure most performed with indications of varicocele grade 2 and 3 also in terms to a job with most complication is wound dehiscence.Keyword : Palomo Procedure, left varicocele

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