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All Journal Majalah Obstetri dan Ginekologi Medical and Health Science Journal
Denas A, Azami
Departemen Obstetri Dan Ginekologi, Fakultas Kedokteran Universitas Airlangga
Health Professions Medicine & Pharmacology Social Sciences

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PERBANDINGAN ANGKA KEKAMBUHAN BACTERIAL VAGINOSIS ANTARA TERAPI METRONIDAZOLE TUNGGAL DENGAN KOMBINASI METRONIDAZOLE DAN PROBIOTIK: METAANALISIS risna ardianti mitavania; Azami Denas
Jurnal Ilmu Kesehatan dan Kesehatan Vol 4 No 1 (2020): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v4i1.1443

Abstract

ABSTRAK Tujuan: Membandingkan angka kekambuhan pengobatan Metronidazole tunggal dibandingkan kombinasi Metronidazole dan Probiotik pada Bacterial Vaginosis (BV). Metode: Pencarian data dilakukan pada database kedokteran (PUBMED, Cochrane Database) dengan menggunakan kata kunci: (1) bacterial vaginosis [judul] DAN (2) Metronidazole single THERAPY [judul] DAN Combination THERAPY Metronidazole and Probiotik [judul]. Kriteria inklusi: studi acak terandominasi, wanita BV usia reproduksi (18-50 tahun) dengan Nugent Score 7-10, intervensi yang diteliti Terapi Metronidazole tunggal dan terapi kombinasi Metronidazole dan probiotik, seluruh makalah terinklusi dapat diakses penuh, dan data dapat dianalisis secara akurat. Dilakukan perbandingan menggunakan analisis narasi dan meta-analisis (RevMan). Hasil: Didapatkan tiga studi sesuai kriteria inklusi. Pada studi Anukam 2006 disimpulkan bahwa angka kekambuhan BV pada kelompok terapi Metronidazole tunggal yaitu sebesar 17/65 (26,1%). Pada studi Bradshaw, angka kekambuhan BV pada kelompok Metronidazole tunggal sebesar 39/150 ( 26% ), sedangkan pada kelompok kombinasi sebesar 28/150 (18,67%). Pada studi Heczko, angka kekambuhan BV pada kelompok Metronidazole tunggal sebesar 15/81 (18,5 %) dan pada kelompok terapi kombinasi sebesar 22/73 (30,1%). Secara keseluruhan angka kekambuhan BV dengan terapi Metronidazole tunggal adalah 71/291 (24,3%) dibandingkan dengan terapi kombinasi sebesar 50/288 (17,36%). Kesimpulan: Secara keseluruhan angka kekambuhan BV dengan terapi terapi kombinasi Metronidazole dan Probiotik didapatkan perbedaan yang signifikan bila dibandingkan dengan terapi Metronidazole tunggal (Z = 2,04; p<0,04).
COMPARISON OF LAPAROSCOPIC AND ABDOMINAL SACROCOLPOPEXY FOR POST HYSTERECTOMY VAGINAL VAULT PROLAPSE REPAIR: META ANALYSIS Fariska Zata Amani; Azami Denas; Hari Paraton; Gatut Hardianto; Eighty Mardiyan K; Tri Hartono S
Jurnal Ilmu Kesehatan dan Kesehatan Vol 5 No 2 (2021): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v5i2.1929

Abstract

Objective: Comparing the clinical outcomes of laparoscopic and abdominal sacrocolpopexy in vaginal vault prolapse post-hysterectomy’s patient. Method: Systematic search data is performed on medical database (PUBMED, Cochrane Database) using keyword:(1) vault prolapse [title] AND (2) laparoscopic[title] AND sacrocolpopexy[title]. Inclusion criteria:(1) randomized controlled trial and observational studies, (2) women with vaginal vault prolapse post hysterectomy, (3) intervention studied: laparoscopic (LSC) and abdominal sacrocolpopexy (ASC), (4) the entire fully accessible papers can be accessed and data can be accurately analyzed. Comparison about clinical outcomes of LSC and ASC was performed using narrative analysis and meta-analysis (RevMan). Results: Three studies compared clinical outcomes of LSC and ASC with a total of 243 samples (118 in LSC and 125 in ASC group). There was no significant difference in the incidence of complications between LSC and ASC (OR 1.10;95%CI 0.58-2.08). LSC was associated with less blood loss (MD 111.64 mL,95%CI-166.13 - -57.15 mL) and shorter length of hospital stay (MD -1.82 days;95%CI -2.52- -1.12 days) but requires a longer operating time (MD 22.82 minutes,95%CI 0.43-45.22 minutes). There was no statistically significant difference to anatomical outcomes (measurement of point C on POP-Q), subjective outcomes measured by PGI-I and reoperation numbers (repeat surgical interventions) for prolapse recurrence between LSC and ASC groups after one year of follow-up. Conclusions: LSC showed similar anatomic results compared to ASC with less blood loss and shorter length of hospital stay in management patient with vaginal vault prolapse.
Profile of sexual function using Female Sexual Function Index (FSFI) in post-menopausal women in Geriatric Clinic, Dr Soetomo Hospital, Surabaya Miftha Hurrahmi; Eighty Mardiyan K; Azami Denas A; Sulistiawati Sulistiawati
Majalah Obstetri dan Ginekologi Vol. 25 No. 2 (2017): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (140.974 KB) | DOI: 10.20473/mog.V25I22017.54-58

Abstract

Objectives: to describe the profile of sexual function in post-menopausal women at Geriatric Clinic, Dr. Soetomo Hospital, Surabaya in May 2016 and to determine the factors of sexual dysfunction in 6 sexual domains.Materials and Methods: a descriptive study using survey to obtain data on the examined variables. Population in this study was all post-menopausal women at Geriatric Clinic of Dr. Soetomo Hospital, Surabaya, in May 2016. Data were obtained using Female Sexual Function Index (FSFI) questionnaire.Results: Total population in this study was 160 patients. The number of samples who met inclusion criteria were 90 patients, but only 37 were willing to participate. The prevalence of samples who were still active in sexual intercourse was 29.7%. Based on 6 sexual domains, the prevalence of the lack of desire was 48.6%, lack of arousal was 75.7%, lack of lubrication was 73%, lack of orgasm was 73%, lack of satisfaction was 73% and pain was 70.3%. The assessment of sexual function found that 78.4% of the samples were sexually dysfunctional.Conclusion: The high prevalence (78.4%) of sexual dysfunction in post-menopausal woman  was caused by dysfunction in sexual domain.
The outcome of Manchester operation in cervical elongation patients with pelvic organ prolapse at Dr. Soetomo Hospital, Surabaya from January 2015 to June 2017 Mokhamad Anhar Dani; Azami Denas Azinar; Eighty Mardiyan Kurniawati; Hari Paraton; Gatut Hardianto; Tri Hastono Setyo Hadi
Majalah Obstetri dan Ginekologi Vol. 28 No. 1 (2020): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V28I12020.24-31

Abstract

Objectives: the aim of this study is to report the outcome of Manchester operation in cervical elongation patients with pelvic organ prolapse at Dr. Soetomo Hospital, Surabaya from January 2015 to June 2017.Case Report: During January 2015 until June 2017 there were seven patients already performed Manchester operation, however only four patients routine control. In all four cases, three cases were obtained with cervical elongation with a pelvic organ prolap (POP) and one case with cervical elongation. Perform evaluation before and after operation by using questionnaire and inspection of POP-Q system. During the evaluation there was one case with repeated lump complaints diagnosed with a uterine prolap, while one of it was with a posterior compartment prolap, but the patient did not complain during the evaluation. Both of these patients refused to reoperate after evaluation.Conclusion: After Manchester operation in cervical elongation with POP had two cases with repeated prolapse. Questionnaires and POP-Q systems were used to diagnose and evaluate preoperative and postoperative Manchester.
Characteristics of women with uterine prolapse at Dr. Soetomo Hospital, Surabaya, Indonesia Akhmad Risdianto; Hari Paraton; Gatut Hardianto; Eighty Mardiyan; Azami Denas; Tri Hastono
Majalah Obstetri dan Ginekologi Vol. 28 No. 2 (2020): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V28I22020.84-88

Abstract

Objective: The aim of this study was to analyze the incidence, sociodemographic characteristic and risk factor patient with uterine prolaps in Dr. Soetomo Hospital period 2016.Materials and Methods: This study using observational descriptive study.Results: There were 41 subjects of this study with uterine prolaps.  which is mostly on age  51-60 years old (37%). Uterine prolaps grade III was the frequent (29%). Uterine prolaps mostly happened in multiparity (93%) than primiparity (7%). All of the prolaps uterine patient giving birth by vaginal delivery. Uterine prolaps most commonly occures after  menopause (80%). 28 patient (68%) with uterine prolaps underwent surgery.Conclusion: The incidence of uterine prolaps dramatically increase especially uterine prolaps grade III. Multiparity, vaginal delivery, and post menopausal were the main risk factor. This could be reduce the quality of life.
Trends in delivery mode occurring during the Covid-19 pandemic and risks in long-term urogynecology cases: A narrative review Eighty Mardiyan Kurniawati; Gatut Hardianto; Hari Paraton; Azami Denas Azinar; Tri Hastono Setyo Hadi; Nur Anisah Rahmawati
Majalah Obstetri dan Ginekologi Vol. 29 No. 3 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V29I32021.136-140

Abstract

HIGHLIGHT 1. Trend of delivery types during Covid-19 pandemic and the risk of urogynecology cases, particularly sexual dysfunction, pelvic floor dysfunction and stress urinary incontinence, was reviewed.2. Cesarean section was found higher than normal deliveries due to the consideration of possiblee exposure to the virus.3. Sexual dysfunction was found not to have relations to mode of delivery, but those with mode of delivery other than normal likely had dyspareunia at 18 months postpartum.4. The choice of method of delivery needs to be determined wisely by considering medical indications and the risk factors. ABSTRACTWomen's quality of life in the long term is also influenced by their reproductive health. Various diseases appear related to urogynecology cases such as sexual dysfunction, pelvic floor dysfunction and stress urinary incontinence. The study reviews the trend of types of delivery during the pandemic and the risk of urogynecology cases, especially in the three cases. The narrative review study was conducted using the PubMed, Science Direct, and Google Scholar databases. The results showed that the percentage of cesarean section was higher than normal deliveries because of the view on the safety of exposure to the virus. Several studies have found that sexual dysfunction was not related to mode of delivery but women who delivered by emergency caesarean section, vacuum extraction, or caesarean section were more likely to report dyspareunia at 18 months postpartum but adjusted for maternal age and other confounders. Meanwhile, compared with spontaneous vaginal delivery, cesarean delivery with a protective effect or reduction of stress urinary incontinence, overactive bladder, and pelvic organ prolapse. There is a tendency to choose a certain pattern of delivery so that the choice of method needs to be chosen wisely and through medical indications and consider risk factors for long-term reproductive health problems.
Co-Authors Akhmad Risdianto Eighty Mardiyan K Fariska Zata Amani Gatut Hardianto Hari Paraton Hari Paraton Hari Paraton Hari Paraton Miftha Hurrahmi Mokhamad Anhar Dani Nur Anisah Rahmawati risna ardianti mitavania Sulistiawati Sulistiawati Tri Hartono S Tri Hastono Tri Hastono Setyo Hadi Tri Hastono Setyo Hadi