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All Journal Medical Journal of Indonesia Indonesian Journal of Urology Indonesian Journal of Cancer
Rainy Umbas
Sub Bagian Urologi/Bagian Bedah, FK Universitas Indonesia/RSUPN Cipto Mangunkusumo, Jakarta
Health Professions Medicine & Pharmacology Public Health

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Journal : Indonesian Journal of Urology

 1 
THE EFFECT OF CATHETER TRACTION DIRECTION ON HEMOSTASIS AND PAIN POST TURP Ariani, Devintha Tiza; Umbas, Rainy; Rasyid, Nur; Suprabawati, Tri Endah
Indonesian Journal of Urology Vol 19 No 2 (2012)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v19i2.59

Abstract

Objective: To compare the effect the direction of catheter traction to the abdomen with direction to the leg on hemostasis and pain degree post-TURP. Material & Method: 122 patients with BPH came to Cipto Mangunkusumo Hospital and Budi Asih Hospital, Jakarta during the period between January 2005 to January 2011. Results: 101 patients with retention and 21 patients without retention were included in this study. Resected tissue weight was 22,95 grams, irrigation time was 2,24 days, catheterisation time was 3,97 days, and post TURP hospitalization was 3,9 days. Hb decline was 1,17g/dl. There was no statistical difference on Hb decline between leg direction 1,23 g/dl and abdominal direction 1,12 g/dl. Resected tissue weight in abdominal direction group was 25 grams, while in leg direction group was 21 grams. Irrigation time in abdominal direction group was 2 days while in leg direction group was 2,4 days. Catheterisation time in abdominal direction group was 3,3 days while in leg direction was 3,4 days. Post TURP hospitalization in abdominal direction group was 3,7 days while in leg direction groups was 4,2 days. In this study resected tissue weight, irrigation time, catheterisation time, and hospitalization time. There were 64 patients with pain degree registration, patients with abdominal traction had mean pain degree scale 1,52 and 33 patients with leg traction had pain degree scale 2,97, in this study this differences were significant. Conclusion: Abdominal traction post TURP was statistically difference on shortened postoperative irrigation and catheterisation time, including reduced post TURP hospitalization and pain degree. Abdominal traction was recommended from this study to be used as the reference standard for changing leg traction. Keywords: Catheter traction, visual analog scale, hemostasis, transurethral resection of the prostate.
PRELIMINARY REPORT: LAPAROSCOPIC RADICAL PROSTATECTOMY IN JAKARTA Johan, Mohammad; Mochtar, Chaidir Arif; Umbas, Rainy
Indonesian Journal of Urology Vol 19 No 2 (2012)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v19i2.64

Abstract

Objective: To report initial experience of laparoscopic radical prostatectomy (LRP) in Jakarta and evaluate the functional and oncology outcome. Material & Method: Between June 2007 until September 2008, we had done 9 times LRP surgery. All data is retrospectively taken and divided in three groups, i.e. pre-operative data (patient demography, pre-operative PSA, prostate volume, Gleason Score, clinical and functional staging), intra-operative data (intra-operative complication, conversion to open surgery, bleeding volume, and operating time), and post-operative data (post-operative complication, duration of urine catheter usage, duration of hospitalization, functional and oncology status). Results: Among nine subjects who underwent LRP, five subjects (55,55%) did not converted into open surgery. There are 2 subjects who gain their sexual potency and urine continence in one year post op. Only one subject is proven without biochemical failure in 1 year. Conclusion: We confirmed that radical prostatectomy can be performed with transperitoneal laparoscopic technique by a team that has been experienced in laparoscopic. Keywords: Laparoscopic radical prostatectomy, functional result, oncological result.
EXTRAPERITONEAL LAPAROSCOPIC RADICAL PROSTATECTOMY: INITIAL EXPERIENCE AND LEARNING CURVE OF A VERY LOW VOLUME CENTER Yunir, Peri Eriad; Hamid, Agus Rizal AH; Umbas, Rainy; Mochtar, Chaidir Arif
Indonesian Journal of Urology Vol 24 No 2 (2017)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v24i2.319

Abstract

Objective: This study is aimed to report and evaluate the experience and learning curve of extraperitoneal Laparoscopic Radical Prostatectomy (LRP) performed in Cipto Mangunkusumo General Hospital Jakarta. Material & method: We collected all data of patients that had been performed extraperitoneal LRP from June 2013 until February 2016, retrospectively. We divided those data into 3 groups with equal number in each group. We compared the preoperative (age, prostate volume, PSA level and prostate cancer staging), intraoperative (surgery time, total blood loss, conversion to open surgery and other organ injury), and postoperative (postoperative length of stay) variables between those 3 groups using ANOVA and Kruskal-Wallis test. Results: We performed 15 extraperitoneal LRP from June 2013 until February 2016 with patient’s mean age was 64.40 (SD ± 5.30) years old and mean prostate volume was 42.39 (SD ± 29.21). In this study, we found significant differences in surgery time, total blood loss, and postoperative length of stay (LOS) in all group with decrease on each intraoperative and postoperative variables. We also found no conversion to open surgery or other organ injury in all patients. Conclusion: The increase of surgeon’s experience and the number of surgery, and the consistency undergo the procedure of LRP demonstrate a decrease in surgery time, intraoperative blood loss and LOS in LRP patients.
EFEK KATETER TERHADAP FUNGSI PSA SERUM SEBAGAI PREDIKTOR VOLUME PROSTAT PADA PASIEN YANG TERBUKTI BENIGN PROSTATIC HYPERPLASIA PADA PEMERIKSAAN HISTOPATOLOGIS Tranggono, Untung; Mochtar, Chaidir A; Umbas, Rainy
Indonesian Journal of Urology Vol 16 No 1 (2009)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v16i1.359

Abstract

Objective: To define the use of Prostate Specific Antigen (PSA) as a predictor of prostate volume in catheterized BPH patients. Material & methods: Data were collected from medical record of symptomatic BPH patients who underwent prostate biopsy at Cipto Mangunkusumo Hospital Urology Clinic since 1994 until 2006. Data of age, serum PSA, indwelling catheter, maximal flow, urine residue, and prostate volume were recorded as variables. Patients who had histopathological result of BPH with or without prostatitis were included; while who had prostate carcinoma, high grade prostatic intraepithelial neoplasm (HGPIN), and BPH with atypical small acinar proliferation (ASAP) were excluded. Subject were then divided into 2 groups, catheterized or not. Data were analyzed using Mann-Whitney test, analysis of variance, correlation test and linear regression test. Results: Of  2283 patients were performed prostate biopsy, 1036 patients had results of BPH with or without prostatitis, 766 patients had prostate carcinoma, while 581 patient’s biopsy result were not recorded. Of the 1036 patients, 347 were catheterized, 192 non-catheterized, and 457 were not recorded. In the catheterized group the average age were 67,04 years old, serum PSA 26,88 ng/ml, prostate volume 54,33 ml, PSA density 0,39. In non-catheterized group the average age were 66,32 years old, serum PSA 16,58 ng/ml, prostate volume 53,94 ml, PSA density 0,33. Regression test showed that serum PSA could be used as a predictor of prostate volume (F=12,830; p < 0,001); in non-catheterized group it was stronger (F=12,989; p<0,001) than in catheterized group (F=6,814; p<0,01). The accuracy of serum PSA as a prostate volume predictor based on Receiver Operating Curve (ROC) as indicated by Area Under the Curve (AUC), in the catheterized group was 0,678 - 0,725 (p<0,001); in non-catheterized group was 0,723 - 0,784 (p<0,001). Conclusion: Serum PSA could be used as a predictor of prostate volume in patients with BPH wether catheterized or not. This predictor function is stronger in non-catheterized patients. Catheter has the effect of lowering the function of serum PSA as a prostate volume predictor in patients with BPH.
ROLE OF MAGNETIC RESONANCE IMAGING IN NODAL AND METASTATIC STAGING OF PROSTATE CANCER: A SYSTEMATIC REVIEW AND META-ANALYSIS Hafizar; Rahman, Fakhri; Rumanter, Rainier; Hamid, Agus Rizal Ardy Hariandy; Mochtar, Chaidir Arif; Umbas, Rainy; Matondang, Sahat BRE
Indonesian Journal of Urology Vol 29 No 1 (2022)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v29i1.733

Abstract

Objective: To evaluate the usage of MRI in prostate cancer staging, especially in nodal involvement (N-staging) and metastasis (M-staging) of prostate cancer. Methods: This is a systematic review and meta-analysis assessing role of MRI in nodal and metastasis staging of prostate cancer. Search of studies were done through search engine using Pubmed, Cochrane, and EBSCO Host and manual searching. Quality of eligible studies were assessed using a revised version of Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) and analyzed in pooled analysis according to nodal involvement or metastasis staging, modality of diagnosis used as the index test and gold standard used using STATA version 13. Results: Total 26 studies corresponding with study’s eligibility criteria were found. Overall, usage of MRI has a sensitivity of 47% (95% CI 35% - 60%; I2 83.08%) and a specificity of 93% (95% CI 89% - 96%, I2 82.21%) in nodal involvement staging of prostate cancer, while using of MRI in M-staging of prostate cancer shows a sensitivity of 94% (95% CI 86% - 97%) and a specificity of 99% (95% CI 97% - 99%). Using lymphotrophic superparamagnetic nanoparticle (LSN) - enhanced MRI gives higher sensitivity than using MRI without LSN for N-staging of prostate cancer. Conclusion: The usage of MRI in prostate cancer staging has a moderate sensitivity and relatively high specificity in detecting lymph node. Moreover, it plays an important role and even can be used as a modality of choice in assisting bone metastatic prostate cancer detection.
Co-Authors Adianti Khadijah, Adianti Agus Hamid Agus Rizal A.H. Hamid, Agus Rizal A.H. Agus Rizal AH Hamid Agus Rizal AH. Hamid, Agus Rizal AH. Agus Rizal Ardy Hariandy Hamid, Agus Rizal Ardy Hariandy Ahmad Zulfan, Ahmad Andika Afriansyah, Andika Ari Astram, Ari CHAIDIR A MOCHTAR, CHAIDIR A CHAIDIR ARIEF MOCHTAR, CHAIDIR ARIEF Chaidir Arif Mochtar CHAIDIR MOCHTAR, CHAIDIR Devinta Tirza Ariani, Devinta Tirza Devintha Tiza Ariani Doddy Hami Seno Dodi Hami Seno, Dodi Hami Egi Edward Manuputty, Egi Edward Fakhri Rahman, Fakhri Ferry Safriadi Hafizar Harina Rahardjo, Harina Hery Tiera ILHAM WAHYUDI MASFAR, ILHAM WAHYUDI Johan -, Johan Laksmi, Lidya Imelda Matondang, Sahat BRE MOCHAMMAD REZA ARIEF RAKHMAN, MOCHAMMAD REZA ARIEF Mohammad Johan Noor Riza Perdana, Noor Riza Nur Rasyid Prahara Yuri R. Danarto, R. RACHMAT BUDI SANTOSO, RACHMAT BUDI Rahmat Santoso, Rahmat Richard Monoarfa RIZAL A HAMID, RIZAL A Rumanter, Rainier Sutisna Himawan Syarif Bakri, Syarif Taufan Tenggara Tri Endah Suprabawati Untung Tranggono, Untung Warli, Syah Mirsya YEVRI ZULFIKAR, YEVRI Yunir, Peri Eriad