Ari Astram, Ari
Department of Urology, Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.

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Karakteristik dan Motivasi Augmentasi Penis dengan Komplikasinya di RSUP Prof. Dr. R. D. Kandou dan RS Jejaring Purba, Adrian; Astram, Ari; Monoarfa, Richard
Jurnal Biomedik : JBM Vol 10, No 2 (2018): JURNAL BIOMEDIK : JBM
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.10.2.2018.20091

Abstract

Abstract: Penile augmentation is an individual effort to enlarge one’s penile size for his sexual satisfaction and his mate without functional alteration. This study was aimed to obtain the profile of motivation, sexual satisfaction, mental distortion, and complications in patients with penile augmentation. This was a descriptive categorical study with a retrospective approach. This study was conducted at Prof. Dr. R. D. Kandou Hospital and its link hospitals for 10 months involving 23 patients; most of them (34.78%) were 26-35 years old. Most patients (61%) had internal motivation based on NSSS scale >30. Based on ulcer free period, 3 patients had free period of ulcer I; no patient had free period of ulcer II. Based on pain scale, 14 patients (60.87%) had pain scale of <5 and 9 patients (39.13%) had pain scale of >5. Most complications were in the form of ulcers located in preputium (56.52%). The relationships between motivation and NSSS scale before and after penile augmentation were analyzed using Fisher exact test which obtained P = 0.000 for relationship between motivation and NSSS scale (sexual satisfaction) before and after penile augmentation and P = 0.360 between post augmentation (with its complications) and sexual satisfaction. Conclusion: Patients with penile augmentation were internally and externally motivated without any mental distortion. There was a significant relationship between internal motivation and penile augmentation as well as between motivation and sexual satisfaction. Albeit, there was no significant relationship bewteen complications of penile augmentation and sexual satisfaction. Most patients suffered complications.Keywords: penile augmentation, NSSSAbstrak: Augmentasi penis merupakan usaha individu untuk membesarkan ukuran penis demi memenuhi hasrat seksual dan pasangannya tanpa perubahan fungsi. Penelitian ini bertujuan untuk mendapatkan gambaran motivasi, kepuasan seksual, adanya gangguan jiwa, dan komplikasi pada pasien yang melakukan augmentasi penis. Jenis penelitian ialah deskriptif kategorik dengan pendekatan retrospektif. Penelitian ini dilakukan di RSUP Prof. Dr. R. D. Kandou dan RS jejaring selama 10 bulan yang melibatkan 23 pasien. Rentang usia pasien 16-59 tahun, terbanyak pada usia 26-35 tahun (34,78%). Sebagian besar pasien (61%) dengan motivasi secara internal berdasarkan skala NSSS>30. Berdasarkan periode bebas ulkus didapatkan 3 pasien dengan periode bebas ulkus I; tidak didapatkan pasien dengan periode bebas ulkus II. Berdasarkan skala nyeri didapatkan 14 pasien (60,87%) dengan skala nyeri <5 dan 9 pasien (39,13%) dengan skala nyeri >5. Lokasi komplikasi terbanyak berupa ulkus di preputium (56,52%). Analisis menggunakan Fisher exact terhadap hubungan motivasi dan skala NSSS sebelum dan sesudah augmentasi penis memper-lihatkan hubungan antara motivasi dan kepuasan seksual dengan nilai P = 0,000 (<0,05) serta hubungan antara pasca augmentasi (beserta komplikasi) dan kepuasaan seksual dengan nilai P = 0,360 (>0,05). Simpulan: Pasien yang melakukan augmentasi penis termotivasi secara internal dan eksternal tanpa adanya distorsi gangguan psikiatrik. Terdapat hubungan bermakna antara motivasi internal dan augmentasi penis serta antara motivasi melakukan augmentasi penis dan kepuasan seksual. Tidak terdapat hubungan bermakna antara komplikasi augmentasi penis dan kepuasaan seksual. Hampir seluruh pasien disertai komplikasi.Kata kunci: augmentasi penis, NSSS
SUCCESS OF PERCUTANEOUS NEPHROLITHOTOMY: COMPARING SPINAL ANESTHESIA WITH GENERAL ANESTHESIA Astram, Ari; Birowo, Ponco; Rasyid, Nur; Pryambodho, P; Susilo, C
Indonesian Journal of Urology Vol 22 No 2 (2015)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v22i2.104

Abstract

Objective: The purpose of this study compared the outcome of PCNL under general and spinal anesthesia for the outcome. Material & Methods: PCNL had been performed from 2000 until 2011 with total 760 PCNL divided into 220 PCNL using general anesthesia (Group A) and the remaining 540 PCNL using spinal anesthesia (Group B) The data of both groups were evaluated with Chi square test, and Mann-Whitney test. Result: Stone free rate in Group A was 71.37% similar with Group B 72.97% (p > 0.05). Spinal anesthesia was used more often in patient who had previous surgery 65.5% compared with general anesthesia 36.82% (p < 0.05). The average surgery duration in Group A was longer than group B (77.10 ± 35.59 minutes vs 68.42 ± 30.55 minutes) (p < 0.05). The average length of hospital stay in Group B was shorter than Group A (3.90 ± 2.72 days vs 5.47 ± 4.25 days) (p < 0.05). There was no difference between Group A and Group B in complication and the needs of tranfusion. Conclusion: PCNL under spinal anesthsia was feasible and safe even better in the shorter surgery duration and the length of hospital stay.
PATIENT PERCEPTION RELATED TO URODYNAMIC TESTING: A QUESTIONNAIRE BASED STUDY Astram, Ari; Rahardjo, Harrina Erlianti
Indonesian Journal of Urology Vol 25 No 2 (2018)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v25i2.405

Abstract

Objective: Urodynamic test is a series of test to evaluate the bladder function including voiding and storage physiology. Several previous studies have found that urodynamic testing had association with physical and emotional discomfort. The primary goal of this study was to determine the parameters of anxiety, pain, and shame related to urodynamic testing. Material & Method: From June 2014 to June 2015, a total of 57 consecutive patients who underwent urodynamic study were included in the present study, consisting of 20 men and 37 women. They have completed the questionnaire before and after urodynamic study. Patients were requested to answer four questions related to pain, embarrassment, anxiety, and knowledge related to urodynamic test. Results: Overall, most of the patients felt not at all and nearly not anxious before urodynamic study. Thirty percent of patient thought that there would be moderate pain when the urodynamic test is performed. Majority of patients (68% of patients) felt no embarrassment prior to the test. Overall, patients felt better after urodynamic study in terms of anxiety and pain. Parameter of embarrassment significantly increased after the test. Patient perception of anxiety and pain before urodynamic test are not significantly different with perception after urodynamic test. Conclusion: Urodynamic tests are very well tolerated by men and women. Majority of patients felt better after urodynamic test according to pain and anxiety score. No statistical difference in level of pain and anxiety between before and after the procedure, while parameter of embarrassment was significantly higher after the test was done.