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Calculus Formation in Bladder from Migrated Intrauterine Devices Mangkubumi Putra Wijaya; Kurnia Penta Seputra; Besut Daryanto; Taufiq Nur Budaya
Jurnal Kedokteran Brawijaya Vol. 32 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.02.11

Migration of the intrauterine device (IUD) into the bladder has been a rare case. There were reported 31 cases of IUD migration into the bladder until 2006. Although IUD migration is asymptomatic, it should be removed to prevent complications such as pelvic abscess, bladder or intestinal rupture, and adhesion. A 52-year-old woman came to the urology clinic with pyuria since the previous 3 months. She had a history of IUD insertion in 1982; and two months later, she got pregnant. Since 2015, she has suffered from dysuria but has never been treated and has worsened in the past 3 months. On physical examination, tenderness was found in the suprapubic region. The results of urinalysis showed pyuria and hematuria. The ultrasonography findings, there were large bladder stones. An abdominal x-ray revealed the presence of a bladder stone with the IUD tail. Vesicolithotomy was performed and the IUD was found attached to an 11x7 cm bladder stone. The patient had a good postoperative condition without any special complications. The IUD in the bladder is a medium for forming secondary bladder stones. Most cases of IUD migration are caused by a lack of evaluation after the installation procedure. This case suggested that the physician should be more careful in carrying out the installation procedure. It is necessary to evaluate the location of the IUD after installation to prevent further patient complications.

Infected Urachal Cyst in Adult Aditya Airlangga Ekaputra; Besut Daryanto; Kurnia Penta Seputra
Jurnal Kedokteran Brawijaya Vol. 32 No. 3 (2023)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.03.10

Infected urachal cyst is one of urachal spectrum abnormalities. It usually presents in children because obliteration normally happened at early infancy. Rare case occurs in adult either can be small incidence or unrecognized symptoms until adulthood. Only small numbers of literature reported. The urachus is a tube extending from the anterior roof of the vesica urinaria to the umbilicus along the midline. The urachus is a vestigial fibromuscular structure located anterior to the fascia transversalis and posterior to the peritoneum. The presence of an embryonic urachal remnant can result in a variety of clinical complications. Due to the rarity of urachal residual disorders and the possibility of vague stomach or urinary symptoms, it is difficult to make a firm preoperative diagnosis. A 32-year-old female was referred to Saiful Anwar General Hospital after suffering abdominal pain for two months; the perineum felt the pain. There was a history of dysuria and nausea since the previous month, but no history of fever or change in bowel habits. Abdominal ultrasound showed an abscess at the anterior bladder and MRI showed an infected cyst mass in the suprapubic pointing to the left umbilical. Partial cystectomy and uterus biopsy were performed. The histopathologic result showed chronic inflammation tissue, and no malignancy was found. Misdiagnosis may lead to many complications such as progressive infection until malignancy therefore early detection of this case is important.

Herpes Zoster on a bladder cancer patient – a rare case Dhelya Widasmara; Adya Sitaresmi; Santosa Basuki; Besut Daryanto; Kurnia Penta Seputra
Journal of International Surgery and Clinical Medicine Vol. 2 No. 1 (2022): Available Online: June 2022
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v2i1.21

Introduction: Herpes zoster (HZ) is caused by reactivation of latent varicella-zoster virus (VZV) infection due to disturbance in T-cell mediated immunity. Risk factors include malignancy and therapy related to malignancy. Bladder cancer has a moderate association with HZ, with a risk increment of 10-50%. The rate of HZ in bladder cancer patients is 8/1000. Case description: A 57-years-old man with bladder cancer T4bN3M0 complained of a painful erythematous vesicular rash on the left front abdomen extended to the back 1 week prior, accompanied by fever and burning sensation. He has had regular chemotherapy using Gemcitabine and Cisplatin, and radiotherapy with 2 Gray doses each session. Dermatological examination showed multiple well-defined erythematous-based vesicles, clustered on the left abdominal, flank, and posterior thorax region at T7-T9 dermatome. Tzanck-smear examination showed multinucleated giant cells. The patient was given acyclovir, paracetamol, and wet dressing on vesicles. His chemoradiotherapy was also halted. On the 7th day of evaluation, there were no new lesions and his complaints improved. In cancer patients, CD4+ and CD8+ levels decreased, accompanied by lymphocyte proliferation impairment. Cytotoxic chemotherapy agents work by attacking proliferation cells, affecting immune-related cells. Ion radiation in radiotherapy interferes with a regional cellular immune response that inhibits viral reactivation. Conclusion: Principal HZ management in cancer patients includes antiviral and analgesics. In cancer patients, the occurrence of HZ can disturb and postpone management related to malignancy. The postponement of chemoradiotherapy is based on the patient's conditions and the severity of the disease.

Notice of Retraction: The Effectiveness of the webinar in providing non-traumatic urology emergencies education to medical personnel during COVID-19 pandemic Kurnia Penta Seputra; Medianto Medianto; Hamdan Yuwafi Naim; Muhammad Adi S.L.; Besut Daryanto
Brawijaya Journal of Urology Vol. 3 No. 01 (2022): Brawijaya Journal of Urology
Publisher : Department of Urology, Faculty of Medicine, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/bjurology.2022.003.01.4

This article has been retracted by the publisher. ----------------------------------------------------------------------- This article has been retracted at the request of the Authors. The editors and authors have jointly made the decision to retract the paper. Reasonable effort should be made to remove references to this paper. ----------------------------------------------------------------------- Objectives. Basic emergency knowledge is a very important skill for medical personnel. Providing medical information and education is the new challenge in the COVID-19 pandemic situation. Webinar should be considered as one of alternatives to provide and share the knowledge. This study assessed the effectiveness of webinar as a medium to provide information and education in the field of non-traumatic urology emergencies.Methods. A descriptive analytic research design with cross sectional approach was conducted for all participants. The learning outcomes were assessed by comparing the pretest and the post test.Results. A total of 775 participants were included in this study. It showed a significant improvement in average score from pre-test to post-test (p<0.000). It also showed a similar result in almost all of the topics with p<0.005, except for the topic of treatment of urinary retention with p=0.434.Conclusions. The webinar should be considered as one of the effective educational media to provide information and education on non-traumatic urology emergencies for medical personnel during COVID-19 pandemic.

Notice of Retraction: The Characteristic of toddler’s reproductive health in Posyandu Matahari, Blimbing, Malang Kurnia Penta Seputra; Besut Daryanto; Zen Ary Prasetyo; Johannes Dwi Meiyanto
Brawijaya Journal of Urology Vol. 3 No. 01 (2022): Brawijaya Journal of Urology
Publisher : Department of Urology, Faculty of Medicine, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/bjurology.2022.003.01.5

This article has been retracted by the publisher. ----------------------------------------------------------------------- This article has been retracted at the request of the Authors. The editors and authors have jointly made the decision to retract the paper. Reasonable effort should be made to remove references to this paper. ----------------------------------------------------------------------- Objectives. The screening of reproductive health plays an essential role in early detection of reproductive health disorder. There was a study which suggested that there was at least one congenital disorder every 100 live births. Congenital reproductive disorders are mostly found in type of hypospadias, enlarged clitoris, micropenis, fusion of labia majora, and genital ambiguity. Data collected in Saiful Anwar General Hospital revealed that during the period of 2012-2017 there were 109 hypospadias cases, 64 undescended testicle cases, and 80 cases of testicular torsion. However, for the Disorders of Sex Development cases, there were 12 cases from the period of 2015-2017, with the mean age was school age (8-14 years old). Unfortunately, there was no data of congenital reproductive disorder in toddlers, thus we conducted screening of toddlers reproductive health in Posyandu Matahari which located in Gedung Serbaguna Rw. 14, Kelurahan Bunulrejo, Kelurahan Jodipan, Kecamatan Blimbing, Malang in order to find out the number of incidence of toddlers congenital reproductive disorder and held the early detection.Methods. This is observational descriptive study. Screening was held in Posyandu Matahari which is located in Gedung Serbaguna Rw. 14, Kelurahan Bunulrejo, Kelurahan Jodipan, Kecamatan Blimbing, Malang, on October 27, 2018. It used a method of physical examination (age, weight, height, external genital examination), and if it was found suspicious of disease or disorder of toddler congenital reproductive health, thus it would be given referral to appropriate health care.Results. This screening event involved 46 toddlers (1-5 years old). From 46 toddlers, there were 14 toddlers (30.43%), 10 toddlers suffered from Phimosis (21.74%), 1 toddler with Hydrocele (2.17%), dan 3 toddlers suffered from Undescended Testis (UDT) (6.52), who were referred to urology clinic in Saiful Anwar General Hospital to undergo further examination and treatment.Conclusions. The incidence of toddlers reproductive disorder of this event was 30,43%, showing that this age group (1-5 years old) had a significant amount of congenital reproductive disorder and screening played an important role for early detection and improving parental knowledge to prevent the delay of treatment for reproductive disorder.

Probability of Cardiovascular Death in Patients with Prostate Cancer Receiving Androgen Deprivation Therapy (ADT): A Comprehensive Analysis Amira Fithri Rofifa; Adhananta Zhafran Prawira; Muhammad Zulfan Rifqiawan; Dinda Eka Permatasari; Besut Daryanto; Kurnia Penta Seputra
Brawijaya Journal of Urology Vol. 4 No. 02 (2024): Brawijaya Journal of Urology
Publisher : Department of Urology, Faculty of Medicine, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/bjurology.2024.004.02.4

Background. ADT, or androgen deprivation therapy, is one of the most effective treatments for prostate cancer. It works by reducing testosterone levels to levels that would cause castration either medication or surgery. ADT has been associated with a significant improvement in cancer-related survival; however, reports of cardiovascular (CV) problems connected to ADT treatment are on the rise.Objectives. To demonstrate the risk of cardiovascular death in patients with prostate cancer treated with ADT.Methods. This study demonstrated compliance with the parameters set forth by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020. With this search strategy, articles published between 2014 and 2024 were taken into consideration. This was accomplished by utilizing a number of distinct online reference sites, including Pubmed, SagePub, and Google Scholar. Review articles, previously published works, and partially completed works were all selected not to be considered.Results. We found 221 papers in the PubMed database, 47 articles on SagePub, and 9050 items on Google Scholar as a result of our search. 7287 records were removed before screening, hence 2030 articles were received for review. Following a record-exclusion screening, we assembled ten publications in total. Five studies that fulfilled the requirements were included.Conclusion. ADT is frequently a crucial component of the treatment of prostate cancer; patients should also receive counselling regarding their elevated risk of cardiovascular events and should think about taking preventative measures to lower that risk.

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