Hasil Pencarian  ::  Simpan CSV :: Kembali

"Hipospadia adalah salah satu masalah yang umum di bidang urologi pediatri. Teknik tubularized incised plate (TIP) merupakan teknik yang paling sering digunakan dalam rekonstruksi hipospadia karena dapat dikerjakan pada berbagai tipe hipospadia. Akan tetapi, berbagai komplikasi masih dapat terjadi pada prosedur ini, dan dipengaruhi oleh ada atau tidaknya faktor penyulit dari tipe hipospadia. Studi ini bertujuan untuk mengetahui hubungan antara berbagai faktor penyulit terhadap kemungkinan terjadinya komplikasi paska rekonstruksi TIP. Penelitian ini bersifat retrospektif, dimana semua data diambil dari rekam medik dan status khusus pasien hipospadia di Rumah Sakit Umum Pusat Nasional dr. Cipto Mangunkusumo (RSUPN-CM). Data yang diambil berupa demografi pasien, termasuk faktor penyulit yang ada seperti ukuran phallus, kurvatura penis (chordee), derajat torsi, ukuran dorsal hood, transposisi penoskrotal, skrotum bifida, hingga undescendend testis (UDT). Komplikasi paska operasi yang dinilai adalah fistula, stenosis meatus, striktur uretra, divertikel, torsio penis, dan glans dehiscence. Dari penelitian ini didapatkan total 127 pasien yang dilakukan koreksi hipospadia dengan teknik TIP dengan rerata usia 7,58 tahun dan lama perawatan 10,95 hari. Jenis hipospadia yang paling sering ditemukan adalah tipe penoskrotal (32,3%), dan faktor penyulit tersering adalah masalah pada ukuran dorsal hood (49,6%). Komplikasi yang paling banyak terjadi adalah fistula yang mencakup 32 pasien. Apabila dilihat dari lokasi meatus, terdapat hubungan yang bermakna antara kejadian torsio penis dengan lokasi meatus di distal. Indikasi dilakukannya uretroplasti dengan menggunakan teknik TIP harus jelas sebelum dilakukan prosedur pada pasien dengan hipospadia. Diperlukan penelitian yang lebih lanjut dengan sampel yang lebih besar untuk mengetahui asosiasi yang lebih baik terkait faktor penyulit dan komplikasi TIP pada pasien hipospadia.

---

Hypospadias is one of the common problems in the field of pediatric urology. The tubularized incised plate (TIP) technique is the most common technique performed in hypospadias reconstruction because it can be performed on various types of hypospadias. However, various complications can still occur in this procedure and are influenced by the presence or absence of complications factors of the type of hypospadias. This study aims to determine the relationship between various factors to the likelihood of complications following TIP reconstruction. This is a retrospective study, where all data are taken from medical records and status of hypospadias patients at the National Center General Hospital, dr. Cipto Mangunkusumo (RSUPN-CM). Data were collected in the form of patient demographics, including existing complicating factors such as phallus size, penis curvature (chordee), degree of torsion, dorsal hood size, penoscrotal transposition, bifid scrotum, and undescended testes (UDT). There were postoperative complications discovered, such as fistulae, meatal stenosis, urethral stricture, diverticles, penile torsion, and glans dehiscence. A total of 127 patients were corrected for hypospadias by TIP with the average age of 7.58 years and 10.95 days of treatment. The most common types in hypospadia are penoscrotal (32.3%), and the most challenging complication factor is a problem in the dorsal hood size (49.6%). The most common complication was fistula, which observed in 32 patients. Based on the meatal position, there is a significant relationship between the occurrence of penile torsion and location of distal meatus. The indication for TIP technique must be determined before the procedure is carried out. Further studies are needed with larger samples to examine better associations related to complications and TIP complications in hypospadias patients."

"[Hipospadia merupakan salah satu kelainan congenital pada penis yang paling sering terjadi, dengan angka kejadian 0.2-0.8% kasus di dunia. Prinsip dasar tehnik pembedahan hipospadia masih tetap sama dari tahun ke tahun, padahal terdapat banyak tehnik yang dapat digunakan namun belum ada penelitian yang membandingkan antara satu tehnik operasi dengan tehnik operasi lainnya. Untuk itu, kami mengumpulkan data dari para urolog di Indonesia untuk mengetahui hal tersebut, memberikan gambaran tehnik operasi hipospadia apa saja yang digunakan, dan bisa menjadi bahan pertimbangan urolog lainnya untuk mencoba tehnik operasi lainnya.MetodeDilakukan survey kepada ahli bedah urologi di seminar-seminar dan konferensi yang dilakukan di Indonesia dari tahun 2012-2013 dengan membagikan kuesioner mengenai tatalaksana operatif pada hipospadia distal dan proksimal. HasilTotal sebanyak 87 partisipan menyelesaikan kuesioner yang diberikan. Sebagian besar partisipan (61%) telah menjadi urolog selam kurang dari 5 tahun, dan kebanyakan bekerja di rumah sakit pemerintahan. Jumlah pasien hipospadia yang ditangani per tahunnya rata-rata 1-5 pasien (34.5%) dan usia tersering adalah 3-6 tahun (56.3%) dengan varian tersering yakni tipe midshaft penile (57.5%).Tehnik operasi pada tahap pembebasan kordae yang paling sering digunakan adalah dorsal placation (48.3%) dan dilakukan percobaan ereksi artificial dan turniket intraoperasi (79.3% dan 66%). Pada hipospadia distal, tehnik TIP merupakan yang paling sering digunakan (66.7%-88.5%) sementara sisanya memilih MAGPI, matthew atau onlay island flap. Untuk yang proksimal, beberapa urolog menggunakan TIP (16.1%-39.1%) sementara yang lainnya memilih onlay island flap, koyanagi, transverse preputial island flap, operasi dua tahap, dan cangkok bukal.Penggunaan kateter foley pada stenting daerah distal dan proksimal masih dilakukan oleh sebagian besar urolog setelah prosedur operasi selesai, seperempat responden melakukan sistostomi simultan dengan kateter foley. KesimpulanTren yang terkini dalam penatalaksanaan hipospadia di Indonesia masih bervariasi bergantung pada kebiasaan urolog. Hasil menunjukkan pendekatan yang berbeda- beda pada tehnik operasi hipospadia distal maupun proksimal, dan tidak sesuai juga dengan literature yang ada. Hal ini mungkin disebabkan karena faktor sosioekonomi, lingkungan, dan pengalaman pribadi.;Hypospadia is one of the most common congenital anomaly of the penis, ranging from to be 0,2 to 8.2% worldwide.The principles of hypospadia surgery remains the same throughout the years and there are many techniques of surgery which could be chosen but current practice in Indonesia have not yet been studied. With this in mind, we obtained data from urologist in Indonesia to provide an insight and hopefully be a source of discussions that may lead to a change of personal practice.MethodsA survey was conducted in seminars and conferences in Indonesia from 2012 to 2013 with a questionairre regarding repair of distal and proximal hypospadia Results A total of 87 participants completed the questionairre. Most of the participants (61%) had been a urologist for less than 5 years, and most worked in goverment university hospital.The number of patient encountered most was 1-5 patient per year (34,5%) and the age majority was 3-6 years old (56,3%) with the highest variant seen was midshaft penile (57,5%).Regarding technique of the operation, for chordee release most used dorsal plication (48,3%) and also performed artificial erection and tourniquet intra- operatively (79,3% and 66%). For distal repair, the tubularized incised plate (TIP) was the preferred technique (66,7% - 88,5%) while the remainder preferred MAGPI, matthew or onlay island flap. For proximal repair, some still preferred TIP (16,1% - 39,1%) while the remainder relied on onlay island flap, koyanagi, transverse preputial island flap, two-staged repair and buccal graft.The use of foley catheter for distal and proximal stenting post repair remains majority in the case of hypospadia, with less than a quarter performed also cystostomy simultaneously. ConclusionsThe current trend in the management of hypospadias in Indonesia still varies based on personal preferrence. The result also shows different approach for proximal and distal hypospadia even compared to the literature. This might be caused by socioeconomic, environmental or personal experience., Hypospadia is one of the most common congenital anomaly of the penis, ranging from to be 0,2 to 8.2% worldwide.The principles of hypospadia surgery remains the same throughout the years and there are many techniques of surgery which could be chosen but current practice in Indonesia have not yet been studied. With this in mind, we obtained data from urologist in Indonesia to provide an insight and hopefully be a source of discussions that may lead to a change of personal practice.MethodsA survey was conducted in seminars and conferences in Indonesia from 2012 to 2013 with a questionairre regarding repair of distal and proximal hypospadia Results A total of 87 participants completed the questionairre. Most of the participants (61%) had been a urologist for less than 5 years, and most worked in goverment university hospital.The number of patient encountered most was 1-5 patient per year (34,5%) and the age majority was 3-6 years old (56,3%) with the highest variant seen was midshaft penile (57,5%).Regarding technique of the operation, for chordee release most used dorsal plication (48,3%) and also performed artificial erection and tourniquet intra- operatively (79,3% and 66%). For distal repair, the tubularized incised plate (TIP) was the preferred technique (66,7% - 88,5%) while the remainder preferred MAGPI, matthew or onlay island flap. For proximal repair, some still preferred TIP (16,1% - 39,1%) while the remainder relied on onlay island flap, koyanagi, transverse preputial island flap, two-staged repair and buccal graft.The use of foley catheter for distal and proximal stenting post repair remains majority in the case of hypospadia, with less than a quarter performed also cystostomy simultaneously. ConclusionsThe current trend in the management of hypospadias in Indonesia still varies based on personal preferrence. The result also shows different approach for proximal and distal hypospadia even compared to the literature. This might be caused by socioeconomic, environmental or personal experience.]"

"Tesis ini membahas tentang  kesahihan dan keandalan dari kuesioner Shoulder Pain and Disability Index versi  bahasa Indonesia pada subjek dengan nyeri bahu. Penelitian ini didahului dengan menerjemahkan dan mengadaptasi transkultural menggunakan metode ISPOR dengan persetujuan dari penyusun kuesioner asli. SPADI bahasa Indonesia diaplikasikan pada 127 subjek yang berusia lebih dari 18 tahun dengan nyeri bahu dengan diagnosis bervariasi. Subjek mengisi SPADI bahasa Indonesia pada kunjungan pertama dan melakukan pengisian SPADI ulang dalam rentang waktu 2-7 hari setelah kunjungan pertama untuk reliabilitas test-retest. Penelitian ini menghasilkan adaptasi transkultural untuk SPADI Indonesia dengan beberapa adaptasi yang telah disetujui oleh penyusun asli. Shoulder Pain and Disability Index versi Indonesia dengan konsitensi internal yang baik (Chronbach α = 0,947), uji keandalan test-retest ( Intraclass Coefficient Correlation = 0,975) dan uji kesahihan konstruksi ( r = 0,93). Dari hasil penelitian ini disimpulkan Shoulder Pain and Disability Index versi bahasa Indonesia merupakan pengukuran yang sahih dan andal untuk subjek dengan nyeri bahu.

---

This study aim to evaluate the reliability and validity of Indonesian Shoulder Pain And Disability Index questionairre among  subjects with shoulder pain. The first step was translation and transcultural adaptation using ISPOR method with permission from author of SPADI. The Indonesian version was applied to 127 patients with shoulder pain with variety of diagnosis, aged over 18 years old. Subjects completed Indonesian SPADI in the first visit and reevaluated within  2- 7 days after first visit for test-retest reliability. The result of this study is some adaptations in several items of questionnaire that has been approved by original author. The result showed that the Indonesian Shoulder Pain and Disability Index has good internal consistency ( Chronbach α = 0,947), test-retest reliability (ICC = 0,975) and construct validity (r = 0,93).  This study concluded that the Indonesian version of the Shoulder Pain and Disability Index is a reliable and valid measure when adiministered to patients with shoulder pain.

"