Media Jurnal Urologi

Volume : 9 - No. 1 Terbit : 1--2008

Penulis : Marzuki kosong

Doddy M. Soebadi kosong
kosong kosong
kosong kosong
kosong kosong

Review of Patients with Obstructive Uropathy Resulted from

Malignancy in Gynecology at Dr. Soetomo Hospital Surabaya
2004-2007
Abstrak :

Objective: This study was pointed to gain review of patients underwent for obstructive uropathy which is
resulted from malignancy in gynecology. the compiled data composed of age distribution, patients
complaint, type of malignancy, degree of hydronefrosis, type of obstruction, level of serum creatinine, type
of management; dj stent placement, ureterocutaneostomy, or permement nephrostomy, and also the number
of accomplishment in dj stent placement.
Method: In this study, we did data collection from medical records of patient with obstructive uropathy,
which is take place as a result of malignancy in gynecology, who were hospitalized in urology Department
Dr. Soetomo Hospital surabaya from the year 2004 until 2007. the design of this study was retrospective
analytic descriptive, whereas data compilation were tabulated according to the objective of the study and
then analyzed in descriptive manner.
Results: Most of patients underwent for obstructive uropathy who fitted the inclusion criteria were in age
group of 50-59 years (34 persons 36,96%). most of patients complaining for plank pain (34 persons
36,56%). from the aspect of the type of malignancy, the largest type was carcinoma of the cervix stage III
(67 persons 72,83%). while from the degree of hydronefrosis, the majority of the cases were moderate
hydronefrosis (40 persons 43,84%) the largest type of obstruction was bilateral obstruction (67 persons
72,83%). from the level of serum creatinine on base line, the largest number was 1-1,9 mg/dl (48 persons
52,17%). the type of conducted management, the largest number was dj stent placement in 29 persons
(31,52%), ureterocutaneostomi procedure 22 persons (23,91%), perkutaneus nefrostomi procedure 21
persons (22,83%). whereas in the number of accomplishment of dj stent placement, from the total number
of 71 persons who scheduled for dj stent placement, 26 (36,62%) were successful, while 45 (63,38%) were
fail.
Conclusion: The largest number of the subjects in this study was in the age group of 50-59 years, with the
majority type of malignancy was carcinoma cervix stage III. the type of conducted management; the largest
number was dj stent placement in 29 persons, ureterocutaneustomi procedure 22 persons, perkutaneus
nefrostomi procedure 21 persons.

Keyword :

obstructive uropathy, malignancy in pelvic region, dj stent, percutaneus nefrostomy, uretrocutaneustomy

Daftar Pustaka :

Soebadi DM Pedoman penatalaksanaan uropati obstruktif Jurnal Urologi Indonesia 1994 Surabaya
Pais MP, Strandhoy JW, Assimos DG Pathophysiology of urinary tract obstruction, Campbell-Walsh
Urology WB Saunders Co 2007 Philadelphia
Harris Kevin PG Urinary tract obstruction Mosby 2000 London
Sukandar Enday Aspek klinik nefropati obstruksi, dalam nefrologi klinik Bag. Ilmu Penyakit Dalam FK
Unpad/RS Hasan Sadikin 2006 Bandung
Purnomo BP Anuria obstruktif, dalam: dasar-dasar urologi Sagung Seto 2003 Jakarta

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