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Abstrak :
ABSTRAK
Latar belakang. Studi ini bertujuan untuk mengevaluasi hubungan pemasangan jj stent terhadap fungsi seksual baik pada laki-laki maupun perempuan. Metode. Studi ini adalah penelitian kohort. Subjek adaah pasien yang dilakukan pemasangan jj stent pada bulan Juli-November 2017 di RSUD Kardinah Tegal, Jawa Tengah. Data diambil pada saat prosedur operasi pemasangan dan saat pencabutan selang jj stent. Fungsi seksual laki-laki dinilai dengan menggunakan skor IIEF, sedangkan pada perempuan menggunakan FSFI. Hasil. Jumlah pasien yang dipasang jj stent adalah 60 laki-laki berusia 51,1 + 10,6 tahun  dan 33 perempuan berusia 49,6 + 10,6 tahun. Pada kelompok perempuan didapatkan perbedaan yang bermakna (p<0,05) pada total skor FSFI sebelum (23,62 + 0,64) dan setelah (16,7 + 0,52) pemasangan jj stent. Hal ini juga terlihat pada kelompok laki-laki dengan skor total IIEF sebelum (49,55 + 2,3) dan sesudah pemasangan jj stent (38,4 + 1,7). Simpulan. Pemasangan jj stent dapat menyebabkan gangguan fungsi seksual. Mekanisme masih belum jelas, akan tetapi efeknya dapat membaik setelah dilakukan pencabutan jj stent. ABSTRACT
Background. This study aims to evaluate the relationship between the placement of jj stents on sexual function in both men and women. Method. This study is a cohort study. The subjects were patients who had jj stents insertion in July-November 2017 at Kardinah Tegal Hospital, Central Java. The data was taken during the insertion procedure and when extracting the jj stent. Male sexual function was assessed using the IIEF score, while for women using FSFI. Results. The number of patients who had jj stents insertion procedure was 60 men aged 51.1 + 10.6 years and 33 women aged 49.6 + 10.6 years. In the female group there were significant differences (p <0.05) in the total FSFI score before (23.62 + 0.64) and after (16.7 + 0.52) the jj stent installation. This was also seen in the male group with a total IIEF score before (49.55 + 2.3) and after the jj stent installation (38.4 + 1.7). Conclusion. The insertion of jj stents can cause sexual dysfunction. The mechanism is still unclear, but the effect can improve after extracting the jj stent.

Abstrak :
ABSTRACT
Background: Tadalafil is a PDE5I which has been licensed for the treatment of erectile dysfunction (ED) since 2003, is effective from 30 minutes after administration and its efficacy is maintained for up to 36 hours. More recently, it is also given OAD in a lower dose to allow spontaneous sexual activities. However, whether OAD administration is more effective than PRN administration in improving the EF is yet to be established. This study aimed to evaluate whether OAD administration of tadalafil leads to a better improvement of erectile function (EF) in patients with erectile dysfunction (ED) compared to PRN administration. Methods: literature search of electronic database was performed through Medline, Scopus, Cochrane Library, and CINAHL databases. Cochrane Risk of Bias Tool was then employed to assess the risk of bias in each study. Results: initial literature search resulted in 231 hits, but only four studies were included in final selection. Based on our judgements, the study by Kang et al. was the most applicable in our clinical setting. This study showed that subjects who received tadalafil OAD had statistically significant higher increases of mean IIEF-EF (6,5 (SD 4,5) vs 4,9 (SD 4,2), p=0,032), proportion of yes responses to SEP-2 (81,8% vs 64,7%, p=0,025), and proportion of yes responses to SEP-3 (77,3% vs 60,3%, p= 0,034). Conclusion: administration of tadalafil OAD leads to a better improvement of EF compared to PRN administration.

Abstrak :

atar Belakang: Silikonoma penis merupakan suatu proses inflamasi yang menyebabkan deformitas pada penis, yang disebabkan oleh penyuntikan substansi non-biologis pada penis, dan menyebabkan kerusakan yang hebat. Tata laksana berupa eksisi radikal kadang menjadi satu-satunya pilihan, dengan penutupan defek menggunakan tandur kulit. Namun, tandur kulit menyebabkan kontraktur sekunder dan terputusnya ujung saraf dari kulit, sehingga berpotensi menyebabkan disfungsi seksual. Studi ini dilakukan untuk mengevaluasi pasien tersebut dengan menggunakan IIEF-5.

Metode: Studi ini merupakan studi cross sectional retrograde yang melibatkan pasien silikonoma penis yang di rekonstruksi menggunakan tandur kulit di Rumah Sakit Hasan Sadikin dan Cipto Mangunkusumo dari januari 2015 ke juli 2019. Pasien yang bersedia mengikuti penelitian ini akan dievaluasi fungsi seksualnya menggunakan kuesioner IIEF-5.

Hasil: Terdapat total 36 pasien silikonoma penis yang direkonstruksi dengan tandur kulit, dan 19 pasien bersedia untuk ikut serta pada penelitian ini. Dari total pasien, 16 (84,2%) pasien memiliki fungsi seksual yang normal, 2 (10,5%) mengalami disfungsi ereksi ringan dan 1 (5,3) mengalami disfungsi ereksi ringan-sedang.

Kesimpulan: Pasien dengan silikonoma penis yang mendapatkan rekonstruksi dengan penutupan defek menggunakan tandur kulit memiliki fungsi seksual jangka panjang yang baik, sehingga dapat digunakan sebagai opsi penutupan defek.

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Background: The necessity for penile augmentation has been present throughout history, using non-biological high viscosity substances resulting in detrimental damages, leading to siliconoma. Surgical management with radical excision with choices of split thickness skin graft as defect closure option for resurfacing. Nevertheless, the presence of secondary contracture and sensation diminution of the graft might interfere with sexual function. The aim of this study is to evaluate sexual function in penile siliconoma patient post skin graft reconstruction, using Simplified International Index of Erectile Function (IIEF-5).

Methods: This is a retrograde cross-sectional study involving penile siliconoma patients receiving reconstruction using split thickness skin graft at Hasan Sadikin and Cipto Mangunkusumo General Hospital from January 2015 to July 2019. All patients willing to enroll in this study were given the IIEF-5 questionnaire for sexual function evaluation.

Result: A total patient of 36 people was detected through medical record in both centers, and 19 were willing to be enrolled in this study. Among the patients, 16 (84.2%) had normal sexual function and 2(10.5%) Mild and 1(5.3%) had mild to moderate erectile disfunction.

Conclusion: Penile siliconoma patients receiving radical excision and resurfacing using skin graft has a good sexual function, and could be used as a resurfacing option in the treatment of penile siliconoma.