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Jenis

Nama No Tanggal MRS Kelamin Med Record Hospital

Tn. Dwi Wahyu Eko Putro 1 3/31/2019 L 352727 RSPN

Ny. Sri Dwiastut 2 3/31/2019 P 352749 RSPN

Tn. Chazad 3 4/1/2019 L 352112 RSPN

Tn. Moch Adriansyah 4 4/4/2019 L 272179 RSPN

Ny. Joeharnanik 5 P 352119 RSPN


4/9/2019

Tn. Suwaji 6 4/14/2019 L 351461 RSPN

Ny. Rochmah 7 4/15/2019 P 352277 RSPN

Ny. Sri astut 8 4/17/2019 P 351902 RSPN

Ny. Karyatn 9 4/24/2019 P 353056 RSPN

Ny. Nyami Dwi 10 5/8/2019 P 352209 RSPN

Tn. Chazad 11 5/9/2019 L 352112 RSPN

Tn. Turiman 12 5/10/2019 L 351583 RSPN

Tn. Mochtar Eko 13 5/10/2019 L 352743 RSPN

Tn. Sapto Wahyudi 14 5/14/2019 L 352413 RSPN


Ny.Painah 15 5/19/2019 P 35127 RSPN

Tn. Badrul Munir 16 5/22/2019 L 352849 RSPN

Tn. Putut Eka Herwijana 17 5/26/2019 L 144564 RSPN

Ny. Zoelhida Oetami 18 6/12/2019 P 351916 RSPN

Sutrisno A 19 6/18/2019 L 352732 RSPN

Mochtar Eko Rosidi 20 6/24/2019 L 352743 RSPN

Miselin 21 6/30/2019 P 350097 RSPN

Ade Novriady 22 6/30/2019 L 353792 RSPN

Tn. Badrul Munir 23 7/7/2019 L 352849 RSPN

Rochmah 24 7/31/2019 P 352277 RSPN

Triadiani 25 7/31/2019 P 354487 RSPN

Nuraida 26 8/4/2019 P 354462 RSPN

Tn. Marsel 27 8/6/2019 L 354137 RSPN


Ny. Sumiat 28 8/6/2019 P 354468 RSPN

Tn. Ade Novriady Lay 29 8/15/2019 L 353792 RSPN

Tn. Moh Satrawi 30 8/18/2019 L 349378 RSPN

Ny. Dhian Septanawat 31 8/18/2019 P 346217 RSPN

Tn Effendi Harianto 32 23-Aug-19 L 184883 RSPN

Tn Soni Purwanto 33 23-Aug L 350598 RSPN

Ny. Nik Anah 34 23-Aug-19 P 351576 RSPN

Tn Choirul 35 8/23/2019 L 345022 RSPN

Tn. Adi Saksono 36 8/23/2019 L 00064418 Persada

Ny Nasikah 37 25-Aug-19 P 346421 RSPN

Ny Nasikah 38 25-Aug-19 P 346421 RSPN

Tn Sholik Achmad 39 8/26/2019 L 351629 RSPN

Tn. M. Irfan Fitriansyah 40 8/26/2019 L 348137 RSPN


Ny Srianah 41 8/26/2019 P 346845 RSPN

Ny Latfah 42 8/26/2019 P 3433345 RSPN

Ny Afidah 43 8/28/2019 P 343725 RSPN

Tn Cecep Rustam Effendi 44 8/30/2019 L 345054 RSPN

Ny Ninik Suliyat 45 31-Aug-19 P 349803 RSPN

Ny Adeleida F Maahuri 46 31-Aug-19 P 349988 RSPN

47 31-Aug-19
Ny Wijiasih P 344184 RSPN

Tn. Suparnu 48 31-Aug-19 L 347913 RSPN

Tn. Suparnu 49 9-Sep-19 L 347913 RSPN

Tn. Sugiono 50 10-Sep-19 L 301711 RSPN

Ny. Sunarsih 51 11-Sep-19 P 276695 RSPN

Tn. Michael Wicaksono 52 11-Sep-19 L 349220 RSPN


Ny. Sutni Al Ponikah 53 13-Sep-19 P 350098 RSPN

Ny. Fitriyah Hasanah 54 15-Sep-19 P 351780 RSPN

Ny. Fatmawat 55 17-Sep-19 P 349785 RSPN

Ny. Rehulina Manik 56 18-Sep-19 P 188915 RSPN

Ny. Dhian Septanawat 57 22-Sep-19 P 346217 RSPN

Ny. Fatmawat 58 22-Sep-19 P 349785 RSPN

Ny. Nyami Dwi 59 27-Sep-19 P 352209 RSPN

Tn. Rido'i 60 9/27/2019 L 336755 RSPN


Tn. Cecep Rustam Effendi 61 9/27/2019 L 345054 RSPN

Tn. Chajad 62 9/25/2019 L 352112 RSPN

Tn. Ade Novriady Lay 30 10/7/2019 L 353792 RSPN

Tn Luqman 63 10/7/2019 L 66563 RS Persada

Sapto Wahyudi 64 10/20/2019 L 352413 RSPN

Sriasih 65 10/20/2019 P 354450 RSPN

Tjeng King Lan 66 10/21/2019 P 353142 RSPN

Wahjuni 67 10/23/2019 L 354951 RSPN

Pandu Novra Lematang 68 10/25/2019 L 355548 RSPN

Krisno Tri Wicaksono 69 10/27/2019 L 67998 Persada

Fatmah 70 10/27/2019 P 67122 Persada

Pujiat 71 10/28/2019 P 355602 RSPN


Usia Pada Diagnosis
Alamat Telp Tanggal Lahir Saat Primer
operasi

Perum Taman Anggrek Bt ren


08575539873 7-Apr-64 55
Blok C 47 multple

Jl. Semeru Selatan 120 085233344787 6-Apr-62 57 Bt staghorn S


Dampit

Luwung RT 4 RW 2 Beji 089699798355 30-Jun-65 54 Bt staghorn S


Pasuruan

Jl. Sekicau No 3 RT 2 RW
Bt Ureter
11 Pisang Candi Sukun 081280645888 5-Oct-79 39 Prox S
Malang

Jl. Raya RT 10 RW 04 082331159873 3/17/1970 49 Bt Staghorn S


Sumber pucung Malang
Tegalrejo RT 04 RW 01 Batu ren D
Sumbermanjing wetan 089631626962 7/1/1956 63 pole tengah
Malang bawah
Batu ren S
Plinggisan RT 04 RW 02 085746033823 9/12/1957 61 pole atas
Kraton Pasuruan bawah

Jl. Enggano no. 14 RT 03 Batu ren D


081131444961 8/25/1953 66
RW 01 Sanan wetan blitar pole bawah

Dsn. Demangan RT 06 RW BT UPJ+ BT


01 Mojoarum Gondangan 081350507650 5/17/1953 66 Ren D
Tulungagung
Jl. Kasan Keso RT 04 RW Batu Ren
01 Torongrejo Junrejo 085335603675 3/16/1975 44 pole bawah S
Batu

Luwung RT 4 RW 2 Beji 089699798355 30-Jun-65 54 Bt staghorn S


Pasuruan

Jl. Lemah Duwur RT 8 RW Bt Staghorn


081330722723 3-Mar-50 69
1 Sukun Malang D
Saptorenggo RT 3 RW 11 081334268690 9-Feb-78 41 Bt Staghorn S
Pakis Malang
Bt UPJ + Bt
Jl. Bajawa Oebobo, ren multpel
08132399356 14-Aug-65 54
Kupang pole tengah
bawah D
Jln. Tanjung Sari no.165 Batu ren D
RT 07 RW17 Turen 03 Mei 1965 66 pole bawah
Malang

Batu Ren
Dsn. Krajan RT 01 RW 02 082147350666 22-Apr-68 51 Pole Bawah
Glagah Banyuwangi D

Jln.Danau Singkarar III Batu


E1G6 RT 04 RW 07 08125274263 3-Dec-64 55 Staghorn S
Kedung kandang Malang

Jln. Danau Singkarak E4E Batu pyelum


no. 14 RT01 RW 06 081325033516 31 Mei 1966 53 S
Kedungkandang Malang

Jl. Indrokilo Selatan No.52 Batu


Rt/Rw 01//08 Lawang 082301356761 18 Juni 1958 61 Staghorn D
Malang

Dusun Boro Jambangan Batu ren pole


081334268690 2/9/1978 41
RT 3/RW 11 Pakis Malang bawah D

Batu Ren
Dsn Krobyokan RT 2 RW 9 081344267699 6/1/1960 59 Pole Atas
Wagir Malang Bawah D

Batu pyelum
Jalan sangkar mas RT 4 D + Batu
82237627343 11/12/1972 47
RW 11 Alakupang ureter
(retropulsi)

Dsn. Krajan RT 01 RW 02 082147350666 22-Apr-68 51 Batu


Glagah Banyuwangi staghorn S

Plinggisan RT 04 RW 02 Batu pyelum


85746033823 9/12/1957 62
Kraton Pasuruan S

Jl Raya Pacitan no.26 RT Batu Multple


02 RW 01 Slahung 082190099795 3/18/1958 61 Kaliks Ginjal
Ponorogo D

Jl Sabanar Lama RT 61 RW Batu Pielum


85234831537 10/31/1979 40
22 tanjur Selong Bulungan Ginjal S

Batu Pielum
Ginjal S +
Noelbaki RT 14 RW 04 081239161051 10/24/1969 Batu Multple
kupang Kaliks Ginjal
S
Bt staghorn D
JL. KH Agus Salim No 31 + Batu
RT 01 RW 04 Kenayan 08113181989 2 Mei 1960 59 multple
Tulungagung calyx inferior

Batu
JL. Sangkar Mas RT 04 RW
Staghorn S +
11 Nunbaun Sabu Alak 082237627343 11/12/1972 46 DJ Stent
Kupang Insitu D

Jl. Mangun Sarkoro III No Batu


2148 RT 05 RW 04 81944997060 11/10/1970 48 staghorn D
Blimbing Malang

Dsn Campur Kuntul RT 1 Batu


RW 9, Campurdarat, 81259478784 9/20/1982 36 Staghorn S
Tulungagung

Puri Cempaka Puth III BA Batu pyelum


1 RT 5 RW 6, Bumiayu 8123258660 1/8/1965 54 S
Kedungkandang Malang

Jl. Danau Sentani Timur


H1/A16 RT 2/RW 7 Batu pole
8179627986 4/20/1968 51
Madyopuro Kedung bawah ren D
Kandang Malang
Dsn Alkemar RT 16 RW 10 Batu
Martopuro Purwosari 85755298980 7/6/1954 65
Staghorn S
Pasuruan

Jl. Tegal Gondo RT 17 RW Batu


85102190231 3/5/1972 47
04 Pendem Junrejo Batu Staghorn S

Dsn Baluagung Jowo RT2


RW8 Kel. Sengon Agung, 08119206241 12-Dec-75 43 Bt pyelum S
Pasuruan

Dsn Talun RT 2 RW 3 Beji, Batu


81335144560 7/1/1965 53
Boyolangu Tulungagung staghorn D

Dsn Talun RT 2 RW 3 Beji, Batu


81335144560 7/1/1965 53
Boyolangu Tulungagung Staghorn S

DSn Pilang RT 1 RW 13 Batu ren pole


85258467476 6/12/1969 50
Sidodadi, Lawang Malang atas bawah S

Jl. Wilis RT 10 RW 6 Sisir batu ren pole


81254446912 10/26/1973 45
Batu bawah D
Toyomerto RT 2 RW 2 Batu
82314577715 3/17/1971 48
Pesangrahan Batu staghorn D

Sumbersari RT 23 RW 5 Batu ren


Jambesari Poncokusumo 82233826669 4/25/1940 78 multple D
Malang
Jl Sekargadung RT 1 RW 1 Batu pyelum
Banjararum Singosari 81231693242 11/21/1968 50 S
Malang
Perum Bumi Adimulyo O- Batu pyelum
5 RT 12 RW 12 Candi 82230807952 4/21/2958 60 S
Renggo Singosari Malang
Bodosari RT 1 RW 6 Batu pyelum
Tunjungtrto Singosari 81217481821 12/9/1970 48 S
Malang
Jl Adi Sucipto RT 16 RW 6
Oesaba Selatan Kelapa 83246086699 8/21/1962 56 Batu pyelum
S
Lima Kupang

Batu pyelum
S
Jl. Simpang Piranha Atas 81235823983 1/17/1977 42

Batu
Dsn. Pandangan 02/02, Staghorn D +
Pandangan, Ngantru, 82242990838 2/20/1966 53 Batu Ureter
Tulungagung Prox S + HN
D/S

Batu Ren
Pole Bawah S
Dsn. Pandangan 02/02, + Batu Ureter
Pandangan, Ngantru, 82242990838 2/20/1966 53 Prox S + DJ
Tulungagung Stent Insitu
D/S

Batu Pyelum
Jl. Candi II A no 358 D + Batu
85954312877 9/2/1967 51
07/02, Sukun, Malang Multpel Ren
D
Batu Pyelum
Sumbersuko 05/01, 81555836736 7/12/1964 54 D + DJ Stent
Dampit, Malang Insitu D

Batu
Staghorn D +
Puri Kartka Asri Blok I No Batu Multple
27 08/09, Arjowinangun, 8816220272 10/9/1977 41 Pole Bawah
Kedungkandang, Malang Ren D + HN
Gr III D
Batu Pyelum
D + Baatu
Lingkungan Talun 03/02, Pole Bawah
81332350015 2/25/1959 60
Talun, Blitar Ren D + HN
Gr III D + DJ
Stent Insitu S

Batu Pole
Tengah Ren S
Dsn. Toko 09/03, + Batu UPJ S
Sumurdalam, Besuk, 85204214761 9/14/1986 32
+. UPJ
Probolinggo Stenosis D +
HN Gr III D/S

Batu
Perum Taman Indah Staghorn S +
Sukarno Hatta No 16, 081252491616/ 10/7/1962 56 HN Gr III S +
04/18, Lowokwaru, 082330575678 Hydropyonep
Malang hrosis Gr III D

Batu Multple
Jl. Suropat No 24, 03/08, 81325057628 2/15/1968 51 Pole Tengah-
Ngaglik, Batu Bawah S

Batu
Dusun Campur Kuntul Staghorn D/S
81259478784 9/20/1982 36
01/09, Campurdarat + HN Sedang
D/S

Batu
Perum Taman Indah Staghorn S +
Sukarno Hatta No 16, 081252491616/
10/7/1962 56 HN Gr III S +
04/18, Lowokwaru, 082330575678 Hydropyonep
Malang hrosis Gr IV D

Batu
Staghorn S +
Jl. Kasan Keso RT 04 RW Batu Multple
01 Torongrejo Junrejo 085335603675 3/16/1975 44 Pole Tengah-
Batu Bawah S +
HN Berat S

Batu Pole
Dsn. Krajan 07/02, bawah S +
Wonokerto, Bantur 85234407116 5/1/1959 60 Batu Ureter
Malang D
Perum Bumi Ardimulyo O- Batu Multple
5, 12/12 Candi Renggo, 82230807952 4/21/1958 61 Pole Tengah-
Singosari Malang Bawah D

Batu Multple
Luwung, 04/02, Beji, Pole Tengah
89699798355 6/30/1965 54
Pasuruan dan Pyelum S
+ HN Gr II S

Batu
JL. Sangkar Mas RT 04 RW
Staghorn S +
11 Nunbaun Sabu Alak 082237627343 11/12/1972 46 DJ Stent
Kupang Insitu D

Jl. Danau Mantana H2 E53 Batu


082190033791 8/17/1975 44
Malang Staghorn S

Jl. Bajawa Oebobo, Batu


08132399356 8/14/1965 54
Kupang Staghorn S

Dusun Krajan RT 2 RW 1 Batu


081333409003 10/11/1963 56
Kromengan Malang staghorn S

Batu Pyelum
Jl Basuki Rahmat VI RT 8 S + Batu ren
081555836736 11/13/1942 77
RW 9 Malang multple pole
bawah S

Batu
JL. A Yani Gg Cempaka No Staghorn S +
14 B RT 19/RW06, 081259322442 3/21/1954 65 Batu Multple
Trenggalek Pole Bawah S

Dsn Wagir RT2/RW1


Parang Argo Wagir 082143710410 11/3/1991 27 Bt staghorn D
Malang

Batu
Staghorn D +
JL Yos Sudarso I/63 Dringu 82227153680 6/23/1981 38 Batu Multple
Probolinggo Pole Bawah
Ren D

Jl Tongkol 03/0 Dermo Batu


82232127172 2/1/1953 65
Pasuruan Staghorn S

Jl. Permadi No 59 RT Batu Pole


01/04, Polehan, Blimbing, 85959599082 4/13/1973 46 Tengah-
Malang bawah Ren D
Riwayat
Hidronefrosis Diagnosis Anatomical Bilateral Co-morbid tndakan/ BB
grade Sekunder disorder Stones operasi

2 UPJ Stenosis no Open Surgery 81

Multple
calyx
3 no Stentng 91.6
inferior
Stone

Open Surgery
Retrorenal no Failed
1 Colon identfying 74 kg
kidney

URS +
2 No Stentng 71.2 kg
(pyonefrosis)

2 No 58,1 kg

Nefrostomy
4 no 63
D

2 yes CKD st V Stentng DS 84

1 no 69

4 yes CKD st V Open Ren S 75

4 no PCNL S 82

Retrorenal post supine


1 no 74 kg
Colon PCNL

1 no no 68 kg

1 Batu ren D yes HHD 71 kg

Batu
3 yes CKD st III 72
Staghorn S
2 No DM tpe II 65

Batu Eksisi
staghorn S eureterocele
No no 91
+ DS +
Uretrocele lithotripsi D

Ectopic URS + ESWL


3 No cva 76.8
Kidney S Multple

Batu ren PCNL D +


3 pole bawah no no Insersi DJ 61
S stent D
Batu
Multple
3 No No Open Ren D 70
Pole bawah
D
PCNL S +
1 DJ stent D/S yes no Insersi DJ 70
stent D/S

2 KISTA REN D NO AKI Open Ren D 70

1 yes AKI 70

Eksisi
3 Ureterocele yes no eureterocele 91
D/S DS + PCNL S

2 CKD yes CKD st V PCNL S 60

URS D +
4 DJ Stent D No Insersi DJ 43
stent D

3 PCNL S 70

3 DM no DM tpe II PCNL S 65
3 HT No PCNL D 69

PCNL D +
yes Insersi DJ 70
stent D

Batu pole
3 atas tengah yes 65
bawah S

Batu
staghorn D Insersi DJ
1 yes 86.5
+ DJ Stent Stent D/S
insitu D/S

URS D +
DJ Stent
3 no Insersi DJ 60
insitu D/S Stent D/S

Striktur
4 uretera pars no 50
penile

3 no 48.8

Batu ren
2 pole bawah no 52.5
S

1 No ESWL 78

Batu
2 yes 52.5
staghorn S

PCNL D +
DJ Stent
1 no Insersi DJ 86.5
insitu D/S Stent D/S
UPJ
Stenosis + Insersi DJ
2 yes 93.9
DJ Stent Stent D/S
insitu D/S

Batu ureter
2 no 75.6
D
Batu
Staghorn S
2 + Batu ren yes 79.2
multple
D/S

2 no CKD St III

Batu ren
4 pole bawah no DM type 2 75.2
S
Batu ureter
3 D + Batu yes 66.9
ren D

3 no 66.6

1 no 69.4

Batu ren
3 pole bawah yes RIRS D 55
D

2 yes DM tpe II 68

PCNL D +
2 yes DM tpe II Insersi DJ 68
Stent D

3 DM no DM tpe II 97

URS + Insersi
3 no 59
DJ Stent D

3 no 61
URS S +
Asma Asma
3 yes Insers DJ 62
Bronkial Bronkial
Stent S

PCNL D +
UPJ
3 yes Insersi DJ 40
Stenosis D Stent D

PCNL S +
DJ Stent
3 no Insersi DJ 63
Insitu S Stent S

HT + DM
2 no 64
Type 2

Riw PVC +
2 yes 90
Obesitas

3 no 63

4 no 82

Batu Ureter
2 yes 65
D
PCNL S +
Batu
3 yes Insersi DJ 65
Staghorn S Stent D/S

PCNL S +
2 no Insersi DJ 71
Stent S

PCNL D +
1 yes Insersi DJ 70
stent D

1 HT No ESWL 70

URS S +
3 Sepsis yes DM type 2, CKInsers DJ 72
Stent S

1 no 81

1 No - - 70

0 HT no HT 54

Bt ureter S URS + DJ
2 yes 63
distal stent DS

open batu
1 Yes - ren D 10 thn 78
yg lalu

Malrotasi
1 No HT URS DJ stet D 85
Ginjal S

Hydropyone Hydropyonep
4 phrosis + No hrosis + HT + 96
HT obesitas
Hondsfield
TB BMI Diagnostk Ukuran Batu HB pre op
Unit

172 NCCT multple 1x1 15:04

3x3 cm + multple
163 NCCT 13:09
inferior stones

168 NCCT 4x5 14:04

171 NCCT 0.9x1.1 13:08

159 cm NCCT 2.1x1.2 12,0

165 NCCT 2,9x2,4 cm 12,7

162 NCCT 2 cm 10,0

168 NCCT 1,5x0,6 cm 10,9

163 NCCT 2 cm 9.1

169 NCCT 0,7 cm dan 0,5 cm 11.1

168 NCCT 4x5 13:00

166 NCCT 6.3x1.1 13:09

164 NCCT 3.4x3.01 15:07

165 NCCT 1,5x0,5 multple 0,5 13.9


160 NCCT 1,3 x 1,3 cm 12

175 NCCT 3x4 cm 18

batu pole bawah


multpel : 0,3 cm dan
170 NCCT 14,1
0,7 cm. Batu staghorn
: 3 cm

154 NCCT batu pyelum 3,3 cm 12.5

Batu cetak Ginjal Dx


4,5 x 2,5, Batu
165 NCCT 878 13.4
Multple Kaliks
Inferior 0,5 cm

Batu ren multple


165 NCCT 14.8
pole bawah D 2,8 cm

Batu Ren Multple


Pole Atas Bawah
162 2.6672763E-07 NCCT 9.9
Ukuran terbesar 0,6
cm

Btu pyelum 2 cm x 1.5


170 NCCT cm, batu ureter D 1.5 13:08
cm

175 NCCT 3x4 cm (staghorn S), 1 18


x 0.9 cm (pole tengah)

160 NCCT 3.3 x4 cm 416 9:03

upper pole 12x10


mm, midlle multple
154 NCCT 10:04
(burden 3 cm), lower
15 mm

Batu pielum 20x12


172 NCCT 9.4
mm

Batu Pielum 22x20,


batu kaliks inferior
170 NCCT 17
multple (burden 15
mm)
159 NCCT 2X3 dan 1x1 12,9

170 NCCT Btu Staghor S 55x47 12,6

NCCT 2,3x2 cm 430 13.8

NCCT 2,2x1,4x4,1 11.3

NCCT 2,2x1,3 11.9

NCCT 1,6x1,6 1477 10.6

NCCT 10.5

NCCT 3,6x2,4 14.2

180 NCCT 2x1x1 cm 15:03

NCCT 1,5x2,38 13.1

NCCT 1,78x5,81 13.4

NCCT 2cm, 0,8 cm 1300, 720 11.3

NCCT 0,8 dan 0,45 350 16.4


NCCT 12.5

NCCT 8.9

IVU 13.5

NCCT 3,2vcm 13.8

NCCT 9.1

NCCT 1,5x0,4 12.8

NCCT 8.8

Batu Staghorn D uk
2,94 x 1,68.Batu
Ureter S uk 0,93 x
170 NCCT 14.2
0,73cm + Batu Pole
bawah Ren S uk 0,53 x
0,93 cm

Batu Staghorn D uk
2,94 x 1,68.Batu
Ureter S uk 0,93 x
170 NCCT 12.7
0,73cm + Batu Pole
bawah Ren S uk 0,53 x
0,93 cm

Batu Pyelum D uk 3.5


177 NCCT 15.6
x 2.5 cm

Batu pyelum D 2,3 x


165 NCCT 12.7
1,8 cm

Batu Staghorn D uk
165 IVU 16.7
2,8 x 1,6 cm
Batu Pyelum D 2,8 x
158 NCCT 1,9 + Batu Pole bawah 12.1
D 1,4 x 1,08 cm

Batu Ren D 1,8 x 0,7 x


152 NCCT 960 13.3
1,3

159 NCCT Staghorn S 3,5 x 2,3 9

Pole Tengah 2,3 x 1,8


158 NCCT cm. Pole Bawah 2,2 x 12.7
1,7 cm

D 1,7 x 1,04 x 3,27


162 NCCT cm. S 2,2 x 1,49 x 4,16 13.4
cm

159 NCCT Staghorn S 3,5 x 2,3 12.8

Staghorn S 2,6 x 1,52


169 NCCT 14.2
x 3,8

Batu Ren S 1,14 cm.


168 NCCT 16.7
Batu Ureter D 1,16 cm
D 1,9 cm x 1,7 cm. S
170 NCCT 12.6
3,2 cm

175 NCCT 3,7 x 4,1 cm 12.6

Batu Staghorn S
170 NCCT 12,6
55x47

Batu Staghorn S
168 NCCT 11.7
55x47

165 NCCT 3x4 cm 8.8

165 NCCT 3,5x3,9 cm 13

Batu pyelum S 3,1x2,4


167 NCCT 13.4
cm

158 NCCT 2,8x2,3 cm 500 11.8

164 NCCT 2,2,1,5 1218 11.3

167 NCCT 3,2x4,1 cm 16.3

165 NCCT 3,3x1,2 cm 11.3

165 NCCT 3 X 2,7 cm 9.5


Serum
Leukosit Ureum Asam Urat UL Kultur
Kreatnin

Pseudomonas
10.91 1,41 25.5 8.8 aeruginosa MDRO

8.6 1.05 7.1

Pseudomonas
8.9 2.08 25.02 aeruginosa

8.9 1.52 27.07 9.08 E coli (ESBL)

5.9 24 0.58 5.1 E. coli

8,0 2,63 58 7,2

Klebsiella
12 4,87 7,9
Pneumonia (ESBL)

6,2 1,06 7,6

14.8 15.39 261 12.5

10,9 0.62 30 5.8

Pseudomonas
11,3 1,82 aeruginosa
(Ciprofloxacin)

7.4 1.1 21.3 steril

8.1 1.36 22.3 8.5

11.1 2.77 30 7.9 Leu + Eri +


7 0.8 20 4.5

10:06 0.88 8

7,0 2,74 50

Eri 11, Leu k. pneumonia ESBL


8.2 0.79 33 7 574, Bakteri (amikasin,
5551 meropenem)

6.8 1:24 34 6:02

9.6 10:04 53 9.9

5.3 1.93 56 9 5/1.010/ERI


4-7/LEU >100

8200 2.2 8:05

10:06 0.88 8

ph
9:08 5:04 106 6:05 7/1.005/28/> ESBL
50

5/1.010/ERI
16:06 2.8 70 11:02 5-7/LEU 30-
35

7.5 1,02 25,70

Eri penuh ;
12,69 0,82 11 leu penuh
4.7 0.87 15.6

7400 0.72 27 3,8

4.7 1.25

6,5/1.025/28
0.65 13 6/>100

6.7 32

7,0/2.010/++
5.9 1.38 40
++/+++

3.6 1.58 7.3 6,5/1.000/er


0-3/leu 0-1

7.5 1.47 5.3

7.19 0.97 21.61

9.3 0.69

10.1 0.6 6.1

6.1

7.9 1.48 8.6 5,50/1,027/e


ri 17,1/46,5
7.5 1.11 28

2.3

1.2

1.45 7.8

0.91 5.1 6,0/1,020/10


7/13,8

0.88

8.2 1.31 5.4

8400 1.6 19 5.9

7500 1.27 28

5,5/1,020/eri
5100 0.89 4.4 18-20/leu 1-
2

8200 0.96 17 5.2

6620 1.21 32.9 6.8 6,5/1,005/eri


4-8/leu>50 e coli
7500 1.27

7,0/1,010/5,
9100 1.83 37.4
2/308

9500 1.11 41

9100 0.74 3.2

6,5/1,025/eri
7440 0.7 7.7 286/leu 100

23800 1.11 41

11050 0.62 18 5.8 6,0/1,010/eri


135/leu 1114

5900 1.17 39
8300 1.79 9.9

Pseudomonas
21400 1.18 43 5.8 aeruginosa

7400 0.72 27 3,8

6900 0.82 31

Staphylococcus
15300 1.6 33.5 koagulase negatf

9000 0.82 3.7

4600 0.73 3.3

4600 0.68 24

5700 0.84 28

5,5/1,030/eri
10210 1 16 7.5 :161,0/leko:6 steril
9,6

6540 1.63 32 4.3

12000 1.24 26 6.4


Tanggal Jumlah Nephroscope
Posisi Jumlah Tract Jumlah insisi Lokasi tract
Operasi Puncture Size

24-Aug-19 Supine 1 1 lower calyx Normal

24-Aug-19 Supine 1 1 medial normal

24-Aug-19 Supine 1 1 upper Normal

26-Aug-19 Supine 1 2 lower calyx miniperc

upper and
26-Aug-19 Supine 2 SMS normal
lower

8/27/2019 supne 3 3 1 upper,


middle, lower normal

8/27/2019 supne 2 1 1 upper normal

8/27/2019 supne 1 1 1 lower calyx miniperc

8/27/2019 supine 2 1 1 Middle normal

8/29/2019 supine 2 2 Upper, middle Normal

upper and
31-Aug-19 Prone 2 2 2 Normal
middle

31-Aug-19 Supine 2 2 2 upper middle normal

31-Aug-19 Supine 1 1 1 lower calyx normal

1 upper and
31-Aug-19 Supine 3 2 normal + mini
lower
9-Sep-19 Supine 1 1 1 lower calyx Normal

10-Sep-19 Supine 1 1 1 lower calyx miniperc

11-Sep-19 Supine Lithot 1 1 1 lower calyx normal

11-Sep-19 Supine 2 1 1 middle lower normal

1 lower & mid


9/14/2019 supine 3 2 normal
calyx

9/16/2019 supine 1 1 1 lower calyx Miniperc

9/17/2019 SUPINE 1 2 1 Lower calyx normal

9/19/2019 supine 1 1 1 middle calyx miniperc

23-Sep-19 Supine 3 2 1 middle + Normal


lower calyx

23-Sep-19 supine 1 1 1 middle calyx mini pcnl + PCN

upper,
9/27/2019 supine 3 1 1 middle, lower Normal
calyx

middle &
27/9/19 supine 2 1 1 normal
upper

27 Sept 2019 Supine 2 1 1 Middle Normal


9/28/2019 Supine 1 1 1 upper normal

upper,
9/19/2019 supine 3 3 1 middle, lower Normal
calyx

6/19/2019 supine 1 1 1 Lower pole Normal

5/11/2019 supine 1 1 1 Normal

5/15/2019 supine 1 1 1 Normal

8/5/2019 supine 1 1 1 lower pole Normal

8/19/2019 supine 1 1 1 Normal

4/2/2019 supine 3 2 1 Normal

23-Aug-19 Supine 1 1 lower calyx miniperc

1 upper + lower Normal


4/18/2019 supine 2 2 pole

5/11/2019 supine 2 2 1 Normal

8/1/2019 supine 1 1 1 Normal

5/23/2019 supine 1 1 1 Normal


1 pole atas +
4/24/2019 supine 2 2 Normal
pole bawah

4/1/2019 supine 1 1 1 Normal

4/1/2019 supine 2 2 1 Nromal

1 pole atas +
4/5/2019 supine 1 1 Normal
pole bawah

7/1/2019 supine 1 1 1 pole tengah Normal

7/1/2019 supinme 1 1 1 pole tengah Normal

4/10/2019 supine 1 1 1 pole tengah Normal

5/10/2019 Supine 2 1 1 middle-lower Normal

6/13/2019 Supine 1 1 1 lower calyx Normal

4/15/2019 Supine 1 1 1 middle Normal

5/27/2019 Supine 1 1 1 middle Normal

1 upper &
8/6/2019 Supine 2 2 Normal
lower pole
8/7/2019 Supine 2 2 1 Upper Lower Normal

8/1/2019 Supine 1 1 1 middle Normal

7/8/2019 Supine 3 2 1 Upper - Lower Normal

5/19/2019 Supine 2 2 1 Middle-Lower Normal

4/15/2019 Supine 2 2 1 Middle-Lower Normal

6/25/2019 Supine 1 1 1 Upper Normal

8/29/2019 supine 2 2 1 Upper, middle Normal

8/16/2019 Supine 2 1 1 middle-lower Mini PCNL


5/9/2019 Supine 1 1 1 Lower Normal

8/31/2019 Prone 2 2 2 Upper-lower Normal

upper,
9/19/2019 supine 3 3 1 middle, lower Normal
calyx

upper,
10/7/2019 supine 3 2 1 middle, lower Normal
calyx
upper,
10/21/2019 supine 3 3 1 middle, lower Normal
calyx

10/21/2019 Supine 1 1 1 lower calyx Mini PCNL

10/22/2019 Supine 1 1 1 lower calyx Mini PCNL

10/24/2019 Supine 2 1 2 Lower calyx Mini PCNL

Supine 2 1 1 middle calyx Normal

10/28/2019 Supine 1 1 1 lower calyx Normal

10/28/2019 Supine 2 1 1 Upper pole Normal

10/29/2019 Supine 1 1 1 middle calyx Normal


Lama
Stone free DJ stent Nefrostomy Lama operasi Hb Post OP
Perawatan

Foley Cath
yes Yes string 11 mnt + URS 27 3
#20FR

Foley Cath
no yes string 5 29 2
#20FR

Foley Cath
no no 4 36 2
#20FR

yes yes string NG Tube #12 20 + URS 12 2 13.1

Foley Cath 20 6 menit


yes yes string 40 2 10.8
Fr

Foley Cath 20
yes yes 5 15
Fr

Foley Cath 20
yes yes 5 30
Fr

yes no NG Tube #12 3 15

Foley Cath 20
yes Yes 5 20
Fr

Foley Cath 20
yes yes 4 30
Fr

Foley Cath
no yes 4 36 2 12.6
#20FR

foley cath 20
no yes 4 33 2 12
fr
foley cath 20
yes yes 4 24 3 14.1
fr

Foley Cath
yes Yes 5 20 3 10.6
#20FR
Foley Cath
yes YES string 4 24 3
#20FR

Foley Cath
yes no 4 23 2
#20FR

Foley Cath
yes yes 15 (URS) 130 13.9
#20FR

Foley Cath
yes yes string 5 37
#20FR

Foley Cath
No yes 5 46 11.5
#20FR

yes No NGT 12 Fr 5 27

foley cath 20
no yes 6 70 9.4
Fr

yes yes ngt 12 Fr 10 15 13.1

No yes Foley Cath 5 90


#20FR

Foley Cath 20
yes yes string 4 34
Fr

Foley Cath 20 6 menit


yes yes 50 9.1
Fr

Foley Cath 20 6
yes no 10
Fr

Foley Cath
Yes No #20FR + NG 4 26
Tube`
Foley Cath
yes yes string 4 28 2
#20FR

yes yes Foley Cath 20 2 0 2

Foley cath 16
no yes 1 40 2
fr

Foley cath 20
yes yes 1 30 2
fr

Foley cath 20
yes yes 0 20 2
fr

Foley cath 20
yes yes 0 35 3
fr

Foley cath 20
no yes 1 0 3 9.7
fr

Foley cath 20
yes yes 1 5 2
fr

yes NG Tube #12 5 mnt 24 3

Foley cath 20
yes yes 0 35 2
fr

Foley cath 20
yes yes 0 35 2 12
fr

Foley cath 20
yes yes 0 30 3
fr

Foley cath 20
yes yes 1 0 3
fr
Foley cath 20
yes yes 1 35 2
fr

yes yes NGT 1 20 3

Foley cath 20
yes yes 1 0 2
fr

Foley cath 20
yes yes 0 25 2
fr

Foley cath 20
yes no 0 25 3 10.1
fr

yes no NGT 0 40 3

Foley cath 20
yes yes 1 10 3 12.7
fr

Foley Cath 20
yes yes 1 30 3
Fr

Foley Cath 20
yes yes 1 0 2
Fr

yes yes no 1 0 2

Foley Cath 20
yes 30 2
Fr

Foley Cath 20
yes yes 1 10 2
Fr
Foley Cath 20
yes yes 1 0 2
Fr

Foley Cath 20
yes yes 1 0 3
Fr

Foley Cath 20
no yes 2 0 4
Fr

yes yes 30 3

Foley Cath 20
yes yes 1 3
Fr

Foley Cath 20
no yes 1 40 5 7.9
Fr

2 Foley Cath
no yes 2 0 3
20 Fr

Foley Cath 20
yes yes 1 10 2
Fr
Foley Cath 20
yes no 30 2
Fr

Foley Cath 20
no yes 1 30 2
Fr

yes yes Foley Cath 20 2 0 2

Foley Cath
no yes 5 48
#20FR

Foley Cath 20
Yes Yes string 7 36 3
Fr

yes Yes string NGT 16 fr 3 54 2 11.6

Foley Cath 20
Yes Yes string 2 70
Fr

Yes Yes String NGT 12 Fr 7 80 2

Foley Cath
yes no 14 48 2
#20FR

Foley Cath
No Yes 4 38
#20FR

Foley Cath
Yes Yes 8 30 3
#20FR

Foley cath
Yes Yes 5 40 4
20Fr
Leukosit post Kreatnin Analisa Batu Komplikasi/Clav Aff Stent Tindakan Lanjutan
op Post op ien Dindo score

no aff stent poli

aff stent poli +


no ESWL

residual stone Pro second look

10.7 no aff stent poli

10-.7 no aff stent poli

21.4 1.18 residual stone

12.7 0,9 residual stone ESWL

17.5 0.86 Pro PCNL D

3B, sepsis gant


13.6 0.86 Pro PCNL S
stent di RSSA
Ca oxalat as
13.4 1.9 urat aff stent poli

8.4 0.96 aff stent poli

11.7 1.79

11.6 1.67

13.1 3.53
D

3.8 2.13

no

13.5

Endopyelotomy S
9.7

PCNL S

D Aff stent S perpoli

Af stent D perpoli

Aff stent D perpoli


Ca Oksalat + S
Asam Urat

Lanjut
Endopyelotomy D

bleeding
intraoperatve
600cc/II

Aff DJ Stent
Perpoliklinis

PCNL S

bleeding
intraoperatve
8800 PCNL S
1000cc/II-->
rawat ICU

PCNL S
RIRS S

ESWL

9.3 0.45 yes

Aff DJ Stent
yes Perpoliklinis
Limited
nephroscope
mobility due
to positon
2019

No Tanggal MRS Nama Med Record Hospital

1 25-Aug-19 Tn. Heru Budi Siswanto 350749 RSPN

2 24-Sep-19 Tn. Gatut Rahmanto 354153 RSPN


\
Usia Pada Grade/Kriteri
Alamat Telp Tanggal Lahir Saat operasi a

Jl. Pelabuhan Bakahuni RT 04 RW 06 81233106151 7/29/1979 40 1


Bakalan Krajan Sukun
Aspol Polsek Batu Jl. Ach Yani 03/07,
81333455716 5/7/1980 39 2
Ngaglik, Batu
Diagnosis Lama setelah
Co-morbid Riwayat tndakan/ operasi BB TB
Sekunder penyuntkan

injeksi urang aring 5 bulan 67 kg 161 cm

injeksi minyak >7 bulan 67 kg 170 cm


Tanggal Tahap Tindakan
BMI HB pre op Leukosit Lama operasi
Operasi Operasi Lanjutan

14.7 5300 8/26/2019 1 150 ya


1 (+ cecil
17.6 7400 9/24/2019 120 ya
flap)
Leuko Post Lama
Hb Postop Lama Bebat Lama Kateter Perawatan
op

5 5 5

4 4 5
Nama No Tanggal MRS Jenis Kelamin Med Record Hospital

Ny Widyaningsih 1 4/7/2019 P 342061 PN

Ny Wijiasih 2 4/9/2019 P 344184 PN

Tn Winardi 3 4/17/2019 L 345407 PN

Ny. Dhian Septanawat 4 7/7/2019 P 346217 PN

Ny. Suyatn 5 9/13/2019 P 353187 RSPN

Tn. Chajad 6 9/25/2019 L 352112 RSPN

Ny. Joyce Ivone 7 9/27/2019 P 354099 RSPN

Tn. Nasian 8 10/7/2019 L 348043 RSPN


Usia Pada
Alamat Telp Tanggal Lahir Saat operasi

Jl. Pramuka Gang Merpat No 30 RT 1 8123383542 3/8/1954 65


RW 9 Kalirejo Lawang Malang
Jl. Simpang Piranha Atas No V RT 5
RW 2 Tunjung Sekar Lowokwaru 81235823983 1/17/1977 42
Malang
Dsn Pelem RT 05 RW 1 Pelem 8123400925 10/29/1953 65
Campurdarat Tulungagung

Dsn Campur Kuntul RT 1 RW 9 81259478784 9/20/1982 36


Campurdarat

Dsn. Krajan Barat 04/05, Mlokorejo, 85330165683 10/19/1964 54


Puger, Jember

Luwung, 04/02, Beji, Pasuruan 89699798355 6/30/1965 54

Jl Joyo Asri AA 22 RT 01 RW 09 85299856123 7/21/1984 35


Lowokwaru Malang

Jl. Klampok RT 20 RW 9 Tajinan 081336488507 6/11/1959 60


Hidronefrosis Diagnosis Bilateral
Diagnosis Primer Co-morbid
grade Sekunder Stones

DJ Stent
Batu ren multpel pole atas dan bawah S 1 no
insitu S

Batu pyelum
Batu ren pole bawah D 2 yes
S

DJ Stent
Batu ren S 3 no
Insitu D
Batu ureter
tegah D +
Batu multpel pole bawah ren S 1 yes
Abses
pararenal
UPJ Stenosis
Batu Pole Tengah S 3 S + Batu Buli no
Buli

DJ Stent
Batu Pole Tengah S 2 no
Insitu S

Batu UPJ D 1 - - -

Batu UPJ D 1
Riwayat tndakan/ operasi BB TB BMI Diagnostk Ukuran Batu

PCNL S + Insersi DJ Stent S 57.8 NCCT

55 NCCT

67.5 NCCT 1.65

84.4 NCCT 1,2x0,7

PCNL S 53 158 NCCT 13 mm

PCNL S + Insersi DJ Stent S 71 175 NCCT 13x16 mm

- 50 160 NCCT 10X10 mm

65 165 NCCT 10x10 mm


Hondsfield Serum
HB pre op Leukosit Ureum Asam Urat UL
Unit Kreatnin

9.7 2.16 69

8.8 8.2 1.31 5.4

13.4 1.1 4

480 9.3 0.98

6,5/1,020/eri
970 12.8 5950 1.18 44.3 33,1/leu 52,4

13.8 6000 1.82 24 5.8

- 12.4 5500

16.1 7000 0.80 33 Eri ++


Tanggal Access
Kultur Posisi Pre Stentng Stone free DJ stent
Operasi Sheath

4/8/2019 Litotomi No yes yes Yes string

4/10/2019 Litotomi no yes yes yes

4/18/2019 Litotomi no yes yes yes

7/8/2019 Litotomi no no yes yes string

Steril 9/14/2019 lithotomy yes No yes Yes string

Pseudomona 9/26/2019 lithotomy yes yes yes yes string


s aeruginosa

27/9/19 lithotomy No No Yes Yes string

10/7/2019 lithotomy No No Yes Yes string


Komplikasi/Cl
Lama Hb Post OP Leukosit post Kreatnin
Lama operasi Perawatan Analisa Batu avien Dindo
op Post op score

65 2

70 3 12.7 9.7

25 2

120 2

60 2

45 2

35 2

78 1 16.6 10.9
Tindakan
Lanjutan

Inisisi drainase abses pararenal

PCNL S
Aff Dj Stent
perpoli

Endopyeloto
my +
Vesicolithotri
psy --> Aff DJ
Stent perpoli
Age at time Current
RM No. Name Date of Birth
of surgery smoker

2019
1 Tn. Henky

2 Tn. Sutrisno
Chewing Diabetes
Past Smoker DM Hgb AIC EHS IIEF
tobacco treatment

Not sexual
4 actve
Not sexual
2 actve
Previos Type of
Main Stricture Lichen
ESR CRP Radiation instrumentati
Symptoms etiology Sclerosus
Treatment on

Urinary Instrument Catheter


Retenton aton
Urinary Infecton
Retenton
Stricture Previous Number of Number of
Stricture site Stricture type
length (cm) treatment urethrotomies dilataion

2 distal bulbar obliterated no 0 0

14 panurethral partal no 0 0
Suprapubc
Number of graft length
catheter at time of Type of surgery Skin Graft Oral graft
urethroplasties (cm)
surgery

0 4 Non Transectng

0 Perineostomy
length of
catheterizatio
Date of FOLLOW UP Pre operative
n post Follow up 1 bulan 2 bulan
surgery (weeks) Qmax
operatively
(weeks)

10/21/2019 4

10/26/2019 4
Action for
3 bulan 6 bulan 9 bulan 12 bulan Success Komplikasi
complicaton

Hematoma
Hematoma evacuaton
Date of redo Redo - Date of redo UROFLOWM Max Flow
Redo-surgery Tanggal
surgery Surgery surgery ETRI Rate
average flow voided Time To max
Flow Time Voiding time Acceleration Hesistency
rate volume Flow
Max Flow average flow voided Time To max
tanggal Flow Time Voiding time
Rate rate volume Flow
Max Flow average flow voided
Acceleration Hesistency tanggal Flow Time
Rate rate volume
Time To max Max Flow average flow
Voiding time Acceleration Hesistency tanggal
Flow Rate rate
voided Time To max
Flow Time Voiding time Acceleration Hesistency
volume Flow

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