Objective: To obtain the prevalence of women with lower urinary tract symptoms (LUTS) in Dr. Cipto Mangunkusumo National Hospital, Indonesia. Method: We conducted a descriptive and analytic study with questionnaire- based data collection. All subjects were interviewed using the conventional method and International Consultation on Incontinence Questionnaire (ICIQ) Female LUTS long form validated in Indonesian language in the gynecology outpatient clinic in Dr. Cipto Mangunkusumo Hospital. Result: Using the conventional method, proposing only one question of urinary disturbance without asking the detailed symptoms, a low prevalence of LUTS was obtained (17.3%). On the other hand, with a well-structured questionnaire using ICIQ-FLUTS long form, the prevalence of LUTS was 95.3%. This result revealed that LUTS was a common condition among Indonesian women in the study population with vaginal delivery as the common risk factor. Conclusion: Screening for LUTS using a structured questionnaire identified a significantly higher prevalence of LUTS than the conventional method. The ICIQ-FLUTS long form validated in Indonesian language is a robust questionnaire that can be recommended for use in epidemiological research as well as routine clinical practice. Keywords: ICIQ FLUTS long form, Indonesia, LUTS, prevalence, women
Objective: Reporting management of acute uterine inversion with hemorrhagic shock in minimal facilities situation. Method: Case report. Results: Manual reposition in acute uterine inversion was a lifesaving treatment. The decision to do manual reposition with minimal sedation and without any tocolytic could be done in this case, due to minimal facilities situation where there is no operating theater available for ideal uterine reposition. Conclusion: Uterine inversion can be promptly recognized in the third stage of parturition. Manual manipulation aided by tocolytic with or without anesthetic agents is often successful in correcting the inversion. Shock condition that accompanied the inversion must be vigorously treated, as it would lead to serious maternal morbidity and mortality. Management of acute uterine inversion seems to be depended on the clinical situation and clinical judgment which is very important in every emergency case. [Indones J Obstet Gynecol 2012; 36-1:48-51] Keywords: hemorrhagic shock, manual reposition, minimal facilities situation, obstetric complications, uterine inversion
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