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HUGI-IUGA AffiliationBudi Iman Santoso
Presented at IUGA Regional Symposium, Sanur-Bali, 7-9 Nov 2013
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Outline
Our Patients:What do we
have?
IUGA & HUGI mission & activities
HUGI accomplishments
• What have we done?
HUGI recent activities
•What are going on?
HUGI: Challenges & obstacles
• What do we face?
HUGI-IUGA affiliation
•What do we need?
Conclusion
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What do we have?
• 1 center, 13 sub-center, 38 urogynecologists, more than 4000 OB/GYN, 245 million population, 18.306 islands
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Urogynecology Outpatient Clinic Cipto Mangunkusumo Hospital during Jan-Des 2012
Fistu
les
Uroge
nital C
ongenita
l Anomaly
Other
Incontinence POP
OASISTotal
0
50
100
150
200
250
300
350
22
72
23 17
175
18
327
Trauma, P
olip, C
yts, Elonga
tio Colli), e
tc
53%
With
or with
out complic
ations,
i.e
Incontinen
ce
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Projected Prevalence for 13 sub-centers
Fistules
Urogenita
l Congenita
l Anomaly
Other
Incontinence POP
OASISTotal
0
500
1000
1500
2000
2500
3000
3500
220
720
230 170
1750
180
3270
In Indonesia, more than 3000 patients per year predicted to visit urogynecology services in 13 teaching hospitals
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Colpocleisis
Fistule
repair
Fistulorra
phy
Hymen
excis
ion
Manch
ester
Fotherg
ill
Neova
gina
others
Sacro
hystero
pexy
Septal
excis
ion
Total
Perinea
l Rupture
Repair
TVH (v
arious t
echniques)
0
5
10
15
20
25
30
35
40
45
2 1
6
3 24
9
2
8 8
39
Urogynecology Procedures Cipto Mangunkusumo Hospital during Jan-Des 2012
46%
In Indonesia, more than 800 procedures predicted to be performed in a year in 13 teaching hospitals
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Urogynecology Procedures Hasan Sadikin Hospital Bandung during Jan-Des 2012
Cystosco
py
Septu
m Excisio
n
Fistu
lorraphy
Insisi L
abia
Man
cheste
r Forth
egil
Perineorra
phy
TVH + Ant C + Post
C
Vaginoplas
ty0
5
10
15
20
25
30 21%
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Urogynecology ProcedureDr. Soetomo hospital during Jan-Des 2012
septu
m excisio
n
fistulorra
phy
insisi la
bia
perineorap
hy
TVH Ant C + Post
C
Vaginoplas
ty
klito
ral re
duction
other
hematometra
purandare
sinekia
ixcis
ion
kolpokle
isis
total
0
20
40
60
80
100
120
1
RUMAH SAKIT UMUM DAERAH
Dr. SOETOMO
7 6 1 2
44
3
20
26 7 3
102
43%
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IUGA Mission Statement• “Global advancement of urogynecological knowledge
and practice through education and the promotion of basic and clinical research on disorders of the female pelvic floor.“
IUGA
PracticeEducationResearch
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IUGA Activities
• annual conference • International Urogynecology Journal• education programs– consensus terminology in the field– connecting related professionals– producing patient education materials– grant
• etc
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Urogynecology ProcedureDr. Soetomo hospital during Jan-Des 2012
septu
m excisio
n
fistulorra
phy
insisi la
bia
perineorap
hy
TVH Ant C + Post
C
Vaginoplas
ty
klito
ral re
duction
other
hematometra
purandare
sinekia
ixcis
ion
kolpokle
isis
total
0
20
40
60
80
100
120
1
RUMAH SAKIT UMUM DAERAH
Dr. SOETOMO
7 6 1 2
44
3
20
26 7 3
102
43%
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HUGI Mission Statement
• “A well established organization with the achievement of high quality medical science and technology in pelvic floor dysfunction in 2015.”
HUGI
PracticeEducationResearch
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HUGI Collaboration
Organizing Committee
Indonesian Women
AffiliationOrganization
MembersOther
Providers
Advisors
Government
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Our mission statementIndonesian Women
• To Improve management and quality of care of pelvic floor dysfunction. • To increase Indonesian women’s knowledge and awareness regarding pelvic floor dysfunction.
Members & Providers
• To raise and set standards of training in urogynaecology• To provide support and guidelines for urogynecologists’ research. • To organise meetings & trainings in order to increase doctors, nurses, midwives, and students’ knowledge and skill about the pelvic floor dysfunction.
Government
• To help the government to full fill the need of Urogynecology Services in all area in Indonesia.
Affiliation AdvisorsOrganizing Committee
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HUGI activities
Education•Residency Training Curriculum Improvement•Urogynecology Training Curriculum•Study Guide:•Perineal Rupture•Urinary tract injury•Workshop & Training
Research•Urogynecology QoL Questionnaires Development•Patient Registration (online)•Epidemiology Research•Clinical Trial
Practice•Uniform Medical record•Urogynecology Guideline•Collaboration with Universal Coverage System
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What have we done?• Urogynecology & Residency
Training Curriculum• Seminars, Trainings & Workshops• Research & Publication• QoL Questionnaires translation &
validation• Levator Ani Injury Screening Tools• HUGI Website
– Research Database– Member Database– News & Event– Knowledge Update
PFDI-20, PFIQ 7, ICIQ FLUTS 08/04
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HUGI Official Website:
HUGI Website
• Research Database• Member Database• News & Event• Knowledge Update• Patient education• Scoring System/Screening Tools• Surgical procedures video (coming soon)• Online store (coming soon)
www.hugi-online.com
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What is going on?
• Urogynecology Patient Registration
• Pelvic Organ prolapse National Guideline
• Planned CS recommendation
• Research• Urogynecology & Residency
Training• Organization Development• Local Workshop & Training
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POP Guideline Postal Round
(online) • Online
www.hugi-online.com
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Challenges
Education•Limited resources•Limited available time for teaching•IT practice
Research•Limited resources•Low number of Int’l publications•Language barrier•Scientific writing skills•International collaboration
Practice•Women with low education•Awareness regarding PFD
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HUGI-IUGA Affiliation: What do we need from IUGA?
Education•Guest Lecture•Collaboration in Workshop & Training•Observerships & Fellowship Opportunities•Guideline, terminology, procedure update
Research•PISQ-IR translation project•Research Grant•Collaborative/Multi-center Research•Regional & International Publication Tutorial & Guidance
Practice•IUGA Patient education in Bahasa Indonesia•Get Involve in Guideline Development
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Strategic Plan
Description HUGI PIC
IUGA PIC
Objective Parameter
Target of accomplishment
Guest Lecture 1 Guest Lecture Within 1 year
Collaboration in Workshop & Training 1 Event after Regional Bali
Within 3 years
Education & Training:1. Observerships2. Fellowship Opportunities3. Exchange4. Short Course
1 observership1 fellowship
Within 5 years
Guideline, terminology, procedure update
Regular update Within 1 month
IUGA Patient education in Bahasa Indonesia
Published in www.iuga.org or hugi-online.com
Within 1 year
Get Involve in Guideline Development HUGI member invlovement
If there is any guideline development
PISQ-IR translation project PISQ-IR indonesian ver
Within 1 year
Research Grant 1 Research grant Within 5 years
Collaborative/Multi-center Research 1 Research Within 5 years
Regional & International Publication Tutorial & Guidance
1 IUGA mentor for HUGI member2 Int Publication
Within 5 years
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Collaborative Research
• Multi-center• Collaborative
Research• Grant• PIC?
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Educational Training
• Observership & Fellowship Grant
• Short Course Training
• Exchange program• Contact
Person/Host?
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International Publication Work
• Tutorial & Guidance
Indonesian Journal of Obstetrics & Gynecology
• Strategic Plan Development• IUGA member as one of international boards
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Conclusion
HUGI has big opportunities, market, and potential resources (Challenges & Opportunities)
Greater efforts to increase women and physicians awareness regarding pelvic floor disorder are extremely needed in Indonesia.
IUGA assistances in the field of education, research, and practice are needed to develop in systematic, clear, and targeted strategic plan.
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Strategic Plan
Description HUGI PIC
IUGA PIC
Objective Parameter
Target of accomplishment
Guest Lecture 1 Guest Lecture Within 1 year
Collaboration in Workshop & Training 1 Event after Regional Bali
Within 3 years
Education & Training:1. Observerships2. Fellowship Opportunities3. Exchange4. Short Course
1 observership1 fellowship
Within 5 years
Guideline, terminology, procedure update
Regular update Within 1 month
IUGA Patient education in Bahasa Indonesia
Published in www.iuga.org or hugi-online.com
Within 1 year
Get Involve in Guideline Development HUGI member invlovement
If there is any guideline development
PISQ-IR translation project PISQ-IR indonesian ver
Within 1 year
Research Grant 1 Research grant Within 5 years
Collaborative/Multi-center Research 1 Research Within 5 years
Regional & International Publication Tutorial & Guidance
1 IUGA mentor for HUGI member2 Int Publication
Within 5 years
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Thank you
“Collaboration toward a better life”
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Dr. Catherine Matthews