2. Outline
Our Patients:
HUGI
accomplishments
What do we
have?
IUGA & HUGI
mission &
activities
• What have we done?
HUGI recent
activities
HUGI: Challenges
& obstacles
HUGI-IUGA
affiliation
• What are going on?
• What do we face?
• What do we need?
Conclusion
3. What do we have?
• 1 center, 13 sub-center, 38 urogynecologists, more
than 4000 OB/GYN, 245 million population, 18.306
islands
5. Projected Prevalence for
13 sub-centers
3500
3270
3000
2500
2000
1750
1500
1000
500
720
230
220
170
Other
Incontinence
180
0
Fistules
Urogenital
Congenital
Anomaly
POP
OASIS
Total
In Indonesia, more than 3000 patients per year predicted to visit
urogynecology services in 13 teaching hospitals
6. Urogynecology Procedures
Cipto Mangunkusumo Hospital during Jan-Des 2012
45
46%
40
39
35
30
25
20
15
9
10
8
8
6
5
2
3
1
4
2
2
0
In Indonesia, more than 800 procedures predicted to be performed in a year in 13
teaching hospitals
8. Urogynecology Procedure
Dr. Soetomo hospital during Jan-Des 2012
RUMAH SAKIT UMUM DAERAH
Dr. SOETOMO
120
102
100
80
43%
60
44
40
20
0
20
7
6
1
2
1
3
2
6
7
3
9. 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.“
10. IUGA Activities
• annual conference
• International Urogynecology Journal
• education programs
– consensus terminology in the field
– connecting related professionals
– producing patient education materials
– grant
• etc
11. Urogynecology Procedure
Dr. Soetomo hospital during Jan-Des 2012
RUMAH SAKIT UMUM DAERAH
Dr. SOETOMO
120
102
100
80
43%
60
44
40
20
0
20
7
6
1
2
1
3
2
6
7
3
12. HUGI Mission Statement
• “A well established organization with the
achievement of high quality medical science
and technology in pelvic floor dysfunction in
2015.”
14. Our mission statement
Indonesian 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
Organizing Committee
Advisors
15. HUGI activities
Education
Research
Practice
• Residency Training
Curriculum
Improvement
• Urogynecology
Training Curriculum
• Study Guide:
• Perineal Rupture
• Urinary tract
injury
• Workshop &
Training
• Urogynecology QoL
Questionnaires
Development
• Patient Registration
(online)
• Epidemiology
Research
• Clinical Trial
• Uniform Medical
record
• Urogynecology
Guideline
• Collaboration with
Universal Coverage
System
16. What have we done?
PFDI-20, PFIQ 7,
ICIQ FLUTS 08/04
Kuesioner: Pelvic Floor Distress Inventory-Short Form (PFDI-20)
Instruksi: Anda diminta menjawab semua pertanyaan yang diberikan pada survei berikut. Anda
akan ditanya mengenai apakah anda mengalami gejala tertentu pada usus, kandung kemih, atau
panggul, dan jika ya seberapa mengganggunya kondisi tersebut. Beri tanda silang X di area yang
sesuai untuk menjawab.
Terdapat 20 pertanyaan untuk kuesioner PFDI-20 dengan tiga skala inventori. Semua pertanyaan
menggunakan skala respon 0 sampai 4, dengan format sebagai berikut.
Apakah anda ………………………………….?
Tidak
Ya
Jika ya, seberapa mengganggu kondisi tersebut?
1 = tidak sama sekali
2 = terkadang
3 = sedang
4 = mengganggu
Skala
Pelvic Organ Prolapse Distress Inventory 6 (POPDI-6)
1. Biasa mengalami tekanan di abdomen bagian bawah?
2. Biasa mengalami perasaan tidak nyaman di area panggul?
3. Biasa mendapati benjolan? atau sesuatu yang keluar yang anda bisa lihat atau rasa di area
vagina?
4. Pernah harus mendorong vagina atau rektum untuk melakukan atau menyelesaikan BAB?
5. Biasa mengalami rasa buang air kecil yang tidak tuntas?
6. Pernah harus mendorong bonjolan di area vagina dengan jari untuk memulai atau
menuntaskan buang air kecil?
Colorectal-Anal Distress Inventory 8 (CRADI-8)
7. Merasa anda harus mengedan terlalu kuat untuk BAB?
8. Merasa tidak tuntas setelah buang air besar?
9. Biasa mengeluarkan feses diluar kontrol dengan bentuk feses Anda yang padat?
10. Biasa mengeluarkan feses diluar kontrol dengan bentuk feses Anda cair atau lembek?
• 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
17. 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
18. What is going on?
• Urogynecology Patient
Registration
• Pelvic Organ prolapse
National Guideline
• Planned CS
recommendation
• Research
• Urogynecology & Residency
Training
• Organization Development
• Local Workshop & Training
20. Challenges
Education
Research
• Limited
resources
• Limited available
time for
teaching
• IT practice
• Limited
resources
• Low number of
Int’l publications
• Language
barrier
• Scientific writing
skills
• International
collaboration
Practice
• Women with
low education
• Awareness
regarding PFD
21. 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/Multicenter Research
• Regional &
International
Publication Tutorial
& Guidance
Practice
• IUGA Patient
education in Bahasa
Indonesia
• Get Involve in
Guideline
Development
22. 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. Observerships
2. Fellowship Opportunities
3. Exchange
4. Short Course
1 observership
1 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 hugionline.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 member
2 Int Publication
Within 5 years
25. International Publication
Work
• Tutorial & Guidance
Indonesian Journal of
Obstetrics & Gynecology
• Strategic Plan Development
• IUGA member as one of
international boards
26. 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.
27. 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. Observerships
2. Fellowship Opportunities
3. Exchange
4. Short Course
1 observership
1 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 hugionline.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 member
2 Int Publication
Within 5 years
