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Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from dyandrap, Urologist, Jl. Udayana No.16, Monjok Barat, Kec. Selaparang,, Mataram.

21/12/2025

Honored to attend the 4th InaSAU Meeting 2025, a scientific forum dedicated to comprehensive men’s health.

On this occasion, I had the opportunity to share insights on the role of Transurethral Resection of the Ejaculatory Ducts (TURED) in managing ejaculatory duct obstruction (EDO)—a correctable yet often under-recognized cause of male infertility.

Clinical application of TURED:
• Indicated in patients with confirmed EDO (low ej*****te volume, azoos***mia/oligozoos***mia, dilated seminal vesicles, or midline cysts)
• Endoscopic approach allowing direct relief of distal seminal tract obstruction
• Can be performed as a minimally invasive, fertility-preserving procedure

Key benefits of TURED:
• Restoration of antegrade ejaculatory flow
• Improvement in semen volume, s***m concentration, and motility
• Potential to achieve natural conception or improve outcomes of assisted reproduction
• Avoids more invasive s***m retrieval procedures in selected cases

A reminder that targeted diagnosis and appropriate intervention can significantly change reproductive outcomes in men with obstructive pathology.

Grateful to .inasau for advancing men’s health education and collaboration.

📸 by

17/12/2025

Endoscopic Combined Intrarenal Surgery (ECIRS)
Two approaches. One goal. Better stone clearance.

ECIRS combines simultaneous retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PCNL) to optimize stone clearance, particularly in complex, large, or staghorn renal stones.

Why ECIRS?
✔️ Higher stone-free rate in a single session
✔️ More accurate calyceal puncture under endoscopic guidance
✔️ Reduced renal torque and parenchymal trauma
✔️ Better control of bleeding and intrarenal pressure
✔️ Ideal for complex anatomy and high stone burden

Clinical applications
• Staghorn and complex renal calculi
• Large stone burden (>2–3 cm)
• Multiple calyceal stones
• Challenging renal anatomy

“Alone we can do so little; together we can do so much.”
— Helen Keller

By integrating antegrade and retrograde vision, ECIRS reflects how collaboration—between techniques, technology, and the surgical team—leads to safer, more effective outcomes in modern stone surgery.

📸 by

16/12/2025

Blue Laser Vaporization of the Prostate (BLV-P) — Post-Operative Evaluation

Proud to share a case of Blue Laser Vaporization of the Prostate with an excellent early functional and anatomic outcome (1 month). The blue laser’s shallow pe*******on depth and strong coagulative effect allow precise tissue ablation with minimal bleeding, making it a compelling option for selected BPH patients—especially those prioritizing fast recovery and functional preservation.

Post-op evaluation (early):
• Uroflowmetry: Qmax 27.3 mL/s, Qavg 18.6 mL/s
• Voided volume: 242 mL
• PVR: 44 mL
• IPSS: 7 (mild symptoms)
• QoL score: 1
• Imaging: Well-opened prostatic fossa on ultrasound/endoscopic view

These results reflect significant relief of obstruction, good flow dynamics, and high patient satisfaction shortly after surgery.

11/12/2025

Very honored to hold and host the first Blue Light Laser Training with Live Surgery in RSUI among ASEAN countries. This platform provides yet another promising alternative for BPH management, emphasizing a bloodless procedure, a low learning curve, and ej*******on preservation.

I truly hope to continue contributing to this ever-growing field of prostate management.

My deepest gratitude to Prof. Dahlin and Prof. Yang, who traveled all the way from Xi’an to share their exceptional knowledge and skills; to Ken and for coordinating the event; to all participants for their enthusiasm; and to all sponsors who helped make this training a reality.

“Innovation is born when expertise meets opportunity — and grows when shared.” DP, 2025

📸 by

01/12/2025

Another amazing event by AUSET — always on my must-attend list.
It’s never just about the up-to-date knowledge, the deep discussions, or the latest breakthroughs in endourology… it’s also about the family behind it.
The warmth, the camaraderie, and the shared passion are what make AUSET truly special.

Cheers to AUSET — see you all at the next event! 🔥🙌

“Great communities aren’t built by meetings; they’re built by people who care.” DP, 2025

29/11/2025

Very honored to participate and have a small contribution to this magnificent Endourology meeting by AUSET.

This year we featured so many exciting innovations — IRP, IRT, AI, and everything in between. Truly inspiring to witness how fast our field is evolving.

A huge appreciation to the amazing Dr. , together with Prof. and all AUSET members for hosting such an exceptional meeting. Great job to all — it was an honor to be part of it.

“Innovation happens when passion meets purpose — and today, we saw both in action.” DP, 2025

25/11/2025

PUA 2025 — A Hospitality Like No Other 🇵🇭

The warmth and kindness in the Philippines during PUA 2025 was truly incomparable.
They are not just friends… they are family.
I truly experienced the famous Filipino hospitality — heartfelt, genuine, and unforgettable.
It was wonderful meeting new friends from around the world, each bringing their own stories and passion.
Until we meet again, guys!

Quote:
“True hospitality isn’t about opening your doors — it’s about opening your heart.” DP, 2025

23/11/2025

Sharing my passion for prostate enucleation at the wonderful Philippine Urological Association Annual Conference.

Such an honor to be part of this event, beautifully coordinated by Dr. .juvido , Dr. , dr. , and the entire amazing PUA committee.

Always a pleasure to discuss, teach, and spread the word about advancing prostate enucleation—one case, one conversation, one community at a time.

“Knowledge grows when it’s shared. Excellence spreads when we teach.” - DP, 2025

18/11/2025

Many thanks to Dornier for a short but truly meaningful course on laser applications for stones and prostate. Grateful for the opportunity to learn, share, and refine our craft together.

Special thanks to and Thiruchelvam Jegathesan for the invaluable tips and tricks to help us perform even better surgery — truly appreciate the wisdom and generosity.

I genuinely believe the future of Endourology is vast and rapidly expanding — from laser physics to clinical precision, the possibilities ahead are exciting.

Equally rewarding was meeting old friends and connecting with new ones. Moments like these remind me why our community keeps growing stronger.

“When passionate people gather, innovation becomes inevitable.” DP, 2025

Onwards and upwards

17/11/2025

Blue Laser Vaporization of the Prostate
A new, minimally invasive option for Benign Prostate Enlargement (BPE)

Recently we performed Blue Laser Vaporization of the Prostate, an advanced technique that offers excellent tissue removal with minimal blood loss thanks to its unique laser wavelength and strong coagulation zone. This makes the procedure safer and cleaner, even in vascular prostates.

Case snapshot:
• Prostate size: 40 grams
• Patient preference: Preservation of ej*******on
• Operative time: ~1 hour
• Catheter removed: The next morning
• Hospital stay: Discharged the next day

The patient’s goals, safety, and quality of life always come first — and innovations like blue laser technology help us deliver that.

Swipe to see the before, during, and after the operation ➡️

05/11/2025

A Challenging Kidney Stone Case — with a Happy Ending

Sometimes, what looks small on the outside can be massive on the inside.
This patient came with a large “staghorn” kidney stone — measuring 6.4 cm — filling almost the entire right kidney. It caused swelling (moderate hydronephrosis) and required a special minimally invasive procedure called PCNL (Percutaneous Nephrolithotomy) to remove it.

The left kidney also had a few simple cysts, but thankfully they were harmless (Bosniak I).

💪 After a precise and carefully planned surgery, the patient was completely stone-free and was discharged the very next day — pain-free and recovering well.

Cases like this remind us how important it is to stay hydrated, check your kidneys regularly, and treat stones early before they grow too large.

📷 by

23/09/2025

Our Initial Experience with Local Anesthesia Prone PCNL in .ui

We present our first case of a 71-year-old male patient with a history of congestive heart failure post-PCI. He had to stop his blood thinners for 1 week before surgery. With an ejection fraction of only 13%, both spinal and general anesthesia were deemed too risky.

Otherwise active and healthy, we proceeded with local anesthesia. An ultrasound-guided flank block was performed, and surgery continued with a standard PCNL using a 30 Fr Amplatz sheath, dilated with Alken metal dilators.

This case demonstrates that in carefully selected patients, prone PCNL under local anesthesia can be a safe and feasible alternative when general or spinal anesthesia are contraindicated.

Operation with and

The patient was evaluated by

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Jl. Udayana No.16, Monjok Barat, Kec. Selaparang,
Mataram
83122

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