HUGI-IUGA AffiliationBudi Iman Santoso

Presented at IUGA Regional Symposium, Sanur-Bali, 7-9 Nov 2013

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

What do we have?

• 1 center, 13 sub-center, 38 urogynecologists, more than 4000 OB/GYN, 245 million population, 18.306 islands

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

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

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

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%

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%

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

IUGA Activities

• annual conference • International Urogynecology Journal• education programs– consensus terminology in the field– connecting related professionals– producing patient education materials– grant

• etc

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%

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

HUGI Collaboration

Organizing Committee

Indonesian Women

AffiliationOrganization

MembersOther

Providers

Advisors

Government

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

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

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

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

What is going on?

• Urogynecology Patient Registration

• Pelvic Organ prolapse National Guideline

• Planned CS recommendation

• Research• Urogynecology & Residency

Training• Organization Development• Local Workshop & Training

POP Guideline Postal Round

(online) • Online

www.hugi-online.com

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

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

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

Collaborative Research

• Multi-center• Collaborative

Research• Grant• PIC?

Educational Training

• Observership & Fellowship Grant

• Short Course Training

• Exchange program• Contact

Person/Host?

International Publication Work

• Tutorial & Guidance

Indonesian Journal of Obstetrics & Gynecology

• Strategic Plan Development• IUGA member as one of international boards

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.

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

Thank you

“Collaboration toward a better life”

Dr. Catherine Matthews