ANNOUNCEMENT

HLI UR
N
A L

TA O
O

A
K
G I

In
I

U
INDONESIAN SOCIETY OF
INDONESIA
ANDROLOGICAL UROLOGY

TH E I N D O N E SIAN F O U N DATI O N O F U R O LO GY D E VE LO PM E NT
( YAYASAN P E N G E M BAN GAN U R O LO G I I N D O N E S IA)

THE 34TH FIESTA UROLOGI 2017

Andro-Urology
& Mens Health
Grand City Convex Surabaya, July 29th - 30th, 2017

PCNL Workshop
InaSAU Microsurgery Workshop
Urological Nurse Symposium & Workshop
Muktamar Luar Biasa IAUI

D IT A E D IT A
C R T
I C T
I
E O R O
C C
N
N

A A
 GREETING

Dear Colleagues,

CONTENT We are delighted to welcome you to city of heroes,

Surabaya, in 26th 30th July, 2017. Symposium will
be held in Grand City Convex Surabaya, which is
1
GREETING located in the heart of the city.

2 34th Fiesta Urology is about Andro-urology and

COMMITTEE
Mens Health. We will have panel discussion, lecture,
3 symposium highlighting new guideline, breakthrough
SECRETARIAT
research and technology in Mens Health. In this
4 week, we will have workshop in PCNL as a regular
GENERAL INFORMATION basis of Fiesta Urology and Microsurgery to enhance
the skill of andro-urology procedure.
5
PRE SYMPOSIUM - WORKSHOP
We hope this annual Fiesta Urology can improve not
7 only our skill and knowledge, but also our bond as
SYMPOSIUM
family in Indonesian Urological Association.
9
REGISTRATION & ACCOMMODATION
INFORMATION
Best regards,

10
REGISTRATION FORM
Fikri Rizaldi, MD (Urol.)
11 C HAI R MAN
ACCOMMODATION FORM

THE 34TH FIESTA UROLOGI 2017 THE 34TH FIESTA UROLOGI 2017 1
 COMMITTEE S E C R E TAR IAT

PELINDUNG :
Pengurus Pusat Ikatan Ahli Urologi Indonesia
PENASEHAT :
Ketua Departemen Urologi FK Unair Surabaya
ORGANIZER
Ketua IAUI Cabang Jawa Timur

STEERING COMMITTEE : A
HLI UR
N O

O
Dr. Wahjoe Djatisoesanto,dr., SpU-K
TA

A G
K I

Prof. Dr. Sunaryo Hardjowijoto, dr., SpB, SpU-K INDONESIA

Prof. Dr. Doddy M. Soebadi, dr., SpB, SpU-K

Prof. Dr. Soetojo, dr., SpU-K
Sekretariat
Dr. Adi Santoso, SpB, SpU-K
Departemen/SMF Urologi
Dr. Tarmono, dr., SpU-K
Dr. Lukman Hakim, SpU, MARS, PhD FK. UNAIR/RSUD dr. Soetomo Surabaya
Dr. M. Ayodhia Soebadi, Sp.U Jl. Mayjend. Prof. dr. Moestopo no. 6-8 Surabaya 60286
Dr. Johan Renaldo, Sp.U Telp: +62 31 5501318; Fax: +62 31 5024971
Dr. Fikri Rizaldi, Sp.U HP: +6285731333449
Dr. Anugrah Dian Fitriani, SpU
CP: Hadi
Ketua Penyelenggara : Dr. Fikri Rizaldi, SpU Email: fiesta.urology2017@gmail.com

Wakil : Dr. Rheza M Putra

CO ORGANIZER
Sekretaris : Dr. Dian Kartika Rezia

Bendahara : Dr. Yohan Afandi

Sie Acara: Dr. Aditya Pramanta l Dr. Puruhito Eko Nugroho l Dr. Dimas Visa Aditya
l Dr. Bangun Oktavian l Dr. Reza Sanjaya l Dr. Achmad Kholis

Sie Ilmiah : Dr. Andri Rhomdon l Dr. Dwi Waskito l Dr. Ananta Cahyo Nugroho PT. GPD Indonesia
l Dr. Arifai Lumbangaol l Dr. Joseph Hartanta Purba l Dr. Zulfikar Dian Paradilan Jl. Kebalen V No. 24 A Kebayoran Baru
Sie Workshop : Dr. I. B Pramana l Dr. Riza Mazidu l Dr. Ahmad Nugroho Jakarta Selatan 12180
l Dr. Fadhila Rakhmatiar l Dr. Ari Alauddin l Dr. M. Reza Gautama Telp: +62 21 7254424, +62 21 7229339
Reg by SMS: +628111332664, +628111662664
Sie Publikasi & Dokumentasi : Dr. Randa Halfian l Dr. Eldien M Shidqy
l Dr. Suryo Prasetyo Tribowo l Dr. Anggana Suryatmana Fax: +62 21 7396261
Email: gpd@gpdindonesia.com / erlin@gpdindonesia.com
Sie Perijinan & Perlengkapan : Dr. Ardhito Rahman l Dr. Aril Rizaldi
CP: Erlin
l Dr. Widya Sakti l Dr. Johannes Marpaung l Dr. Binsar Marshall

Sie Transportasi : Dr. Moh. Surya Negara l Dr. Ido Putra Ramadhan
l Dr. Fadil Pramudya l Dr. Cahyo Wijayanto

Sie Konsumsi : Dr. Hajid Rahmadianto l Dr. Hasroni Fathurrahman l Dr. Zuhri Syawal
l Dr. Adhitya Fajar Prasetya

2 THE 34TH FIESTA UROLOGI 2017 THE 34TH FIESTA UROLOGI 2017 3
 G E N E RAL I N F O R MATI O N PRE SYMPOSIUM - WORKSHOP

PCNL WORKSHOP, JULY 26TH - 27TH, 2017

(Limited 12 Participants) - Ruang Vesica - GBPT, RSUD Dr. Soetomo, Surabaya
Wednesday, July 26th 2017
TIME DETAIL INSTRUCTOR
07.00 - 07.45 Re-Registration
07.45 - 08.00 Opening Remarks Dr. dr. Wahjoe Djatisoesanto, SpU (K)
08.00 - 08.20 Instrumentations and Surgical Techniques Dr. dr. Tarmono, SpU (K)
VENUE : 08.20 - 08.40 Access to Kidney and Complications Prof. Dr. dr. Doddy M. Soebadi, SpB, SpU (K)
Grand City Convex Surabaya 08.40 - 09.00 Case Selection Dr. dr. Wahjoe Djatisoesanto, SpU (K)
09.00 - 09.10 Q&A
Jl. Walikota Mustajab No. 1 09.10 - 09.30 Coffee Break
surabaya Jawa Timur T to Operating Room
ransferto OR

09.30 - 15.00
IMPORTANT DATE:
Thursday, July 27th 2017
Wednesday Sunday, July 26th 30th 2017
TIME
07.30 - 078..4500
THEME: 07.45 - 15.00
Andro-urology and Mens Health
PCNLWorkshop Prof. Dr. dr. Doddy M. Soebadi, SpB, SpU (K)
Dr. dr. Tarmono, SpU (K)
Dr. dr. Wahjoe Djatisoesanto, SpU (K)
DETAIL
Re-Registration
PCNL Workshop Prof. Dr. dr. Doddy M. Soebadi, SpB, SpU (K)
Dr. dr. Tarmono, SpU (K)
Dr. dr. Wahjoe Djatisoesanto, SpU (K)

DETAIL PROGRAMME: MICROSURGERY WORKSHOP, JULY 28TH & 30TH, 2017

a u amis 2 27uli 2017 : or s o (Limited 10 Participants) - Ruang Vesica - GBPT, RSUD Dr. Soetomo, Surabaya
umat i ggu 2 0 uli 2017: icrosurgery or s o
Friday, July 28th, 2017
a tu 2 uli 2017 : rological urse ym osium or s o TIME DETAIL INSTRUCTOR
07.00 - 07.30 Registration
a tu i ggu 2 0 uli 2017 : im osium
07.30 - 08.00 Course of Overview - Exercises in Microsurgery Doddy M. Soebadi
a tu 2 uli 2017 : alam ea ra a
08.00 - 08.20 Percutaneus Epidymal Aspiration (PESA) and Needle Aspiration Biopsy Vineet Malhotra (India)
a tu 2 uli 2017 : u tamar uar iasa (NAB). When and How
08.20 - 08.40 Vasovasostomy and Vasoepididymostomy Ponco Birowo
EXHIBITION: 08.40 - 09.00 Microsurgery Varicocelectomy Fikri Rizaldi

09.00 - 09.20 Coffee Break

July 29th 30th, 2017 09.20 - 09.40 Microdenervation of Spermatic Cord Masaki Kimura (Japan)

Bank Name : CIMB Niaga Cab. Dharmahusada Surabaya 09.40 - 10.00 Testicular Sperm Extraction (TESE) Ricky A

10.00 - 10.20 Micro-TESE Asif Muneer (London, UK)

Account number : 7025 - 3525 - 4000 10.20 - 11.00 Video Presentation: Microsurgical Procedure Asif Muneer (London, UK)

Account name : Yayasan Pengembangan Urologi Indonesia 11.00 - 11.20 Panel Discussion G Wirya D

11.20 - 13.00 Lunch and Pray

13.00 - 16.00 Paired Mentored Station in Microsurgical Procedures InaSAU

Semi - Live Video Prese tation Vineet Malhotra (India) & Masaki Kimura (Japan)
INTERNATIONAL SPEAKER:
Asif Muneer (London, UK) Sunday, July 30th, 2017
TIME DETAIL INSTRUCTOR
Du Geon Moon (Korea) 13.00 - 13.30 Registration
Masaki Kimura (Japan)
13.30 - 13.50 Course Overview in Wetlabs Doddy M. Soebadi
Nam Cheol Park (Korea)
13.50 - 14.10 Carl Zeiss Presentation
Rupin Shah (India)
14.10 - 16.30 Paired Mentored Station in Microsurgical Procedures InaSAU
See Woong Kim (Korea)
16.30 - 17.00 Closing & Coffee Break

THE 34TH FIESTA UROLOGI 2017 5

4 THE 34TH FIESTA UROLOGI 2017
 PRE SYMPOSIUM - WORKSHOP SYMPOSIUM

SATURDAY, JULY 29TH, 2017

UROLOGICAL NURSE SYMPOSIUM & WORKSHOP, SATURDAY, JULY 29 2017
Grand City Convex Surabaya
Waktu Acara

Time Topic 07.00 - 07.15 Registration

07.30 - 08.30 Registration 07.15 - 07.30 Opening Ceremony. Ketua IAUI

Sesi 1. Basic and Emergency Andrology
08.30 - 08.50 Illustrative Procedure of Urinary Stone Disease: Open vs Endoscopic
07.30 - 07.50 Clinical Investigation of the Infertile Male and Basic Semen Analysis
08.50 - 09.10 Open Stone Surgery: What to Do & What to Expect 07.50 - 08.10 Priapism Made Easy
09.10 - 09.30 Preparation of URS and PCNL: Step by Step 08.10 - 08.30 Buried Penis. How to Manage

09.30 - 09.50 Endoscopic Instruments: How to Properly Maintain & the Troubleshooting 08.30 - 08.50 Scrotal Pain: Treatment Algorithm
08.50 - 08.55 Q&A
09.50 - 10.00 Q&A
08.55 - 09.10 Coffee Break
10.00 - 10.30 COFFEE BREAK
Sesi 2. Sperm Retrieval
10.30 - 10.50 Endoscopic Management of Prostatic Enlargement 09.10 - 09.30 Percutaneus Epidydimal Aspiration (PESA). How to Do It Properly

10.50 - 11.10 Preparation of TURP and Green Light Laser Photoselective Vaporization of the Prostate: How do We do It 09.30 - 09.50 Neddle Aspiration Biopsy (NAB), When and How
09.50 - 10.10 TESE and Micro-TESE
11.10 - 11.30 Laparoscopic Surgery in Urology
10.10 - 10.30 Failed TESE. What Next?
11.30 - 11.50 Preparation & Troubleshooting of Urologic Laparoscopic Surgery
10.30 - 10.35 Q&A
11.50 - 12.00 Q&A Sesi 3. Operative Andrology
12.00 - 13.00 LUNCH 10.35 - 10.55 Penile Augmentation:Urologist Work?
10.55 - 11.15 General Conception of Penile Girth Enhancement
13.00 - 14.00 Workshop I : Preparation of Uroflowmetry dan Urodynamic
11.15 - 11.20 Penile Augmentation Using Filter, Injectable Hyaluronic Acid Gel
14.00 - 15.00 Workshop II: Performing CIC and Preparation of TRUS + Prostate Biopsy & Post Procedural Management
11.20 - 11.40 Peyronie's Disease: Technique Selection
15.00 - 15.30 COFFEE BREAK 11.40 - 12.00 Microdenervation of Spermatic Cord for Chronic Orchialgia
12.00 - 12.20 Varicocelectomy and Its Alternative
12.20 - 12.25 Q&A

Sesi 4. Lunch Symposium: Localized and Locally Advanced Prostate Cancer

12.25 - 12.40 Surgical Treatment: Recent Update on Open, Laparoscopic & Robotic Surgery
12.40 - 12.55 The Principle of ADT: Comparing NCCN Asia Version, EAU and AUA Guidelines
12.55 - 13.10 Dosage Options for ADT: What does the Evidence Say?
13.10 - 13.15 Q&A

Sesi 5. Azoospermia
13.15 - 13.35 Obstructive and Non Obstructive Azoospermia
13.35 - 13.55 Medical Treatment of NOA
13.55 - 14.15 Surgical Treatment of OA
14.15 - 14.35 SST Technique for Men with Testicular Failure
Grand City Convention & Exhibitio 14.35 - 14.40 Q&A

Sesi 6. Erectile Dysfunction

14.40 - 15.00 Patophysiology of Erectile Dysfunction
15.00 - 15.20 Treatment of ED
15.20 - 15.40 Shah Penile Prosthesis. Tips and Tricks to Do It Properly
15.40 - 15.45 Q&A

15.45 - 16.00 Coffee Break

MajapahitGarden Dinner
16.00 - 17.00 Muktamar Luar Biasa IAUI
17.00 - 18.00 Rapat IAUI Cabang Jawa Timur
19.00 - 21.00 Malam Keakraban

THE 34TH FIESTA UROLOGI 2017 7

6 THE 34TH FIESTA UROLOGI 2017
 SYMPOSIUM R E G I STRATI O N & AC C O M M O DATI O N I N F O R MATI O N

SUNDAY, JULY 30TH, 2017

Waktu Acara
REGISTRATION BY EMAIL HOTEL RESERVATION
07.00 - 07.30 Registration To get a registration form can contact the Hotel assignment will be made on a
Sesi 1. Endourology secretariat at +62 21 7254424 or +62 21 FIRST COME FIRST SERVE BASIS.
07.30 - 07.50 miniPCNL. How small can you go 7229339 after filling the registration form
can email to erlin@ gpdindonesia.com REGISTRATION AND
07.50 - 08.10 supine PCNL with low complication and gpd@gpdindonesia.com ACCOMMODATION SECRETARIAT
08.10 - 08.30 Retrograde Intrarenal Surgery. Cost and Benefit Department of Urology Airlangga University
08.30 - 08.35 Q&A REGISTRATION BY FAX School of Medicine Dr. Soetomo Hospital
Complete the registration form to the Surabaya
Sesi 2. BPH update Secretariat Fax number at +62 21 7396261 Mayjend Moestopo 6-8 Surabaya 60286,
08.35 - 08.55 Medical Treatment of BPH. Monotreatment or Combination and then reconfirm to secretariat at +62 21 Indonesia
08.55 - 09.15 TURP vs Laser 7254424 or +62 21 7229339 Phone : +62 31 5501318
Fax : +62 31 5024971
09.15 - 09.35 new paradigm in BPH ON SITE REGISTRATION Contact : Mr. Hadi (+62 857 31333449)
09.35 - 09.40 Q&A Those who have not registered in advance Email : fiesta.urology2017@gmail.com
09.40 - 09.55 Coffee Break may register at onsite registration desk. Only
cash payment in Rupiah will be accepted PT. GPD Indonesia
Sesi 3. Female Urology during onsite registration. No refund will be Kebalen V No. 24 A, Jakarta
09.55 - 10.15 Hernia Mesh for POP. Possible? made for onsite registration fees. 12180 Phone : (+62 21) 7229339,
7254424 Fax : (+62 21) 7396261
10.15 - 10.35 Biological Sling. Indication and Patient Selection
REGISTRATION PAYMENT Mobile : +62 8111 332664, +62 8111 662664
10.35 - 10.55 Current available treatment in Urinary incontinence All registration fees must be paid by bank Contact : Erlin
10.55 - 11.00 Q&A transfer. Registrant should bear all bank Email : erlin@gpdindonesia.com
charges. Please send a copy of the gpd@gpdindonesia.com
Sesi 4. Bladder Cancer
transaction along with the registration to
11.00 - 11.20 Bladder Cancer Management. Recent Update the Organizing Committee. PAYMENT BY
11.20 - 11.40 Instillation treatment for bladder cancer. How to enhance the effect Bank Name :
HOTEL POLICY CIMB Niaga Cab. Dharmahusada Surabaya
11.40 - 12.00 Operative management and preoperative treatment.
Due to high demand on the hotel room at the
12.00 - 12.05 Q&A time of congress, the congress secretariat Account number :
Sesi 5. Lunch Symposium: Advanced and metastatic prostate cancer strongly recommended early reservations. 7025 - 3525 - 4000
12.05 - 12.20 Current biomarker for prostate cancer
ROOM RATE Account name :
12.20 - 12.35 5-ARI for prostate cancer. Is it Relevant? Hotel rooms at special congress rate are Yayasan Pengembangan Urologi Indonesia
12.35 - 12.50 Treatment of Advance Prostate cancer. When and How being held for the congress participants at
Majapahit Hotel Surabaya. Room rates are Swift Code :
12.50 - 12.55 Q&A
in Rupiah, per night and per room included BNIAIDJA
12.55 - 13.00 Closing Ceremony breakfast for two persons. Reservations
13.00 - 14.00 Lunch and Pray must be made through the congress
secretariat to guarantee the indicated rate
negotiates for the congress.

8 THE 34TH FIESTA UROLOGI 2017 THE 34TH FIESTA UROLOGI 2017 9
 R E G I STRATI O N F O R M AC C O M M O DATI O N F O R M

THE 34TH FIESTA UROLOGI 2017 - GRAND CITY CONVEX SURABAYA, JULY 26 TH - 30TH, 2017 THE 34TH FIESTA UROLOGI 2017 - GRAND CITY CONVEX SURABAYA, JULY 26 TH - 30TH, 2017

PARTICIPANT (Kindly Completed) PARTICIPANT (Kindly Completed)

Title : q Prof q DR q Dr q Specialist q Other Title : q Prof q DR q Dr q Specialist q Other
Full Name : Full Name :
Organization/Hospital/Institution : Organization/Hospital/Institution :
Mailing Address : Mailing Address :
Country : Country :
Zip Code : Zip Code :
Mobile Phone : Mobile Phone :
Email : Email :
Sponsor : Sponsor :
Mobile Phone : Mobile Phone :

Please Mark () on Workshop / Symposium you choose Please Mark () on Hotel you choose

WORKSHOP - JULY 26TH - 30TH, 2017

NO WORKSHOP DATE REGISTRATION FEE HOTEL ROOM TYPE RATE
Majapahit Surabaya q GARDEN TERRACE q Rp. 1.300.000
q 1 PCNL (Limited 12 Participants)
q Specialist JULY 26TH-27TH, 2017 q Rp. 10.000.000 CHECK IN DATE: CHECK OUT DATE: T OTAL NIGHT (S):
q Nurse JULY 26TH-27TH, 2017 q Rp. 3.000.000 TOTAL ACCOMMODATION PAYMENT: IDR
q 2 MICROSURGERY (Limited 10 Participants)
q Specialist Urology/ Residen JULY 28TH 0TH 2017 q Rp 10.000.000

SYMPOSIUM & WORKSHOP - JULY 29TH, 2017 (Workshop Limited 40 Participants)

NO SYMPOSIUM & WORKSHOP DATE REGISTRATION FEE *TERM & CONDITION
q 1 NURSE JULY 29TH, 2017 q Rp 1.000.000 Hotel room rate is net including 2 (two) breakfast
Please note that official check in time is 15.00 local time and check out time is 12.00 local time
* If Workshop Quota is Full, for Symposium only q Rp 750.000
Approval of early check-in and late check-out is at discretion of the hotel.
SYMPOSIUM No reservation will be made without full deposit of nights booking due to room availability.
NO PARTICIPANT DATE REGISTRATION FEE Any changes and cancellations regarding to room reservation in pre-registration period must be done in writing to the
Secretariat at least 168 hours prior to arrival. After the date, guaranteed payment for 1 night will be charged.
1 Specialist JULY 29TH-30TH, 2017 q Rp. 2.500.000
No Show will be applied on the first night for delayed or postpone staying that causes the loss of 1 night room deposit made.
2 General Practitioner JULY 29TH-30TH, 2017 q Rp. 1.000.000
In the event of materialization, the hotel will charge the full amount duration of stay upon check-out that causes the loss of mentioned deposit made
TOTAL REGISTRATION SYMPOSIUM IDR Refund may only be made after the event by bank transfer. Official letter should be submitted to Secretariat address
mentioning its payers Bank Account.

CANCELLATION AND REFUND POLICY CANCELLATION AND REFUND POLICY

Written Cancellation notice is required. Cancellation must be received before July 1 ST 2017 a 50% refund will be returned Written Cancellation notice is required. Cancellation must be received before July 1 ST 2017 a 50% refund will be returned
after congress ended. No refund will be allowed thereafter after congress ended. No refund will be allowed thereafter

PAYMENT BY S I G N AT U R E PAYMENT BY S I G N AT U R E
q BANK TRANSFER q BANK TRANSFER
Bank Name : CIMB Niaga Cab. Dharmahusada Surabaya Bank Name : CIMB Niaga Cab. Dharmahusada Surabaya
Account number : 7025 - 3525 - 4000 Account number : 7025 - 3525 - 4000
Account name : Yayasan Pengembangan Urologi Indonesia Account name : Yayasan Pengembangan Urologi Indonesia

Please quote the senders name on the bank transfer statement Please quote the senders name on the bank transfer statement
When transmitting, please make sure who send the money possibly by fax. When transmitting, please make sure who send the money possibly by fax.
q CASH TO SECRETARIAT q CASH TO SECRETARIAT

This form, TogeTher wiTh The requisiTe paymenT and/or documenTaTion should be emailed/faxed To: This form, TogeTher wiTh The requisiTe paymenT and/or documenTaTion should be emailed/faxed To:
Secretariat at GPD INDONESIA Jl. Kebalen V No. 24A Kebayoran Baru, Jakarta 12180 Telp. +6221 7254424 | 7229339 Reg by, Secretariat at GPD INDONESIA Jl. Kebalen V No. 24A Kebayoran Baru, Jakarta 12180 Telp. +6221 7254424 | 7229339
SMS +628111332664 | +628111662664 Fax. +6221 7396261 Email. gpd@gpdindonesia.com / erlin@gpdindonesia.com / Reg by, SMS +628111332664 | +628111662664 Fax. +6221 7396261 Email. gpd@gpdindonesia.com /
fiesta.urology2017@gmail.com erlin@gpdindonesia.com / fiesta.urology2017@gmail.com
ORGANIZER

AH LU R
O
A I L

O
T A N G
K
I

INDONESIA

Sekretariat
Departemen/SMF Urologi
FK. UNAIR/RSUD dr. Soetomo Surabaya
Jl. Mayjend. Prof. dr. Moestopo no. 6-8 Surabaya 60286
Telp: +62 31 5501318; Fax: +62 31 5024971
HP: +6285731333449
CP: Hadi
Email : fiesta.urology2017@gmail.com

CO ORGANIZER

PT. GPD Indonesia

Jl. Kebalen V No. 24 A Kebayoran Baru
Jakarta Selatan 12180
Telp: +62 21 7254424, +62 21 7229339
Reg by SMS: +628111332664, +628111662664
Fax: +62 21 7396261
Email: gpd@gpdindonesia.com / erlin@gpdindonesia.com
CP: Erlin