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Dahril
Korelasi antara disfungsi ereksi dengan berat chips, volume prostat dan lama waktu TURP pada penderita BPH = Correlation between erectile dysfunction and chips weight of the prostate, prostate volume and duration time of the resection in benign prostate hyperplasia
"Objektif : Untuk mengetahui korelasi antara Disfungsi Ereksi dengan berat Chips Prostat, Volume Prostat dan lamanya waktu TURP pada BPH.
Metode : Penelitian ini merupakan prospektif deskriptif. Semua pasien BPH yang menjalani TURP di RSUP Dr. Hasan Sadikin Bandung selama Juni 2001 - Desember 2002 dimasukkan kedalam penelitian ini. Pada penelitian ini digunakan kwesioner International Index Erectile Function-5 (IIEF-5) untuk menilai keadaan fungsi ereksi sebelum dan dua bulan setelah operasi TURP. Pasien yang mengalami disfungsi ereksi sebelum operasi diekslusi dari penelitian ini.
Hasil: Didapatkan 15,4 % pasien disfungsi ereksi setelah TURP dengan usia rata rata 60,3 ± 4,2 tahun dan didapatkan korelasi yang signifikan antara disfungsi ereksi dengan beratnya chips prostat ( p =0,02 ). Dari analisis regresi diasumsikan bahwa setiap 1 gram chips prostat yang direseksi akan mengakibatkan kemungkinan disfungsi ereksi 0,4 %.
Objective: To determine the correlation between erectile dysfunction and tissue removed at transurethral resection of prostate, volume of the prostate and duration time of resection in Benign Prostate Hyperplasia.
Method: This was a descriptive prospective study. All BPH patients underwent transurethral resection of the prostate in Hasan Sadikin Hospital Bandung during June 2001 - December 2002 was included in this study. International Index Erectile Function-5 (IIEF-5) questionnaires was used to evaluate these subjects preoperatively and two months after operation. Patients with erectile dysfunction before operation were excluded from this study.
Results: After TURP procedure, 15.4 % patients had erectile dysfunction, with mean age 60.3 ± 4.2 years old. We found significant correlation between prostate chips weight resected during TURP and erectile dysfunction (p = 0.02). By regression analysis, it was assumed that every 1 gram resected prostate chip increased the likelihood of erectile dysfunction 0.4%."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2004
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UI - Tesis Membership  Universitas Indonesia Library
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Siregar, Safendra
Hubungan antara protusi prostat intrabuli, volume total prostatt, volume zona transisional, indeks zona transisional dengan derajat obstruksi pada penderita prostat jinak = Correlation between intravesical prostatic protrusion, prostate volume, transition zone volume and transition zone index with severity of clinical symptom benign prostatic hyperplasia
"OBJECTIVE: To determine if Intravesical prostatic protrusion (IPP), total prostate volume, transition zone volume and transition zone index is correlated with the severity of clinical benign prostatic hyperplasia.
PATIENTS AND METHODS: From January to May 2005, 56 patients with symptom of BPH were enrolled in this study. All patients were requested to undergo urofiowmetry, postvoid residual urine measurement and international Prostate Symptom Score (IPSS). TRUS was used to calculate the total prostate volume, transition zone (ZT) volume and the transition zone index (TZ index = TZ volume/total prostate volume). And IPP was measured by transabdominal ultrasonography.
RESULT: There were a significant correlation between IPSS and post void residual with total prostate volume, transition zone, transition zone index and intravesical prostatic protrusion. Only transition zone and transition zone index were significant correlation with Q max. Strongest correlation in IPSS and postvoid residual was transition zone (ZT) volume (r = 0.480 and r = 0.621 ) in Q max was transition zone index (r = 0.508).
CONCLUSION : From this study there were correlation between intravesical prostatic protrusion, prostate volume, transition zone volume and transition zone index however the correlation is weak."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2006
T21262
UI - Tesis Membership  Universitas Indonesia Library
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Tommie Prasetyo Utomo Wiharto
Korelasi antara gula darah puasa, disfungsi ereksi, dan lower urinary tract symptoms (LUTS) pada pasien dengan pembesaran prostat jinak = Correlation between fasting glucose level erectile dysfunction and lower urinary tract symptoms (LUTS) in patients diagnosed with benign prostatic hyperplasia
"Tujuan Mengetahui hubungan antara nilai glukosa darah puasa, disfungsi ereksi DE, dan lower urinary tract symptoms LUTS pada pasien dengan pembesaran prostate jinak.Metode Terdapat 42 pasien berusia lebih dari 50 tahun dengan pembesaran prostat jinak. LUTS dan DE dievaluasi dengan menggunakan International Prostate Symptom Score IPSS and International Index of Erectile Function-5 IIEF-5. Diabetes mellitus ditegakkan jika gula darah puasa lebih dari 126 mg/dL. LUTS dikategorikan menjadi 3 grup; ringan, sedang, dan berat dimana DE dikategorikan menjadi 2; positif dan negative. Semua data dianalisa menggunakan SPSS ver. 22.Hasil Usia rata-rata pasien adalah 68,83 8,56 tahun dengan mayoritas menderita DE 83.33 dan LUTS 80.96. Diabetes mellitus ditemukan pada 26,19 pasien dengan rata-rata nilai gula darah puasa 108.3 21.1 mg/dL. Nilai IPSS didapati berhubungan signifikan dengan nilai gula darah puasa r = 0.879, p
Aims To discover the correlation between fasting glucose level, erectile dysfunction, and lower urinary tract symptoms LUTS in patients diagnosed with benign prostatic hyperplasia BPH .Methods There were 42 patients with BPH related LUTS aged over 50 years old enrolled in this study. LUTS and erectile dysfunction ED were evaluated using International Prostate Symptom Score IPSS and International Index of Erectile Function 5 IIEF 5 . Diabetes mellitus was established if fasting glucose level was above 126 mg dL. LUTS was classified into 3 groups mild, moderate, and severe LUTS while ED was classified into 2 groups ED positive and ED negative. Data were analyzed using SPSS ver. 22Results Patients rsquo mean age was 68.83 8.56 years old with most of them had ED 83.33 and also suffered from severe LUTS 80.96 . Diabetes mellitus was observed in 26.19 subjects with mean fasting glucose level was 108.3 21.1 mg dL. IPSS score were significantly correlated with fasting glucose level r 0.879, p "
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2017
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UI - Tesis Membership  Universitas Indonesia Library
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Aditya Pramaviri
Hubungan antara derajat trabekulasi dan volume kandung kemih dengan gejala saluran kemih bawah pasca reseksi prostat transuretra di RSUP Haji Adam Malik Medan = Correlation between trabeculation grade and bladder volume with lower urinary tract symptoms after transurethral resection of the prostate in benign prostate hyperplasia patients at Haji Adam Malik Hospital Medan
"Gejala saluran kemih bawah LUTS pada laki laki seringkali dikaitkan dengan pembesaran prostat jinak BPH yang menyebabkan obstruksi infravesika yang sering diikuti oleh trabekulasi sehingga terjadi gangguan fungsi kandung kemih Reseksi prostat transuretra TURP adalah tindak baku emas yang bertujuan untuk menghilangkan obstruksi ini Namun gejala LUTS masih banyak dikeluhkan setelah dilakukan TURP Penelitian cross sectional ini dilakukan untuk mencari hubungan antara gejala LUTS pasca TURP dengan derajat trabekulasi dan volume kandung kemih di RSUP H Adam Malik Medan Selama tahun 2013 didapatkan 39 pasien BPH rata rata umur 68 36 7 638 tahun dengan retensi urin berulang yang dilakukan tindakan TURP Dari keseluruhan sampel kelompok yang terbanyak ditemukan adalah derajat trabekulasi sedang 35 9 dan volume kandung kemih 200 cc 46 2 Dua puluh dua sampel 56 4 mengeluhkan LUTS ringan dengan rerata IPSS total 6 28 3 986 Derajat trabekulasi dan volume mempunyai korelasi positif kuat 0 661 dan 0 723 p value.
Lower urinary tract symptoms LUTS in older male is often associated with benign prostate hyperplasia BPH and caused bladder outlet obstruction BOO with the consequential trabeculation that impair bladder contractility and viscoelasticity Transurethral resection of the prostate TURP is the gold standard for relieving BPH caused BOO Nevertheless many still complained of persisting symptoms even after undergoing TURP This cross sectional study was conducted to analyze the correlation between bladder volume and trabeculation in determining LUTS after TURP in BPH patient In 2013 bladder trabeculation and volume was measured during TURP from 39 BPH patients with recurrent urinary retention and were re evaluated 6 months after The most common findings were moderate trabeculation 35 9 bladder volume 200cc 46 2 and mild degree LUTS 56 4 after TURP with mean IPSS 6 28 3 986 Bladder trabeculation and volume are positively and strongly correlated with LUTS after TURP 0 661 and 0 723 respectively p value 0 01 Analytical linear regression found that these two variables are significant factors in determining LUTS after TURP with positive predictive value of 62 In conclusion bladder trabeculation and volume had strong significant correlation with LUTS after TURP although there are other possible determining factors that are not included in the study"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
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UI - Tesis Membership  Universitas Indonesia Library
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Fitri Mulyana
Penerapan preoperative teaching pada klien dengan masalah Bedah Benign Prostatic Hyperplasia- Transurethral Resection of the Prostate (BPH-TURP) di Ruang Anggrek Tengah Kanan (Bedah Kelas) RSUP Persahabatan = The analysis of application preoperative teaching in Benign Prostatic Hyperplasia-Transurethral Resection of the Prostate (BPH-TURP) Client at Ward of Anggrek Tengah Kanan (Bedah Kelas) RSUP Persahabatan
"Penuaan menyebabkan pembesaran kelenjar prostat, sehingga insiden dan prevalensi Benign Prostatic Hyperplasia (BPH) pada lansia pria semakin meningkat. Kasus BPH di perkotaan, banyak ditangani dengan Transurethral Resection of the Prostate (TURP). Karya ilmiah ini memaparkan dan menganalisis asuhan keperawatan perioperatif pada kasus penundaan operasi, salah satu klien BPH-TURP, dengan menitikberatkan pada implementasi preoperative teaching. Hasil analisis menunjukkan bahwa ansietas preoperatif dan risiko komplikasi postoperatif dapat ditangani dengan preoperative teaching. Penyusun menyarankan penerapan preoperative teaching secara optimal oleh perawat, sesuai dengan kebutuhan klien.
Aging process cause enlargement of prostate gland, so that the incidence and prevalence of Benign Prostatic Hyperplasia (BPH) in elderly male is increasing. The case of BPH in urban areas, most dealt with Transurethral Resection of the Prostate (TURP). This paper aimed to describe and analyze perioperative nursing care of the delay surgery case on one client with BPH-TURP, with emphasized on preoperative teaching. Analysis showed that preoperative anxiety and risk of postoperative complications can be reduce by preoperative teaching. Writer suggested that delivering preoperative teaching by nurse should be done optimally, based on client's needs."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
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UI - Tugas Akhir  Universitas Indonesia Library
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Heni Sri Wahyuni
Analisis praktik klinik keperawatan kesehatan masyarakat perkotaan pada klien Benign Prostatic Hyperplasia (BPH) Post Transurethral Resection Prostate (TURP) Dengan Intervensi Continuous Bladder Irrigation (CBI) di Ruang Anggrek Tengah Kanan RSUP Persahabatan = Analysis of clinical nursing practice At the Urban Public Health on benign prostatic hyperplasia (BPH) clients Post Transurethral Resection of Prostate (TURP) With Continuous Bladder Irrigation Intervention (CBI) at ward of Anggrek Tengah Kanan RSUP Persahabatan
"[ABSTRAK
BPH salah satu penyakit yang sering ditemukan di negara-negara berkembang, prevelansi dan insiden BPH banyak terjadi pada lansia pria yang banyak tinggal di daerah perkotaan dan menempati presentase kasus urologi yang paling umum terjadi dimana kasusnya mencapai 75%. Kasus BPH di perkotaan sering ditangani dengan tindakan Transurethral Resection Prostate (TURP). Salah satu hal yang harus diperhatikan perawat dalam melakukan asuhan keperawatan pada klien post op TURP adalah pemantauan cairan irigasi. Penulisan ini memaparkan dan menganalisis asuhan keperawatan post operasi yang menitikberatkan pada implementasi pemantauan irigasi bladder. Hasil analisis menunjukkan ada hal-hal yang harus diperhatikan oleh perawat dalam melakukan pemantauan irigasi bladder antara lain jenis cairan yang digunakan, kecepatan aliran, dan pemantauan tanda-tanda penyumbatan kateter. Pengetahuan perawat tentang irigasi bladder perlu ditingkatkan untuk menghindari komplikasi yang umum terjadi pada pasien post op TURP; ABSTRACT BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.;BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.;BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.;BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client., BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Tita Rosita
Analisa praktik keperawatan kesehatan masyarakat perkotaan pada Tn.B (70 tahun) dengan masalah benign prostatic Hyperplasia-Transurethral Resection of the Prostate (BPHTURP) di Ruang IV Utara Gedung Teratai RSUP Fatmawati = Analysis of the urban public health nursing practice at Tn.B (70 years) with benign prostatic hyperplasia problem- Transurethral Resection of the Prostate (BPH-TURP) at Ward of IV Utara Gedung Teratai Fatmawati Hospital.
"Kelenjar prostat merupakan salah satu organ genitourinaria pria. Permasalahan yang sering terjadi pada kelenjar prostat salah satunya yakni Benign Prostatic Hyperplasia (BPH). Penanganan BPH yang dapat dilakukan yaitu dengan Transurethral Resection of the Prostate (TURP). Karya ilmiah ini memaparkan dan menganalisa asuhan keperawatan pada kasus dengan BPH-TURP dengan memberikan intervensi keperawatan Continuous Bladder Irrigation (CBI). Beberapa hal yang dapat dilakukan perawat dalam memberikan asuhan keperawatan pada pasien post TURP adalah melakukan pemantauan cairan irigasi. Hasil analisa menunjukkan bahwa melakukan pemantauan cairan irigasi pada post operasi TURP memberikan manfaat yang sangat besar terutama dalam menghindari berbagai komplikasi yang dapat terjadi pada masa perawatan pasien dengan pasca tindakan pembedahan TURP.
The prostate gland is a male genitourinary organ. Problems that often occur of prostate gland is Benign Prostatic Hyperplasia (BPH). Handling can be done by Transurethral Resection of the Prostate (TURP). This scientific work describing and analyzing nursing care in cases of BPH-TURP with giving nursing intervention Continuous Bladder Irrigation (CBI). Nurses providing nursing care to patients post-TURP with monitoring the irrigation fluid. The analysis result shows that the irrigation fluid monitoring in post operative TURP provide enormous benefits, especially in avoiding the complicated that can occur during the treatment of patients with post-surgery TURP."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
PR-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Dyandra Parikesit
Association between Lower Urinary tract symptoms or benign prostate hyperplasia and metabolic syndrome in Indonesian men = Hubungan antara LUTS atau BPH dan sindrom metabolik pada pria Indonesia
"Penelitian ini dibuat untuk mengevaluasi hubungan antara LUTS/BPH dan sindrom metabolik pada pria Indonesia. Dua ratus dua puluh tujuh pasien dengan BPH diinklusi dalam penelitian ini. Pengukuran indeks masa tubuh, lingkar perut, volume prostat, dan international prostate symptom score (IPSS) dilakukan pada semua pasien. Berbagai pemeriksaan laboratorium seperti prostate specific antigen, gula darah puasa, trigliserida, lipoprotein densitas tinggi telah diuji. Diagnosa sindrom metabolik disesuaikan dengan kriteria dari The National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATP III). IPSS disubkategorikan menjadi nilai keluhan obstruktif dan iritatif dan sindrom metabolik di kelompokkan sesuai dengan jumlah komponen kriteria (kurang dari 3, 3, 4, dan 5). Uji korelasi Spearman digunakan untuk menganalisa hubungan antara seluruh data kontinyu. Nilai rerata antara kelompok faktor resiko dianalisa menggunakan One-way ANOVA untuk data dengan nilai distribusi normal dan Kruskall Wallis untuk data dengan nilai distribusi tidak normal. Pada penelitian ini didapatkan sindrom metabolik pada 87 pasien (38.3 %). Pasien dengan sindrom metabolik memiliki nilai indeks masa tubuh, lingkar perut, tekanan darah sistolik, trigliserida, gula darah puasa, gejala iritatif, dan total IPSS lebih tinggi, dan lipoprotein densitas tinggi lebih rendah secara signifikan. Pasien dengan obesitas sentral memiliki resiko mengalami gejala LUTS/BPH sedang-berat lebih tinggi secara signifikan (RR 1.16, 95% CI: 1.01-1.4, p = <0.05) dan resiko memiliki nilai PSA yang tinggi (PSA ³ 20) (RR 0.41, CI 95%: 0. 23 -0.74, P = <0.001). Dari penelitian ini dapat disimpulkan bahwa sindrom metabolik memiliki dampak yang terbatas terhadap gejala LUTS/BPH pada pria Indonesia. Hubungan dan peningkatan resiko gejala LUTS/BPH hanya terlihat pada pasien dengan obesitas sentral.
This paper was made to evaluate the association between LUTS/BPH and MetS in Indonesian men. A total of 227 patients with histologic proven BPH were included in this study. Body mass index (BMI), waist circumference (WC), prostate volume, and international prostate symptom score (IPSS) were measured. Prostate specific antigen (PSA), fasting blood glucose (FBG), triglyceride (TG), high density lipoprotein (HDL) were tested. MetS were diagnosed using The National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATP III). IPSS was subcategorized as irritative and obstructive scores and patients were classified into 4 groups according to the number of exhibited MetS components (less than 3, 3, 4, and 5). Spearman s correlation were used to analyses the association between all continuous variable. Mean difference between risk factor groups were analysed using One-way ANOVA for normally distributed variables and Kruskall Wallis for abnormally distributed variables. In this paper, MetS was diagnosed in 87 patients (38,3%). Patients with MetS have significantly higher BMI, WC, systolic blood pressure, triglyceride, fasting blood glucose, IPSS irritative score, total IPSS score, and lower HDL cholesterol. Patients with central obesity have significantly higher risk of having moderate-severe LUTS (RR 1.16, 95% CI: 1.01 -1.4, p = <0.05) and decreased risk in developing higher PSA level (PSA ³ 20) (RR 0.41, CI 95%: 0. 23-0.74, P = <0.001). From this paper we could conclude that MetS has limited impact towards LUTS/BPH in Indonesian men. Association and increase risk of LUTS/BPH were only seen in patients with central obesity."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2019
T58543
UI - Tesis Membership  Universitas Indonesia Library
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Esti Giatrininggar
Continuous Bladder Irrigation (CBI) pada klien Benigna Prostate Hyperplasia (BPH) Post Transurethral Resection Prostate (TURP) di Ruang Anggrek Tengah Kanan RSUP Persahabatan = Continuous Bladder Irrigation (CBI) on Benigna Prostate Hyperplasia (BPH) Client Post Transurethral Resection Prostate (TURP) in Ruang Anggrek Tengah Kanan RSUP Persahabatan
"Salah satu hal yang harus diperhatikan perawat dalam melakukan asuhan keperawatan pada klien post op TURP adalah pemantauan cairan irigasi. Penelitian ini bertujuan untuk mengidentifikasi hal-hal yang perlu diperhatikan dan diketahui perawat dalam melakukan pemantauan irigasi bladder.Hasil penelitian menunjukkan bahwa hal yang harus diperhatikan perawat dalam melakukan pemantauan irigasi bladder antara lain jenis cairan yang digunakan, kecepatan aliran, ballance cairan, pemantauan tanda-tanda penyumbatan kateter, dan meningkatkan intake cairan di atas 3000 ml per hari. Pengetahuan perawat tentang irigasi bladder perlu ditingkatkan untuk menghindari komplikasi yang umum terjadi pada klien post op TURP.
One of important thing that should be cared by nurse for post TURP patient is monitoring bladder irrigation. The aims of the study was to identify the thing that should be cared by nurse during monitoring bladder irrigation. The result indicated the thing that shuould be cared during bladder irrigation are kind of fluid, rapidity of fluid, fluid ballance, sign of chatheter blockage, and increase fluid intake up to 3000 ml per day. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
PR-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Felix Leo
Efektivitas Latihan Penguatan Otot Dasar Panggul terhadap Fungsi Ereksi pada Pasien Benign Prostate Hyperplasia: Laporan Berbasis Bukti = The Effectiveness of Pelvic Floor Muscle Training on Erectile Function in Benign Prostate Hyperplasia: An Evidence-Based Case Report
"Disfungsi ereksi pada laki-laki sering ditemukan dan berdampak pada penurunan kualitas hidup. Benign prostate hyperplasia (BPH) dengan lower urinary tract symptoms merupakan salah satu komorbid terjadinya disfungsi ereksi dimana terdapat kesamaan jalur patofisiologi pada keduanya. Kontraksi dari otot-otot bulbokavernosus dan isciokavernosus sebagai bagian dari otot dasar panggul akan menginisiasi dan mempertahankan ereksi sehingga latihan penguatan otot-otot tersebut akan membantu rigiditas ereksi penis. Studi laporan kasus berbasis bukti ini dilakukan untuk menjawab pertanyaan klinis yaitu bagaimana efektivitas pemberian latihan penguatan otot-otot dasar panggul terhadap fungsi ereksi pada pasien BPH. Pencarian literatur dilakukan pada database elektronik yaitu Cochrane, PubMed, Scopus, Science direct, Oxford Academic dan Sage Journal dengan kata kunci sesuai dengan pertanyaan klinis. Hasil pencarian didapatkan sebuah studi kajian sistematik setelah dilakukan penapisan terhadap kriteria eligibilitas, adanya duplikasi dan penilaian seluruh isi naskah pada 142 artikel. Kajian sistematik tersebut menunjukkan latihan penguatan otot-otot dasar panggul memberikan respon komplit perbaikan fungsi ereksi pada 35-47% subjek, peningkatan domain ereksi pada International Index of Erectile Function (p<0,05) dan peningkatan tekanan intrakavernosa serta maximal anal pressure. Kesimpulan penelitian adalah latihan penguatan otot-otot dasar panggul dilakukan dengan kontraksi cepat (1 detik) dan kontraksi lambat (tahan 6-10 detik) dengan frekuensi 9-30 repetisi, 2-3 kali per hari selama 3-12 bulan yang dilakukan pada posisi berbaring, duduk dan berdiri, latihan tersebut dapat diberikan sebagai program latihan di rumah dan perlu dilakukan identifikasi dan pengendalian faktor-faktor komorbid disfungsi ereksi lainnya.
Erectile dysfunction (ED) often found in men and has an impact on reducing the quality of life. Benign prostate hyperplasia (BPH) with lower urinary tract symptoms is one of the comorbid which share the similar pathophysiology with ED. Contraction of the bulbocavernosus and ischiocavernosus muscles as part of the pelvic floor muscles (PFM) will initiate and maintain an erection so strengthening for these muscles will help stiffen the penis. This evidence-based case report study was conducted to answer the clinical question, how effective is giving PFM training on erectile function in BPH patients. Literature search was carried out on electronic databases, namely Cochrane, PubMed, Scopus, Science direct, Oxford Academic and Sage Journal with the keywords according to the clinical question. A systematic review study was obtained after screening from the eligibility criteria, duplication and assessment of the entire contents of the manuscript in 142 articles acquired. The study showed that PFM training improve erectile function in 35-47% of subjects, increased erectile domain in International Index of Erectile Function (p<0.05) and increased intracavernous pressure and maximal anal pressure. The conclusions are PFM training are carried out by fast and slow contractions with 9-30 repetitions, 2-3 times per day for 3-12 months which are carried out in lying, sitting and standing positions, these exercises can be given as a home exercise program and it is necessary to identify and control other comorbid factors of ED."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2022
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UI - Tugas Akhir  Universitas Indonesia Library
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