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"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."

"Benign Prostatic Hyperplasia atau BPH merupakan salah satu masalah perkemihan yang yang terjadi di wilayah perkotaan. BPH adalah pembesaran kelenjar prostat yang menyumbat aliran urine. Prosedur TURP merupakan tindakan pembedahan yang umum dilakukan untuk mengatasi BPH. Salah satu masalah keperawatan pada pasien post TURP dan pemasangan kateter dalam jangka waktu lama yaitu inkontinensia urin. Tujuan penulisan karya ilmiah ini adalah untuk melakukan analisis evidence based mengenai bladder train untuk mengatasi inkontinensia urtin. Hasil dari bladder training pada pasien ini terbukti efektif dalam mengurangi inkontinensia urin. Rekomendasi penulisan penulisan ini ialah perawat perlu melakukan dan memberikan edukasi menegani bladder training pada psaien post TURP agar memiliki pola perkemihan normal.

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Benign Prostatic Hyperplasia or BPH is a common urinary problem health in urban life. BPH is an enlarged prostatic gland caused obstruction in urinary flow. TURP procedure is a common surgical solution to overcome BPH. One of nursing problem after TURP and a long term catheterization is urinary incontinence. This article aims to analyze the evidence based about bladder training to solve urinary incontinence. The result shows that bladder training is effective to overcome an urinary incontinence after TURP procedure. Because of that, it is recommended for a nurse to retrain and give health education about bladder training in patient after TURP procedure in order to have a normal urinary pattern."

"Latar belakang: Pembesaran Prostat Jinak (PPJ) merupakan masalah prostat yang umum terjadi pada laki-laki, Infeksi Saluran Kemih (ISK) dapat disebabkan oleh PPJ akibat dari obstruksi pada Bladder outlet, instrumentasi, bahkan akibat dari sistoskopi atau kateterisasi.Tujuan: Tujuan penelitian ini adalah untuk menggambarkan pola kuman dan kuman terbanyak yang menyebabkan ISK pada pasien PPJ di Rumah Sakit Umum Pusat Dr. SardjitoMetode: Data dikumpulkan secara retrospektif dari rekam medis pasien Rumah Sakit Umum Pusat Dr. Sardjito mulai Januari 2001 sampai Desember 2011. Pola kuman dan sensitivitas obat dicatat.Hasil: Terdapat 92 pasien dengan usia 46-95 tahun yang didiagnosis dengan PPJ dan Prostatitis. Didapatkan 81,40% merupakan bakteri gram negatif, 9,3% bakteri gram positif, dan 9,3% jamur. Kemudian didapatkan Streptococcusfaecalis (11,62%) merupakan bakteri gram positif terbanyak yang ditemukan di dalam kultur urin. Obat yang dipakai untuk sensitivitas melipuit : Amikacin, Ampicillin, Ampicillin/Sulbactam, Cefepim, Cefpiron, Ceftazidime, Ceftriaxone, Cefotaxime, Cefuroxime, Chloramphenicol, Fosfomycin, Gentamycin, Nalidixic acid, Imipenem, Netilmicin, Nitrofurantoin, Norfloxacin, Tetracyclin, Tobramycin, Vancomycine, Ciprofloxacine, Trimethoprim-Sulfamethoxazole.Kesimpulan: Bakteri paling banyak yang ditemukan pada pasien dengan BPH adalah Pseudomonas aerogenosa (25.58%) dan bakteri yang paling jarang ditemukan adalah Citrobacterfreundii (2.32%). Menurut penelitian ini, 82.05% pasien BPH dengan infeksi saluran kemih sensitif terhadap pengobatan dengan Imipenem, diikuti dengan Amikacin (74.35%).

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Background: Benign prostatic hyperplasia (BPH) is the most common condition in men with prostate problems. Urinary tract infection can be caused by BPH due to Bladder outlet obstruction, instrumentation either from cystoscopy or catheterization.

Objective: The aim of this study is to describe microorganism pattern and the most common caused urinary tract infection in BPH patient hospitalized in Dr. Sardjito general hospital.

Method: Data were retrospectively collected from Dr. Sardjito general hospital medical record patients from January 2011 to December 2011. Microorganism pattern and drug sensitivity data were collected.

Results: There were 92 patients age 46-95 years old diagnosed histophatologically as BPH and prostatitis. The 81.40% microorganism pattern were Gram negative bacteria, 9.3% Gram positive bacteria and 9.3% yeast. On the other hand , Streptococcus faecalis (11,62%)is the main gram positif bacteria found in the urine culture. The drug used for sensitivity including; Amikacin, Ampicillin, Ampicillin/Sulbactam, Cefepim, Cefpiron, Ceftazidime, Ceftriaxone, Cefotaxime, Cefuroxime, Chloramphenicol, Fosfomycin, Gentamycin, Nalidixic acid, Imipenem, Netilmicin, Nitrofurantoin, Norfloxacin, Tetracyclin, Tobramycin, Vancomycine, Ciprofloxacine, Trimethoprim, and Sulfamethocazole.

Conclusion: The most frequent bacteria found in BPH patients is Pseudomonas Aerogenosa (25.58%) and the least frequentbacteria is Citrobacter freundii (2.32%). According to this study, 82.05% UTI patients sensitive to Imipenem medication, followed by Amikacin (74.35%)."