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UROLOGI

PENDAHULUAN
Penyakit : - Tract. Urogenetalis - Tract. Urinarius

Anatomi + Fisiologi :
Ginjal : - Utro peritoneal - 150 gram - Cartex medulla - Nifron (p.d, glomerulus, tub) - Kaliks minor ( 8 12 ) mayor ( 2 3 ) - Pedikel (dari post.) : - Pyelum A - V

Ureter

: - 30 cm - Penyempitan alamiah 3 - O 3 5 mm - Peristaltik


: - Isi 350 450 ml - m. detrusor - Segmen intraversical ureter 2 cm : - 30 cm - Penyempitan alamiah 3 - O 3 5 mm - Peristaltik : - Bentuk segi 3 - 20 gram - Lobus 5 (ant, post, med, 2 cat)

Buli

Ureter

Prostat

Testis

: - 4 X 3 X 2,5 cm - Sel sertoli + leydig (sperm.)


: - 2 corp cavernosa - 1 corp. spong. urethra : - O 8 9 mm P. Post. 2 cm - U. Post P. Membr .1 1/4 cm P. Bulbaris 7 cm - U. Ant P. Penil 8 cm - Panjang 18 20 cm - O 8 mm - Panjang lurus 4 cm

Penis

Urethra

GEJALA
I. II. III. IV. V. VI. Sistemik Sakit Gastro intestinal Seksual Lain-lain Miksi

I.

GEJALA SISTEMIK 1. Panas 2. BB 3. Anoreksia 4. Lemah


GEJALA SAKIT 1. Lokal : Ginjal Pinggang sdt cost - vert VU supra pubik Testis skrotum Prostat perineum 2. Dijalarkan Kolik 1/3 prox ureter : pinggang, epigastrium, testis 1/3 tengah : Mc. Burney ( Sin 1/3 distal : Supra pubik, inguinal scrotum, paha medial

II.

III.

GEJALA GASTRO INTESTINAL 1. Nausea 2. Vomitus 3. Kejang Perut 4. Gejala Peptic ulcer 5. Peritonismus GEJALA SEXUAL 1. Libido 2. Impotensi 3. Coitus sakit 4. Hemospermae 5. Infertilitas

IV.

V.

GEJALA MIKSI
1. 2.

3. 4. 5. 6. 7. 8. 9. 10. 11. 12.


13. 14.

Polakisuria Poly uria Urgency Burning vensation (stranguria) Disuria Enuresis An uria Oligaria Retensio urinae partial total Hesitancy (delayed urination) Straining Kaliber kecil Pancaran lemah Terminal dribbling

Disuria Nocturia

15. 16. 17. 18.

19. 20. 21. 22. 23.

24.

Sense of residual urine Kencing tiban-tiba berhenti Pancaran terbelah Inkontinensia : - True Inc - Stress inc - Over flow / Paradoxal inc - False inc - Urgency inc Pneumaturia Fecaluria Claudy urine Pyuria Hematuria - Waktu (initial, total, terminal) - Sakit (Painless, Painfull) - Warna Chyl uria