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  • Chapter III BPH

    Diunggah oleh

    Putri Dwi Kartini
    23 tayangan3 halaman
    A 74-year-old man was admitted to the hospital with an inability to urinate for one week. He had a history of urinary difficulties over the past year including frequent urination at night, difficulty starting and stopping urination, and feeling like his bladder was not fully empty. Examinations found an enlarged prostate, kidney stones in his bladder, and tenderness in his lower abdomen. He was diagnosed with benign prostatic hyperplasia (BPH) and bladder stones. The patient underwent surgery to remove his prostate tissue (TURP) and bladder stones. His prognosis was good for survival but uncertain for urinary function recovery.

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    Chapter III BPH

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    A 74-year-old man was admitted to the hospital with an inability to urinate for one week. He had a history of urinary difficulties over the past year including frequent urination at night, difficulty starting and stopping urination, and feeling like his bladder was not fully empty. Examinations found an enlarged prostate, kidney stones in his bladder, and tenderness in his lower abdomen. He was diagnosed with benign prostatic hyperplasia (BPH) and bladder stones. The patient underwent surgery to remove his prostate tissue (TURP) and bladder stones. His prognosis was good for survival but uncertain for urinary function recovery.

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    23 tayangan3 halaman

    Chapter III BPH

    Diunggah oleh

    Putri Dwi Kartini
    A 74-year-old man was admitted to the hospital with an inability to urinate for one week. He had a history of urinary difficulties over the past year including frequent urination at night, difficulty starting and stopping urination, and feeling like his bladder was not fully empty. Examinations found an enlarged prostate, kidney stones in his bladder, and tenderness in his lower abdomen. He was diagnosed with benign prostatic hyperplasia (BPH) and bladder stones. The patient underwent surgery to remove his prostate tissue (TURP) and bladder stones. His prognosis was good for survival but uncertain for urinary function recovery.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 3

    CHAPTER III CASE ANALYSIS

    Mr. RS, 74 years old man, admitted to Mohammad Hoesin General Hospital Palembang with chief complaint Unable to void one week before admitted to hospital. 1 years before admissions patient complaint of difficulty to void, had to push to begin urination, decreased force and caliber of stream, stopped and started again when urinated, post void dribbling. Voiding at night up to 5 times at night (nocturia), difficult to postpone urination, and had sensation of incomplete bladder emptying. Bloody urination (-), stone in urin (-), defecate (+) normal, fever (-), and loss of body weight (-) 6 month before admission, patient complaints pain when urinating, uncomfortable when urinating, stopped and started again when urination with changed the position of the body. Patient also complaints pain in the lower abdomen that referred to the tip of the penis and the scrotum. There is no bloody urination, stone in urine (-). 1 month before admission patient complaints pain when urinating and become more severe after urination, there is bloody urination, stone in urination (+). The patient has no fever and there is no decrease of body weight. One weeks before admission patient complaint unable to void and bulging in suprapubic. He was admitted to Charitas Hospital and urethra catheter was fixed. Then he was reffered to Mohhamad Hoesin General Hospital Palembang to get more therapy. From physical examination, general examination was normal. On local examination, there is tenderness on suprapubic regio. External genitalia examination, from inspection the urethra catheter No.16 F was fixed, urine clear and no bloody urine. On rectal toucher examination TSA good, enlargement of the prostate, upper boarder of prostate unpalpable, rubbery consistency, flat surface, no tenderness, feaces (+), blood (-).

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    From laboratory examination, there is slightly decreasing of hemoglobin and increasing of LED. From BNO examination, there is radioopaque appearance in vesicae urinaria. From USG examination, there are prostate enlargement (50 x 54mm) and multiple stones in vesica urinary. From anamnesis, physical examination, laboratory,BNO and USG finding this patients diagnosed is suspect BPH and vesicolithiasis. The treatment for this patient is Transurethral Resection of the Prostate (TURP) for the BPH and vesicolithotomy. After TURP, prostate tissue is sent to a pathologist to see if the patient is actually suffering from benign prostate hyperplasia or prostate cancer. Prognosis for this patient, quo ad vitam is bonam dan quo ad functionam is dubia ad bonam.

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    REFERENCE
    1. Thompson JC. 2002. Netter's Concise Atlas of Orthopaedic Anatomy. Saunders elsevier, Philadelphia. 2. Keith L M, Dalley FD.2006. Clinically Oriented Anatomy, 5th ed. Lippincott Williams & Wilkins. USA. 3. Chapter 1-Anatomy of the Genitourinary Tract : Wein AJ, kavoussi LR, Partin N, peters CA. 2007. Campbell-Walsh Urology: 9th ed, volume 1. Saunders Elsevier. Philadelpia. 4. Chapter 84 - Lower Urinary Tract Calculi: Wein AJ, kavoussi LR, Partin N, peters CA. 2007. Campbell-Walsh Urology: 9th ed, volume 1. Saunders Elsevier. Philadelpia. 5. Chapter 36 - Disorders of the Bladder, Prostate, & Seminal Vesicles :Wein AJ, kavoussi LR, Partin N, peters CA. 2007. Campbell-Walsh Urology: 9th ed, volume 1. Saunders Elsevier. Philadelpia. 6. Tanagho EA, McAninch JW. 2008. Smith's general urology; 17 th ed. Mc Graw Hill, Lange.New York

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