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Oleh Kelompok 1
1. Fernanda Rizki Kusfiana Sari (1601100001)
2. Andita Pratiwi Pujiasih (1601100016)
3. Rizki Amelia (1601100034)
4. Febriantono (1601100006)
5. Achmad Tiffa Rifa’I (1601100028)

A. Definition
Benign prostatic hyperplasia (BPH) also known as benign prostatic hypertrophy is
a histologic diagnosis characterized by proliferation of the cellular elements of prostate.
Chronic Bladder Outlet Obstruction (BOO) secondary to BPH may lead to urinary
retention, renal insufficiency, recurrent urinary tract infection, gross hematuria, bladder

B. Signs and Symptoms

When the prostate enlarges, it may coustrict the flow of urine. Nerves within the
prostate and bladder may also play a role in causing the following common symptoms:
1. Urinary frequency.
2. Urinary urgency.
3. Nocturia
Needing to get up frequently at night to urinate.
4. Hesitancy
Difficulty intiating the urinary stream; interrupted, weak stream.
5. Incomplete bladder emptying
The feeling of persistent residual urine, regardless of the frequency of urination.
6. Straining
Need strain or push (valsava maneuver) to initiate and maintain urination in
order to more fully evacuate the bladder.
7. Decrease force of stream
The subjective loss of force of the urinary over time.
8. Dribbling
The loss of small amounts of urine due to a poor urinary stream as well as weak
urinary stream.

C. Etiology/Cause of BPH
Cause of BPH is not well understood, however it occurs mainly in older men. It
caused by changes in hormone balance and in cell growth.
D. Prevention
1. Practice “double voiding”. Urinate as much as you can, relax for a few moments,
and then urinate again.
2. Avoid caffeine and alcohol. They make your body try to get rid of water and can
make you urinate more often.
3. If possible, avoid medicines that can make urination difficult, such as over the
counter antihistamines, decongestants (incluiding nasal sprays), and allergy pills.
Check with your doctor or pharmacist about the medicines you take.