UROLOGI

Prof. DR. dr. H. Rifki Muslim SpB, SpU

PENDAHULUAN
Penyakit

: - Tract. Urogenitalis
- Tract. Urinarius

Anatomi + Fisiologi :
Ginjal

: - Retro peritoneal
- 150 gram
- Cortex medulla
- Nefron (p.d, glomerulus, tubulus)
- Kaliks minor ( 8 12 )
mayor ( 2 3 )
- Pedikel (dari post.) : - Pyelum A - V

Ureter

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

Buli

: - Isi 350 450 ml

- m. detrusor
- Segmen intravesical ureter 2 cm

Ureter

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

Prostat

: - Bentuk segi 3
- 20 gram
- Lobus 5 (ant, post, med, 2 lat)

Testis

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

Penis

: - 2 corp cavernosa
- 1 corp. spongiosa urethra

Urethra

- 5 mm
P. Prostatica. 2 cm
- U. Post
P. membranacea 1.5 cm
P. bulbaris 7cm
- U. Ant
P. Pendularis 6-8 cm
- Panjang 18 20 cm
- 8 mm
- Panjang lurus 4 cm

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

II.

GEJALA SAKIT
1.
Lokal :
Ginjal Pinggang sudut costovertebra
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

III.

GEJALA GASTRO INTESTINAL

1.
Nausea
2.
Vomitus
3.
Kejang Perut
4.
Gejala Peptic ulcer
5.
Peritonismus

IV.

GEJALA SEXUAL
1.
Libido
2.
Impotensi
3.
Coitus sakit
4.
Hemospermae
5.
Infertilitas

V.

GEJALA MIKSI
Diuria
1.
Polakisuria
Nocturia
2.
Polyuria
3.
Urgency
4.
Burning sensation (stranguria)
5.
Disuria
6.
Enuresis
7.
Anuria
8.
Oliguria
9.
Retensio urine partial
total
10.
Hesitancy (delayed urination)
11.
Straining
12.
Kaliber kecil
13. Pancaran lemah
14. Terminal dribbling

15.
16.
17.
18.

19.
20.
21.
22.
23.

24.

Sense of residual urine

Kencing tiba-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
Chyluria