Scoping Review: Pengaruh Terapi TURP terhadap Benign Prostatic Hyperplasia pada Lansia

Muhammad Faris Affan, Anita Indriyanti, Arief Budi Yulianti

Abstract


Abstract. Benign prostatic hyperplasia, also known as BPH, is a disease caused by the proliferation of smooth muscle and epithelial cells in the prostate's transition zone. BPH is closely related to lower urinary tract symptoms. Management of BPH can be done by performing transurethral resection of prostate (TURP) surgery. Several studies have shown TURP to be more effective than other surgeries. This study aimed to analyze the effectiveness of transurethral resection of the prostate in treating patients with benign prostatic hyperplasia. This study is a scoping review, samples from international journals relating to the effectiveness of transurethral resection of the prostate in treating benign prostatic hyperplasia. The database used in this study is Pubmed, Springerlink, Sciencedirect, with 11,025 articles. The screening results in articles that matched the inclusion criteria were 367. Articles that entered the exclusion criteria were 356. The PICOS criteria in this study were Population (patients with benign prostatic hyperplasia), Intervention (performed transurethral resection of the prostate), Comparison (another therapy was performed), Outcome (therapy effectiveness and patient recovery), and Study (Randomized Controlled Trial, Clinical Trial). The results of the analysis of 6 reviewed articles showed that transurethral resection of the prostate was adequate compared to other therapies for the management of benign prostatic hyperplasia. To measure symptom relief, the lower urinary tract symptoms used the International Prostate Symptom Score measurement. This study concludes that the prostate's transurethral resection is effective in treating patients with benign prostatic hyperplasia with the Lower Urinary Tract Symptom.

Keywords: Benign prostatic hyperplasia, Lower Urinary Tract Symptom, TURP therapy

Abstrak. Benign Prostatic Hyperplasia (BPH) adalah penyakit akibat proliferasi otot polos dan sel epitel dalam zona transisi prostat. Benign Prostatic Hyperplasia sangat berkaitan erat dengan gejala saluran kemih bawah. Penanganan BPH yang dapat dilakukan dengan melakukan pembedahan transurethral resection of prostate (TURP). Beberapa penelitian menunjukan TURP lebih efektif dari pembedahan lainnya. Tujuan penelitian ini adalah menganalisa efektivitas transurethral resection of prostate pada penanganan pasien benign prostatic hyperplasia. Penelitian ini merupakan scoping review, sampel berasal dari jurnal internasional yang berkaitan dengan efektivitas transurethral resection of prostate pada penanganan benign prostatic hyperplasia. Database yang digunakan pada penelitian ini adalah Pubmed, Springerlink, Sciencedirect dengan jumlah artikel yang didapat sebanyak 11.025. Hasil skrining pada artikel yang sesuai dengan kriteria inklusi sebanyak 367. Artikel yang masuk kriteria eksklusi sebanyak 356. Kriteria PICOS dalam penelitian ini adalah Population (pasien benign prostatic hyperplasia), Intervention (dilakukan transurethral resection of prostate), Comparison (dilakukan terapi lain), Outcome (efektivitas terapi dan kesembuhan pasien), dan Study (Randomized Controlled Trial, Clinical Trial). Hasil analisis dari 6 artikel yang telah di-review menunjukan bahwa transurethral resection of prostate efektif dibanding dengan terapi lain untuk penanganan benign prostatic hyperplasia. Dengan parameter kesembuhan gejala lower urinary tract symptom menggunakan pengukuran International Prostate Symptom Score. Kesimpulan penelitian ini adalah transurethral resection of prostate efektif dalam penanganan pasien benign prostatic hyperplasia dengan Lower Urinary Tract Symptom.

Kata kunci: Benign Prostatic Hyperplasia, Lower Urinary Tract Symptom, terapi TURP

Keywords


Benign Prostatic Hyperplasia, Lower Urinary Tract Symptom, terapi TURP

References


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DOI: http://dx.doi.org/10.29313/kedokteran.v7i1.26586

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