Karakteristik Penderita Benign Prostatic Hyperplasia Berdasarkan Usia, Indeks Massa Tubuh, dan Gambaran Histopatologi di Rumah Sakit Al-Islam Bandung Periode 2014-2015

Luthfi Hilman Taufik, Ismet M.nur, Nurdjaman Nurimaba

Abstract


Abstract: Benign prostatic hyperplasia is an enlargement of the prostate and frequently appears in men over the age of 50 years. The impact of this disease wererising intra-bladder pressure that can be forwarded to the ureters and kidneys thus cause a disfunction of kidney. The purpose of this study is to determine the characteristics of patients with benign prostatic hyperplasia based on age, Body Mass Index, and histopathologic features. This is a descriptive retrospective cross-sectional researh using sample selection technique total population sampling. Data obtained through medical record period 2014-2015 at Al-Islam Hospital Bandung and obtained 56 medical records that met inclusion criteria. Data processed was performed by using Microsoft Excel program in 2007. The results show the highest frequency of occurrence BPH with patients age > 65 years were 63 cases (56%). The highest amount of BPH patients within overweight BMI category were 24 cases (43%). BPH without prostatitis is a common histopathological  representationwith the number of 95 cases (84%). The conclusions of this research showed the highest frequency of occurrence BPH with patients age > 65  years with the highest BMI in the overweight category , and the description on the highest histopathologic BPH without prostatitis.

Abstrak: Benign Prostatic Hyperplasia merupakan pembesaran prostat yang bersifat jinak dan sering muncul pada laki-laki diatas usia 50 tahun. Dampak buruk yang ditimbulkan oleh penyakit ini yaitu terjadinya peningkatan tekanan intra vesika yang dapat diteruskan ke ureter dan ginjal sehingga dapat menyebabkan penurunan fungsi ginjal. Tujuan penelitian ini untuk mengetahui karakteristik penderita Benign Prostatic Hyperplasia berdasarkan usia, Indeks Massa Tubuh, dan gambaran histopatologis. Penelitian ini menggunakan metode deskriptif retrospektif cross-sectional dengan menggunakan teknik pemilihan sampel total population sampling. Data didapat melalui rekam  medis periode 2014-2015 di Rumah Sakit Al-Islam Bandung dan didapatkan 56 rekam medis yang memenuhi kriteria inklusi. Pengolahan data dilakukan dengan menggunakan program Microsoft Excel tahun 2007. Hasil penelitian menunjukkan frekuensi tertinggi terjadinya BPH terdapat pada usia>65 tahun sebanyak 63 kasus (56%). Jumlah pasien BPH terbanyak pada kategori IMT overweight sebanyak 24 kasus (43%). BPH tanpa prostatitis merupakan gambaran histopatologi tersering dengan jumlah 95 kasus (84%). Simpulan pada penelitian ini menunjukkan frekuensi tertinggi terjadinya BPH terdapat pada usia > 65 tahun dengan kategori IMT tertinggi pada overweight, serta gambaran histopatologi terbanyak pada BPH tanpa prostatitis.


Keywords


BPH, Age, BMI, Histopathologic Representation

References


Amalia, R., 2007. Faktor-faktor Risiko Terjadinya Pembesaran Prostat Jinak. Universitas Diponegoro Semarang.

Chan, S.W., 2011. Pathology and medical therapy of benign prostatic hyperplasia. Medical Bulletin, 16(6), pp.4–8.

Dr. Stanley Robbins DRC, 2010. Pathologic Basis of Disease 8th ed.,

G. N. Collins RJL, dkk., 1993. Relationship Between Prostate Specific Antigen, Prostate Volume and Age in the Benign Prostate. British Journal of Urology, 71, pp.445–50.

Hardjowijoto S, dkk, 2003. Panduan Penatalaksanaan (Guidelines) Benign Prostatic Hiperplasia (BPH) di Indonesia, Surabaya: Ikatan Ahli Urologi Indonesia.

J. Kellogg Parsons HBC, Alan W. Partin, B. Gwen Windham, E.J. & Metter, Luigi Ferrucci, Patricia Landis, E.A.P., 2006. Metabolic Factors Associated with Benign Prostatic Hyperplasia. The Journal of Clinical Endocrinology & Metabolism, 8, p.2562.

Parsons JK, Carter HB, Partin AW, et al, 2006. Metabolic factors associated with benign prostatic hyperplasia. J Clin Endocrinol Metab, pp.91:2562–8.

Purnomo, B.B., 2011. DASAR-DASAR UROLOGI, Malang: Sagung Seto.

Siregar, S., 2012. Benign Prostatic Hyperplasia. Available at: https://wisuda.unud.ac.id /pdf/0914028204-3 [Accessed July 13, 2016].

Sumarna, T., 2015. Epidemiologi, Faktor resiko BPH. , p.2. Available at: http://dokumen.tips/documents/epidemio-faktor-resiko-bph-tgh.html [Accessed August 8, 2016].

Zhou Ming, Netto George, Epstein, J.I., 2012. uropathology : high-yield pathology. In Philadelphia: Elsevier Saunders.




DOI: http://dx.doi.org/10.29313/kedokteran.v0i0.4152

Flag Counter    Â