Abstract
Transurethral Resection Prostatectomy (TURP) and Transvesical Prostatectomy (TVP) are the two methods of operation for BPH. The aims of this study are to find out the late complication after prostatectomy between TVP dan TURP. Data were collected from January 1st 2004 to December 31st 2004 with prospective cohort study. There were 67 of 90 post prostatectomy BPH patients who met the inclusion criteria. Data were listed into age and comorbid factors are hypertension (HT), ischaemic heart disease (IHD), chronic obstructive pulmonary disease (COPD), Diabetes Mellitus (DM). Post prostatectomy late complications are erectile dysfunction (ED), retrograde ejaculation (RE), urethral stricture (US), urinary incontinence (UI). Data were analyzed statistically with the t-test. There were 67 patients (median age 65,81 years range 51-86 years) inclusion in this study 12 patients has performed TVP (17,9%), 55 patient was performed TURP (82,1%). Comorbid factors were HT (19,4%), IHD (16,4%), COPD (11,9%), DM (4,5%). The most frequent age of TVP were 7th decade (50%), TURP were 6th decade (41,82%).The late complication after TVP and TURP for BPH were not significant different (p>0,05). The most frequent late complications after prostatectomy of the TVP and TURP is ED. Study about the late complications after operation of the BPH between TVP and TURP, statistically were not significantly different.Keywords: BPH, open prostatectomy, TURP, late complication.
Highlights
Sampai saat ini masih menjadi problem kesehatan di bidang urologi yang selalu dibahas oleh pakar nasional maupun internasional karena jumlahnya yang semakin meningkat sesuai dengan semakin meningkatnya angka harapan hidup di dunia termasuk di Indonesia
The most frequent age of Transvesical Prostatectomy (TVP) were 7th decade (50%), Transurethral Resection Prostatectomy (TURP) were 6th decade (41,82%).The late complication after TVP and TURP for BPH were not significant different (p>0,05)
Pembahasan Berdasarkan distribusi usia, pasien pembesaran prostat jinak (PPJ) yang menjalani prostatektomi usia paling muda yaitu 51 tahun dan yang tertua yaitu 86 tahun, reratanya 65,81 tahun sedangkan berdasarkan jenis operasi prostatektomi secara prostatektomi transvesikal (PTV) paling banyak pada dekade tujuh (50%) dan secara prostatektomi reseksi transuretral (PRTU) paling banyak pada dekade keenam (41,8%)
Summary
Desember 2004 didapatkan data dari catatan medik RS Dr Sardjito Yogyakarta pasien PPJ yang telah dilakukan operasi prostatektomi sebanyak 90 pasien, dengan rincian 16 pasien dilakukan operasi secara PTV dan 74 pasien dilakukan operasi secara PRTU. Didapatkan 67 pasien dengan rincian 12 pasien pascaoperasi secara PTV (17,9%) dan 55 pasien pacaoperasi secara PRTU (82,1%). Distribusi usia pada jenis prostatektomi ditampilkan pada tabel 5. Pembahasan Berdasarkan distribusi usia, pasien PPJ yang menjalani prostatektomi usia paling muda yaitu 51 tahun dan yang tertua yaitu 86 tahun, reratanya 65,81 tahun (rentang 51-86 tahun) sedangkan berdasarkan jenis operasi prostatektomi secara PTV paling banyak pada dekade tujuh (50%) dan secara PRTU paling banyak pada dekade keenam (41,8%). Keterangan: HT=Hipertensi, PJI=Penyakit Jantung Iskemik, DM=Diabetes Melitus, PPOM=Penyakit Paru Obstrutif Menabun
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