Angka Kejadian Komplikasi Lambat Pascaoperasi Prostatektomi Transvesikal dan Reseksi Transuretral pada Pasien Pembesaran Prostat Jinak

Bakri Hasbullah(1*)

(1) 
(*) Corresponding Author

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.

References

Han, M., Alfert, H.J., Partin, A.W. 2002. Retropubic and suprapubic open prostatectomy. Dalam: Campbell's Urology.

Philadelphia: Elsevier Science: 1423-34

Hisasue, S.I., Takahashi, A., Kato, R., Shimizu, T., Masumori, N., Itoh, N., Tsukamoto, T. 2004. Early and Late Complications of

Radical Retropubic Prostatectomy: Experience in a single Institution. Jpn J Oncol 34(5): 274-9

Hardjowijoto, S., Taher, A., Poernomo, B.B., Umbas, R., Sugandi, S., Rahardjo, D., Soebadi, D.M. 2003. Panduan Penatalaksanaan (Guidelines) Benign Prostatic Hyperplasi (BPH) di Indonesia. IAUI: 1-14

Hamengkubuwono X. 2005. Peningkatan derajat kesehatan masyarakat. Dalam: Laporan Keterangan

Pertanggungjawaban Gubernur DI Jogjakarta Tahun 2004. Kedaulatan Rakyat. 25-8-2005 Tahun LX No.319 Ibrahim, A.I.A., El Malik, E., Ghali, A.M., Murad, N., Saad, M. 1995.

Effect of age, comorbidity and type of surgery on perioperative complications and mortality of prostatectomy. Br J Urol 76: 341-5

Johannes, C.B., Araujo, A.B., Feldman, H.A., Derby, C.A., Kleinman, K.P., Kinlay, J.B. 2000. Erectil dysfunction. The Journal of Urology 163: 460-3

Kirby, R., Fitzpatrick, J., Kirby, M., Fitzpatrick, A. 1995. Shared

care for prostatic disease. Hongkong: Dah Hua Printing Press Co.Ltd: 1-116

Lilley, H.P.R.B. 2001. 2001 World Population Data sheet of the

Population Reference Bureau Demographic Data and Estimates for the Countries and Regions of The World: 1-10

Lepor, H., Lowe, F.C. 2002. Evaluation and nonsurgical management of benign prostatic hyperpasia. Dalam: Campbell's Urology 8(2): 1338-72

Mebust, W.K., Holtgrewe, H.L., Cockett, A.T., Peters, P.C. 989.

Transurethral Prostatectomy: Immediate and postoperative Complication. A Cooperative Study of 13 Participating Institution Evaluating 3.885 Patiens. Br.J.Urol 141: 243-47

McConnel, J.D. 1995. Prostatic growth: new insights into hormonal regulation. Br J Urol 76: 5-10

Majid, A., Harun, S., 2003. Evaluasi - kardiologi-prabedah. Http://www. papdi. or.id/prabedah/ prabedah%20II.%20.

Mangunnegoro, H., Amin, M., Yunus, S. et al. 2003. Pedoman Praktis Diagnosis dan Penatalaksanaan PPOK di Indonesia. Perhimpunan Dokter Paru Indonesia 2003

Narayan, P. 1995. Neoplasms of prostate gland. Dalam: Smith's General Urology. Edisi 14. Philadelphia: LANGE Medical Book: 392-410

Presti, J.C. 2004. Neoplasms of prostate gland. Dalam: Smith's General Urology. Edisi 17. Philadelphia: LANGE Medical Book: 399-417

Pramantara, I.D.P. 2004. Seksualitas pada usia purna bakti. Dalam: Pelatihan Prapurna karya Pekerja PT.BADAK NGL. Jogjakarta

Pramantara, I.D.P. 2004. Diabetes dan Impotensi (Masalah yang Harus Dihadapi dan Diatasi). Dalam: Ceramah Awam Pusat Diabetes. Jogjakarta

Resnick, M.I., Benson, M.A. 1989. Stricture urethrae. Dalam: Manual of Clinical Problem in Urology. Little, Brown and Company: 186

Raharjo, D. 1999. Prostat, Kelainan-kelainan Jinak, Diagnosis dan Penanganan. Jakarta: Asian Medical: 15-59

Raharjo, D. 2003. Jika si jago enggan berkokok. Farmacia 4 (3): 6-8

Raharjo, D. 2003. BPH: Diagnosis, Patient and Therapeutic Pattern in Indonesia. Malam Klinik IKABI. Jogjakarta

Roehrborn, C.G., McConnel, J.D. 2002. Etiology, pathophysiology, epidemiology, and natural history of benign prostatic hyperplasia. Dalam: Campbell's Urology. Edisi 8. Philadelphia: Elsevier Science: 1297-1330

Smith, J.C. 1992. Mortality, morbidity and complications following transurethral resection of the prostate for benign prostate hyperplasia. The Journal of Urology 147: 1566-73

Singodimedjo, P. 2000. Internasional-Prostate Symptom Score sebagai Cara untuk Menentukan Derajat Hiperplasia Prostat Jinak dan Menilai Keberhasilan Tindakan Operasi Prostatektomi. Kumpulan Makalah Karya Ilmiah. Jogjakarta

Tierney, L.M., McPhee, S.J., Papadakis, M.A. 2004. Benign Prostatic Hyperplasia. Dalam: Current Medical Diagnosis and Treatment. Edisi 43. Lange Medical Books: 922-8

Tierney, L.M., McPhee, S.J., Papadakis, M.A. 2004. Urinary incontinence. Dalam: Current Medical Diagnosis and Treatment. Edisi 43. Lange Medical Books: 915-8

Tierney, L.M., McPhee, S.J., Papadakis, M.A. 2004. Male erectile dysfunction & sexual dysfunction. Dalam: Current Medical Diagnosis and Treatment. Edisi 43. Philadelphia: Lange Medical Books: 915-8 Books/McGraw-Hill:918-20

Article Metrics

Abstract view(s): 481 time(s)

Refbacks

  • There are currently no refbacks.