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Correlation between Prostate-Specific-Antigen (PSA) Level and Prostate Volume in Benign Prostatic Hyperplasia at Bhayangkara Hospital Mataram Daniel M Krisna; Akhada Maulana; Erwin Kresnoadi
Journal of Medicine and Health Vol. 1 No. 6 (2017)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.777 KB) | DOI: 10.28932/jmh.v1i6.549

Abstract

Prostate enlargement is the most quality of life-impacted problem in elderly. Proper diagnoses and prostate volume prediction are important in considering the best treatment. PSA is a glycoprotein specifically secreted by prostate glands and influenced by various condition, such as Benign Prostatic Hyperplasia (BPH). The aim of this study is to identify the correlation between PSA serum level and prostate mass volume. This was a descriptive study with cross-sectional design that conducted at Bhayangkara Hospital Mataram on April 2015. Data were analyzed using Pearson correlation test and multiple regression logistic, to determine the relationship between PSA serum levels and prostate mass volume. The average PSA level was 34,62 ng/mL (1,82-30,70 ng/mL), and the average prostate mass volume were 72,57cc. There was correlation between PSA serum levels with prostate mass volume ( r = 0,384, p = 0,815). Conclusion, there is a relationship between PSA levels with prostate volume in BPH patients in Bhayangkara Mataram hospital.Keywords: Bhayangkara Hospital Mataram, BPH, prostate volume, PSA
FAKTOR YANG BERHUBUNGAN DENGAN RAWAT INAP PADA PASIEN PEMBESARAN PROSTAT JINAK DI RUMAH SAKIT BHAYANGKARA MATARAM Daniel Mahendra Krisna; Akhada Maulana; Erwin Kresnoadi
Berkala Ilmiah Kedokteran Duta Wacana Vol 1, No 2 (2016): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (957.768 KB) | DOI: 10.21460/bikdw.v1i2.11

Abstract

Latar Belakang: Pembesaran prostat jinak atau Benign prostatic hyperplasia (BPH) merupakan kasus dengan insidensi yang tinggi terutama pada usia diatas 50 tahun di Indonesia. BPH menjadi penyakit yang menyebabkan rasa ketidaknyamanan dan menimbulkan keluhan yang sangat mengganggu kualitas hidup pasien. Berbagai pilihan terapi tersedia baik herbal, medikamentosa, maupun terapi operatif. Standar baku untuk BPH adalah terapi operatif yang membutuhkan rawat inap di rumah sakit. Tujuan: Untuk mengetahui faktor yang berhubungan dengan lama rawat inap dan komplikasi sehingga dapat menekan biaya pasien. Metode: Delapan puluh sembilan pasien BPH dengan operasi TURP di RS Bhayangkara Mataram sejak bulan Januari 2010 - Desember 2014 diteliti berdasarkan usia, lama rawat inap, waktu tunggu operasi (WTO), lama rawat paska operasi, dan keadaan kateter ketika keluar rumah sakit melalui rekam medis. Jenis penelitian adalah penelitian analitik dengan metode cross sectional. Analisis statistik dengan koefisien korelasi (r) Pearson dan Spearman rho. Hasil: Dari 89 pasien kelompok usia terbanyak pada rentang 61-70 tahun (43.8%) dengan usia rata-rata 65, 75, usia termuda adalah 46 tahun dan usia tertua adalah 89 tahun. Memiliki lama rawat inap 5.53. Paling banyak 5 hari sebanyak 34 orang (38,2%). Rata-rata memiliki WTO 1,80 hari dan paling banyak memiliki lama rawat inap selama 1 hari sebanyak 51 orang (57,3%), serta rata-rata memiliki lama rawat inap paska operasi 3,72 hari. Tidak ada korelasi antara lama rawat inap dengan usia pasien (sig > 0,05; r = 0,121), komplikasi paska operasi pasien (sig > 0,05; r = 0,037) dan dengan keadaan kateter ketika keluar rumah sakit (sig < 0,05; r = -0,335**). Terdapat korelasi kuat yang signifikan antara lama rawat inap dengan WTO (sig < 0,05 ; r = 0,727**). Kesimpulan: Adanya berhubungan penyakit yang menyertai adalah penyebab pemanjangan WTO. Tidak terdapat korelasi antara lama rawat inap dengan dengan usia dan komplikasi paska operasi pasien, dan didapatkan korelasi kuat yang signifikan antara lama rawat inap dengan WTO. Lama rawat inap diatas rata-rata disebabkan oleh masalah pre-operasi.
Nephrolitiasis On Nephroptosis Patient I Made Ari Samudera; Akhada Maulana
Unram Medical Journal Vol 11 No 1 (2022): vol 11 no 1
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v11i1.583

Abstract

Nephroptosis or ren mobilis is defined as a descent in the anatomical position of the kidney by more than 2 corpus vertebrae (>5 cm). It is more common in women and on right kidney, although there were 10 % cases on left kidney and 20 % on bilateral kidney. Nephroptotic pain is a symptom that is often experienced by floating kidney patients. Complication of nephroptosis are hypertension and nephrolithiasis (kidney stones). Management of nephroptosis is nephropexy, or nephrectomy if there is kidney parenchymal damage. Reporting a 75-year-old female patient with right nephroptosis and kidney stone. She complained pain on the right lower abdomen that become better when patient lying. Patient has had hypertension too. On abdominal CT showed right kidney stone and severe hydronephosis. Position of the kidney was in the pelvic region. Patient then underwent right nephrectomy because parenchym of the kidney became very thin that damaged the kidney. Intra operative condition of this patient was stable, then patient discharged form hospital three days after surgery.
Correlation between Prostate-Specific-Antigen (PSA) Level and Prostate Volume in Benign Prostatic Hyperplasia at Bhayangkara Hospital Mataram Daniel M Krisna; Akhada Maulana; Erwin Kresnoadi
Journal of Medicine and Health Vol 1 No 6 (2017)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v1i6.549

Abstract

Prostate enlargement is the most quality of life-impacted problem in elderly. Proper diagnoses and prostate volume prediction are important in considering the best treatment. PSA is a glycoprotein specifically secreted by prostate glands and influenced by various condition, such as Benign Prostatic Hyperplasia (BPH). The aim of this study is to identify the correlation between PSA serum level and prostate mass volume. This was a descriptive study with cross-sectional design that conducted at Bhayangkara Hospital Mataram on April 2015. Data were analyzed using Pearson correlation test and multiple regression logistic, to determine the relationship between PSA serum levels and prostate mass volume. The average PSA level was 34,62 ng/mL (1,82-30,70 ng/mL), and the average prostate mass volume were 72,57cc. There was correlation between PSA serum levels with prostate mass volume ( r = 0,384, p = 0,815). Conclusion, there is a relationship between PSA levels with prostate volume in BPH patients in Bhayangkara Mataram hospital.Keywords: Bhayangkara Hospital Mataram, BPH, prostate volume, PSA