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    CASE REPORT-Devyana Enggar Taslim

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    vivitaslim
    Mr. Suripto Bin Muaji, a 65-year-old male laborer, was admitted to the hospital unable to urinate. He had a history of urinary difficulties over the past 2 years including frequent and difficult urination. Physical examination found an enlarged prostate. Tests showed prostate enlargement and urine retention. The clinical diagnosis was urine retention caused by benign prostatic hyperplasia. The patient underwent a transurethral resection of the prostate for treatment.

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    CASE REPORT-Devyana Enggar Taslim

    Uploaded by

    vivitaslim
    45 views24 pages
    Mr. Suripto Bin Muaji, a 65-year-old male laborer, was admitted to the hospital unable to urinate. He had a history of urinary difficulties over the past 2 years including frequent and difficult urination. Physical examination found an enlarged prostate. Tests showed prostate enlargement and urine retention. The clinical diagnosis was urine retention caused by benign prostatic hyperplasia. The patient underwent a transurethral resection of the prostate for treatment.

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    Mr. Suripto Bin Muaji, a 65-year-old male laborer, was admitted to the hospital unable to urinate. He had a history of urinary difficulties over the past 2 years including frequent and difficult urination. Physical examination found an enlarged prostate. Tests showed prostate enlargement and urine retention. The clinical diagnosis was urine retention caused by benign prostatic hyperplasia. The patient underwent a transurethral resection of the prostate for treatment.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    45 views24 pages

    CASE REPORT-Devyana Enggar Taslim

    Uploaded by

    vivitaslim
    Mr. Suripto Bin Muaji, a 65-year-old male laborer, was admitted to the hospital unable to urinate. He had a history of urinary difficulties over the past 2 years including frequent and difficult urination. Physical examination found an enlarged prostate. Tests showed prostate enlargement and urine retention. The clinical diagnosis was urine retention caused by benign prostatic hyperplasia. The patient underwent a transurethral resection of the prostate for treatment.

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    CASE REPORT

    Retentio Urine ec
    Benign Prostatic
    Hyperplasia
    By:
    Devyana Enggar Taslim
    Supervisor:
    Dr. Marta Hendry, SpU

    04087821416001

    INDENTITY
    Name
    Sex

    : Mr. Suripto Bin Muaji


    : Male

    Age / date of birth : 65 years old / 14 July


    1950
    Occupation

    : labor

    Address

    : Kabupaten Muara Enim

    Marital status

    : Married

    Date of Admission : 15 April 2015


    Reg no / MR

    : RI15010083 / 775885

    Chief
    Complai
    n

    Unable to
    urinate

    Recent History

    2
    years
    before
    admissio
    n

    1 year
    before
    admissio
    n

    patient complain disjoined urination accompanied


    by a feeling unsatisfied after urinating, feel more
    frequently urinate in a day > 10x and woke up to
    urinate at night >1x, he admitted that he didnt
    much drink before sleep, straining before urinate
    (+), stone found during urinating (-) hematuri (-),
    nausea and vomiting (-), fever (-), normal
    defecation.
    patient complain unable to urinate and even
    when he strained the urine didnt come out
    went to hospital catheter. He routine to
    change the catheter (every 2 weeks) then
    the patient asked for reference to RSMH for
    further treatment

    History
    History of surgery:
    History of herniorrhaphy 1 year
    ago
    History of past illness
    Allergy (-), HTN (-), DM (-), trauma (-)
    Family history of the same illness (-)

    Physical Examination
    General State:
    Consciousness

    : CM

    Vital Signs:
    BP

    : 130/80mmHg

    HR

    : 78 bpm

    RR

    : 20 bpm

    Temp

    : 36.70C

    Head and neck


    Normal
    Eyes
    Nose
    Ears

    : Normal
    : Normal
    : Normal

    Thorax
    Heart
    Inspection : ictus cordis
    not seen
    Palpation : Ictus Cordis not
    palpable
    Percussion : Normal
    Auscultation: Murmur (-)
    gallop (-)
    Lungs
    Inspection : static &
    dynamic symmetric
    Palpation : Stem fremitus
    R=L
    Percussion : Resonant in
    both lungs
    Auscultation: Wh (-) Rh (-)

    Local Examination

    Insp : Bulging (-)


    Palp
    (-/-)

    : Mass (-/-), tenderness (-/-), Ballotement

    Percussion: knock pain at CVA (-/-)


    Regio Genetalia eksterna
    Catheter (+),
    mass (-),
    bloody discharge (-),
    scar (-)

    Laboratory Findings

    Hematology
    Hb

    : 12.8

    RBC : 4.10 x 106mm3


    WBC : 6.4 x 103mm3

    Ht

    : 37 %

    DC

    : 0/22/46/26/6

    Metabolic carbohydrate
    BSS : 109

    Kidney
    Ureum

    : 51

    Creatinine : 2.61

    Electrolyte
    Na
    : 144
    mg/dl
    K
    : 5.2
    mg/dl

    Chest X-Ray

    Result:
    There is no
    infiltrate and
    nodule at both
    lungs

    BNO

    result
    There is no
    showed radio
    opaque stone
    in the kidney

    USG - TUG

    Result:
    prostate enlargement (47.6mm x 43.8mm x
    45.9mm)

    Clinical Diagnosis

    Retention Urine
    caused by Benign
    Prostate Hyperplasia

    Treatment

    Pro Trans Urethral Resection


    of the Prostat

    Prognosis

    Quo ad vitam
    : bonam
    Quo ad functionam : bonam

    Definision

    Benign prostatic hyperplasia(BPH),


    is a benign neoplasm (hyperplasia)
    that involve the prostate gland
    Male, Age 60 years as much as 50%,
    80% of men aged 80 years.

    Prostate Anatomy

    ETIOLOG
    Y

    Clinical Manifestation

    Physical Examination

    Bladder was full, and


    palpable cystic mass due to
    retention urinary in the area
    supra symphysis.

    Digital Rectal Examination (DRE)


    In this examination we can assessed the
    prostate enlargement, consistency,
    symmetry, induration, crepitus, and the

    Treatment

    TURP

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