Retentio Urine ec Benign Prostatic HyperplasiaBy:Devyana Enggar Taslim04087821416001

Supervisor:Dr. Marta Hendry, SpUCASE REPORT

INDENTITYName: Mr. Suripto Bin MuajiSex: MaleAge / date of birth: 65 years old / 14 July 1950Occupation: laborAddress: Kabupaten Muara EnimMarital status: MarriedDate of Admission: 15 April 2015Reg no / MR: RI15010083 / 775885

Chief ComplainUnable to urinate

Recent History 2 years before admissionpatient 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. 1 year before admissionpatient 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

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

Physical ExaminationGeneral State:Consciousness: CMVital Signs:BP: 130/80mmHgHR: 78 bpmRR: 20 bpmTemp: 36.70CHead and neck : NormalEyes: NormalNose : NormalEars: NormalThorax HeartInspection : ictus cordis not seenPalpation : Ictus Cordis not palpablePercussion : NormalAuscultation: Murmur (-) gallop (-)LungsInspection : static & dynamic symmetricPalpation : Stem fremitus R=LPercussion : Resonant in both lungsAuscultation: Wh (-) Rh (-)abdomen: Normalextremitas : Normalgenitalia: Catheterization (+)

Local ExaminationInsp : Bulging (-)Palp : Mass (-/-), tenderness (-/-), Ballotement (-/-)Percussion: knock pain at CVA (-/-)Regio Genetalia eksterna Catheter (+),mass (-), bloody discharge (-),scar (-)

Laboratory FindingsHematology Hb: 12.8RBC: 4.10 x 106mm3WBC: 6.4 x 103mm3Ht: 37 %DC: 0/22/46/26/6Metabolic carbohydrate BSS: 109Kidney Ureum : 51Creatinine: 2.61Electrolyte Na: 144 mg/dlK: 5.2 mg/dl

Chest X-RayResult:There is no infiltrate and nodule at both lungs

BNOresultThere is no showed radio opaque stone in the kidney

USG - TUG

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

Clinical DiagnosisRetention Urine caused by Benign Prostate Hyperplasia

Treatment Pro Trans Urethral Resection of the Prostat

PrognosisQuo ad vitam : bonamQuo ad functionam : bonam

DefinisionBenign 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

ETIOLOGY

Clinical Manifestation

Physical ExaminationBladder 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 presence or absence of nodules.

Treatment TURP