Implementasi Metode International Prostate Symptom Score (IPSS) Untuk E-Screening Penentuan Gejala Benign Prostate Hyperplasia (BPH)

2021 ◽  
Vol 7 (1) ◽  
pp. 28-37
Author(s):  
Rusliyawati Rusliyawati ◽  
Kurnia Muludi ◽  
Agus Wantoro ◽  
Dimas Aminudin Saputra
Keyword(s):  
Symptom Score ◽  
International Prostate Symptom Score ◽  
Benign Prostate Hyperplasia ◽  
Confusion Matrix ◽  
Prostate Hyperplasia ◽  
Benign Prostate

Benign Prostat Hyperplasia (BPH) merupakan pembesaran dari kelenjar prostat jinak yang umum dialami oleh pria lanjut usia yang memiki populasi sekitar 8% pada dekade ke 4 dan mengalami peningkatan hingga 90% dalam dekade ke 9. Pasien yang mengalami gangguan kesehatan perlu dilakukan pemeriksaan dini untuk segera mendapatkan kepastian penyakit dan segera mendapatkan pengobatan. Proses pemeriksaan untuk menentukan sejauh mana gejala yang dialami penderita menggunakan metode International Prostate Symptom Score (IPSS). Proses pemeriksaan tahap awal pasien masih dilakukan secara manual dengan melakukan tanya jawab antara dokter dengan pasien atau disebut dengan anamnesis. Anamnesis dilakukan untuk mendapatkan data tentang riwayat penyakit penderita yang pada umumnya dilakukan di rumah sakit atau puskesmas, hal tersebut berdampak kepada penderita yang merasa sensitif jika ditanyakan mengenai pertanyaan yang bersifat pribadi dan keterbatasan waktu dalam berfikir untuk menjawab pertanyaan-pertanyaan, oleh karena itu perlu dibangun sebuah sistem untuk memberikan solusi dari permasalahan tersebut berupa Sistem Informasi E-Screening untuk menentukan Gejala Benign Prostate Hyperplasia berbasis mobile yang dapat digunakan untuk masyarakat dalam melakukan pemeriksaan untuk mengetahui informasi penyakit yang diderita dan tingkat keparahan. Sistem yang dikembangkan telah dilakukan evaluasi menggunakan tabel confusion matrix. Hasil perhitungan diperoleh nilai accuracy 100%, nilai precision 100% dan nilai recall 100%

scholarly journals Hubungan Prostate Volume dan Intravesical Prostatic Protrusion terhadap International Prostate Symptom Score pada Pasien Benign Prostate Hyperplasia (Relationship between Prostate Volume and Intravesical Prostatic Protrusion and International Prostate

2018 ◽  
Vol 6 (1) ◽  
pp. 97
Author(s):  
Rahma Illa Putri Utami ◽  
Septa Surya Wahyudi ◽  
Yuli Hermansyah
Keyword(s):  
Symptom Score ◽  
International Prostate Symptom Score ◽  
Benign Prostate Hyperplasia ◽  
Prostate Volume ◽  
P Value ◽  
Spearman Correlation ◽  
Prostate Hyperplasia ◽  
Transabdominal Ultrasonography ◽  
Benign Prostate ◽  
Intravesical Prostatic Protrusion

Diagnosis of benign prostate hyperplasia (BPH) can be established through transabdominal ultrasonography (TAUS), a noninvasive supportive examination which measure prostate volume (PV), and intravesical prostatic protrusion (IPP). The severity of obstructive symptoms experienced by the patient was assessed by international prostate symptom score (IPSS) questionnaire. This study aimed to analyse the relationship between both PV and IPP and IPSS in BPH patients. This was an observational analytic study with cross sectional design conducted at Department of Urology Surgery Bina Sehat Hospital Jember, Paru Hospital Jember and Bhayangkara Hospital Bondowoso during October-November 2016 in 30 respondents. The average of PV was 52.01±25.18 mL, IPP was 12.67±6.69 mm and IPSS score was 25.60±9.20. The results of Spearman correlation between the PV and Voiding-IPSS, Storage-IPSS, or total score IPSS and IPP and Voiding IPSS showed no significant correlation (p =0.319; p=0.067; p=0.085; p=0.183). Spearman correlation between the IPP and Storage-IPSS or total score IPSS resulted p value equal to 0.012 and r=0.451 and p=0.027 and r=0.404, which showed a significant correlation with moderate correlation strength. Statistically, IPP correlated to IPSS score better than PV.   Keywords: BPH, international prostate symptom score, transabdominal ultrasonography  

scholarly journals Correlation of Intravesical Prostatic Protrusion in Benign Prostate Hyperplasia and Residual Lower Urinary Tract Symptoms After Surgery: A Systematic Review

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Harrina Erlianti Rahardjo ◽  
Bayu Gemilang
Keyword(s):  
Urinary Tract ◽  
International Prostate Symptom Score ◽  
Lower Urinary Tract ◽  
Benign Prostate Hyperplasia ◽  
Database Search ◽  
Prostate Hyperplasia ◽  
Urinary Tract Symptoms ◽  
Benign Prostate ◽  
Intravesical Prostatic Protrusion ◽  
Lower Urinary

Context: Intravesical prostatic protrusion (IPP) is a potential candidate for the initial evaluation of patients with lower urinary tract symptoms (LUTS). Intravesical prostatic protrusion is also known to predict the outcome of trials without a catheter and medical treatment outcomes and to determine bladder outlet obstructions. Objectives: This study aimed to determine whether IPP influences the residual LUTS after surgery in patients with benign prostate hyperplasia who have undergone prostate surgery. Evidence Acquisition: An online database search was conducted regarding the prognosis of postoperative benign prostate hyperplasia patients with intravesical prostatic protrusions. The selected databases comprised PubMed, ScienceDirect, EBSCO, and Cochrane Library. Randomized controlled trial, cohort, or case control studies that were written in English or Bahasa and published up until November 2020 were included. We reviewed postoperative outcomes, including subjective symptoms, based on the International Prostate Symptom Score and objective signs, such as Qmax and post voiding residue. Results: Our initial database search yielded 143 papers. After exclusion from abstract screening, seven papers were considered for full-text analysis. Five of these studies showed higher preoperative intravesical prostatic protrusion within successful postoperative outcomes. Some studies showed that patients with significant intravesical prostatic protrusions had more significant International Prostate Symptom Score decrements. However, two studies demonstrated that intravesical prostatic protrusion was not a significant prognostic factor. Conclusions: Most studies suggested that intravesical prostatic protrusion can predict better post-surgery lower urinary tract symptom outcomes. Further research using information about the risk of bias in ultrasound examination and more homogeneous surgical techniques and considering the duration of patients’ illness before they receive surgical management is needed.

scholarly journals Comparison of the clinical parameters of benign prostate hyperplasia in diabetic and non diabetic patients

2017 ◽  
Vol 89 (1) ◽  
pp. 26 ◽  
Author(s):  
Levent Ozcan ◽  
Huseyin Besiroglu ◽  
Murat Dursun ◽  
Emre Can Polat ◽  
Alper Otunctemur ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Total Cholesterol ◽  
Symptom Score ◽  
Benign Prostate Hyperplasia ◽  
Prostate Volume ◽  
Total Testosterone ◽  
Diabetic Patients ◽  
Prostate Hyperplasia ◽  
Benign Prostate ◽  
Diagnosis Of Diabetes Mellitus

Objective: We evaluated the correlation between benign prostate hyperplasia (BPH) measures and diabetes mellitus in men with benign prostate hyperplasia in a prospective study. Materials and methods: Between 2008-2012, 100 diabetic and 200 non diabetic patients undergoing surgery due to benign prostate hyperplasia were enrolled in the study. The parameters evaluated for each patients included prostate volume, fasting blood glucose, HbA1c, total testosterone, total prostatic specific antigen (T-PSA), triglicerides, total cholesterol and body mass index (BMI). A questionnaire including international prostate symptom score (IPSS) was sdministered and uroflow test measuring the peak urinary flow rate was performed to appreciate the complaints of the patients objectively. Results: Diabetic patients are more likely to have larger prostate volume. The symptom score evaluated by IPSS and post micturition residual volume were also significantly higher in diabetic groups. The other statistically significant different parameter between two groups was total testosterone that diabetic patients tend to have lower levels. Diabetic counterparts were established to have higher BMI. No statistically significant differentiation was observed about trigliceryde and total cholesterol levels and uroflow rates. Conclusions: Our study suggests a positive correlation between high prostate volume and diagnosis of diabetes mellitus in patients with benign prostatic hyperplasia. We also observed a positive correlation between symptom scores and post micturion residual volumes and diagnosis of diabetes mellitus suggesting that the presence of diabetes is related to both static and dynamic components of benign prostate hyperplasia. Additionally testosterone levels were lower in diabetic patients. Further studies need to confirm these relationship in a larger population.

HUBUNGAN USIA, OBESITAS DAN RIWAYAT PENYAKIT DIABETES MELLITUS DENGAN KEJADIAN BENIGN PROSTATE HYPERPLASIA (BPH) DERAJAT IV DI RSUD DR. M. HAULUSSY AMBON PERIODE 2012-2014

2017 ◽  
pp. 141-151
Author(s):  
Andrew Ruspanah
Keyword(s):  
Diabetes Mellitus ◽  
Benign Prostate Hyperplasia ◽  
Chi Square ◽  
Cross Sectional ◽  
Prostate Hyperplasia ◽  
Benign Prostate

Pendahuluan. Benign Postate Hiperplasia (BPH) adalah penyakit yang umumnya terjadi pada pria lansia yang disebabkan oleh penuaan. Hiperplasia prostat adalah pertumbuhan jaringan nodul fibroadenomatosa pada prostat. Pembesaran prostat jinak merupakan penyakit yang tersering kedua setelah batu saluran kemih didapatkan secara klinis di Indonesia. Tujuan. Penelitian ini bertujuan untuk mengetahui hubungan antara usia, obesitas dan riwayat diabetes mellitus dengan kejadian Benign Prostate Hyperplasia (BPH) grade IV di Rumah Sakit Dr. M. Haulussy Ambon periode 2012-2014. Metode. Jenis penelitian ini adalah penelitian analitik desain Cross-Sectional, dengan menggunakan catatan medis data di ruang operasi di Rumah Sakit Dr. M. Haulussy Ambon Tahun 2012-2014 dan memperoleh jumlah sampel yang memenuhi kriteria inklusi sebanyak 239, yang diambil dengan teknik total sampling. Analisis dilakukan dengan analisis univariat dan bivariat menggunakan uji Chi Square. Hasil yang di temukan dalam penelitian ini bahwa kejadian BPH lebih besar pada mereka yang berusia> 65 tahun dan 56-65 tahun dibandingkan dengan usia 46-55 dan <46 tahun dengan hasil tes menunjukkan adanya hubungan antara usia dengan BPH dengan nilai (p= 0,000), ada hubungan antara obesitas dengan nilai BPH (p=0,019) dan riwayat diabetes mellitus setelah menggunakan uji Chi-Square, hubungan antara riwayat diabetes mellitus dengan BPH dengan nilai (p = 0,000). Kesimpulan. Ada hubungan antara umur, obesitas dan riwayat diabetes mellitus dengan kejadian BPH.

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