Hubungan Usia dan Volume Prostat dengan Kejadian Retensi Urine pada Pasien Benign Prostatic Hyperplasia di  RSUD Dr. Sobirin

Muhammad Rifki; Kasih Purwati; Yurizsa Silva Sabillah

doi:10.55606/termometer.v4i4.7131

Authors

Muhammad Rifki Universitas Batam
Kasih Purwati Universitas Batam
Yurizsa Silva Sabillah Universitas Batam

DOI:

https://doi.org/10.55606/termometer.v4i4.7131

Keywords:

Age, Benign Prostatic Hyperplasia, Decompensation, Prostate Volume, Urinary Retention

Abstract

Background: Benign Prostatic Hyperplasia (BPH) triggers progressive Bladder Outlet Obstruction (BOO). Advancing age and increased prostate volume accelerate the detrusor decompensation phase, leading to urinary retention. Methods: This was an analytical observational study with a cross-sectional approach using medical records. A sample of 105 patients was selected using purposive sampling. Metabolic comorbidities and neurological diseases were strictly excluded to eliminate confounding bias. Bivariate data analysis utilized the Chi-Square test with category adjustments. Results: The prevalence of urinary retention in this referral facility reached 70.5%. There was a significant relationship between age and the incidence of urinary retention (p=0.005), peaking at 92.3% in the age group ≥ 80 years. Prostate volume was also significantly associated (p=0.001), with an absolute retention incidence (100%) in Grade 4 prostates ≥ 80 cc. Conclusion: Age degeneration and massive prostate volume accelerate the risk of bladder emptying failure. The high rate of complications confirms selection bias at the referral center, while also reflecting delayed early detection in primary care facilities.

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References

Budaya, T. N., Purnomo, B. B., Daryanto, B., Seputra, K. P., & Satyagraha, P. (2014). IPP as predictive factor for acute urinary retention in BPH patients. Indonesian Journal of Urology. https://doi.org/10.32421/juri.v21i1.26

Cahyo, K., & Supit, W. (2023). Hubungan volume prostat dengan kejadian retensi urine akut pada pasien benign prostatic hyperplasia. Jurnal Biomedik (JBM), 15(1), 45–51.

European Association of Urology. (2024). EAU guidelines on management of non-neurogenic male lower urinary tract symptoms (LUTS), including benign prostatic obstruction (BPO).

Fauziya, Z., Sutapa, H., & Pratiwi, D. I. N. (2021). Literature review: Pengaruh volume prostat terhadap kejadian retensi urin akut pada pasien BPH. Homeostasis, 4(1), 93–102. https://doi.org/10.20527/ht.v4i1.3350

Fitzgerald, J., DiSantostefano, R. L., & Roehrborn, C. G. (2018). Obesity and benign prostatic hyperplasia: Epidemiology and clinical implications. World Journal of Urology, 36(12), 2153–2160.

Ikatan Ahli Urologi Indonesia. (2021). Panduan penatalaksanaan klinis pembesaran prostat jinak (benign prostatic hyperplasia/BPH) (Edisi ke-4).

Lodh, B., Mandal, S., Chakrabarti, S., Chatterjee, S., & De, A. (2016). Digital rectal grading of benign prostatic hyperplasia: Where does it stand today? Journal of Mahatma Gandhi Institute of Medical Sciences, 21(1), 40–45. https://doi.org/10.4103/0971-9903.178104

McVary, K. T., Roehrborn, C. G., Avins, A. L., Barry, M. J., Bruskewitz, R. C., Donnell, R. F., . . . Wei, J. T. (2016). Benign prostatic hyperplasia: A review. JAMA, 315(24), 2671–2678.

Negro, C. L., & Muir, G. H. (2012). Chronic urinary retention in men: How we define it, and how does it affect treatment outcome. BJU International, 110(11), 1590–1594. https://doi.org/10.1111/j.1464-410X.2012.11101.x

Notoatmodjo, S. (2018). Metodologi penelitian kesehatan. Rineka Cipta.

Prasetyo, D. E., Santoso, B., & Hidayat, R. (2022). Clinical characteristics of patients undergoing TURP at a tertiary hospital in Indonesia. Indonesian Journal of Urology, 29(1), 45–52.

Purnomo, B. (2014). Dasar-dasar urologi. Sagung Seto.

Rizki, M. D. F., & Rizaldi, A. (2024). Retensi urine akut pada pasien benign prostatic hyperplasia (BPH) tidak berhubungan dengan usia dan volume prostat. Jurnal Pandu Husada, 5(2), 26–33. https://doi.org/10.30596/jph.v5i2.19854

Roehrborn, C. G. (2019). Benign prostatic hyperplasia: An overview and guidelines for management. Urology, 133, 3–9.

Sari, Y. A., Duarsa, G. W. K., & Mahadewa, T. G. B. (2019). Faktor risiko yang mempengaruhi pembesaran volume prostat pada pasien pembesaran prostat jinak yang dilakukan reseksi prostat transuretra. Medicina, 50(2), 330–334. https://doi.org/10.15562/medicina.v50i2.702

Shao, W. H., Zhang, Z. Y., Ye, Z. Q., & Chen, Z. (2023). Age-related changes for the predictors of benign prostatic hyperplasia: Risk increases notably after 61 years. Andrology, 11(4), 1–9.

Skopljak, A., Prasko, S., Prasko, E., Kurspahic Mujcic, A., Tiric Campara, M., Hukic, F., & Tanovic Avdic, A. (2024). Assessment of symptoms and signs of benign prostatic hyperplasia using the International Prostate Symptom Score in clinical practice. World Journal of Advanced Research and Reviews, 21(3), 972–980. https://doi.org/10.30574/wjarr.2024.21.3.0972

Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.

Tjahjodjati, Soebadi, D. M., Umbas, R., Purnomo, B. B., Widjanarko, S., Mochtar, C. A., et al. (2021). Panduan penatalaksanaan klinis pembesaran prostat jinak (benign prostatic hyperplasia/BPH) (Edisi ke-3). Ikatan Ahli Urologi Indonesia.

Wiratama, M. A., & Pardani, P. R. D. (2018). Hubungan volume prostat dan protrusi prostat intravesika dengan kejadian retensi urin akut pada pasien benign prostatic hyperplasia di RSUD Buleleng bulan Mei–Agustus tahun 2017. Medicina, 49(2), 129–132. https://doi.org/10.15562/medicina.v49i2.204

World Health Organization. (2020). Ageing and health.

Xu, G., Dai, G., Huang, Z., Guan, Q., Du, C., & Xu, X. (2024). The etiology and pathogenesis of benign prostatic hyperplasia: The roles of sex hormones and anatomy. Research and Reports in Urology, 16, 45–58. https://doi.org/10.2147/RRU.S477396

Ye, Z., Wang, Y., Li, H., et al. (2024). Global burden of benign prostatic hyperplasia in males aged 60 years and over: Evidence from 204 countries, 1990–2019. BMC Urology, 24, Article 82. https://doi.org/10.1186/s12894-024-01582-w