DAFTAR ISI

BAB I PENDAHULUAN........................................................................................1
BAB II TINJAUAN PUSTAKA..............................................................................3
2.1. Definisi.......................................................................................................3
2.2. Epidemiologi Benign Prostatic Hyperplasia..............................................3

2.12. Diagnosis Banding.................................................................................32

2.13. Prognosis Benign Prostatic Hyperplasia................................................32
BAB IV DAFTAR PUSTAKA...............................................................................34

(b)
(c)

Retensi urinaria+gejala yang

berhubungan dg BPH
Riwayat Tes diagnostic
Hematuria persistent
Gejala ringan Pemeriksaan
Tes diagnostic fisik & Pressure
DRE Batuflow
buli
(AUA7) / Gejala sedang
Urinalisa Uretrosistoskopi
Infeksi saluran urinaria
Uroflow
(a) non-invasif
tdk Terapi
ada gejala
Watchful
Gambaran normal PSA Indeks
Tekanan
Penyempitan
Pilihan
Residu Terapi
urin
/berat gejala
Hiperplasia
intravesika
(meningkat/tidak)
Terapi terapi lumen
minimal
Gambaran
(AUA8) Terapi
Prostat
invasif
BPH invasif
meningkat
USGuretra
(d)Terapi berulang
prostat
minimal invasif
Operasi
Benigna
Hipertofi Operas
Operas
prostat
Hidronefrosis
Hidroureter
otot detrusor
 2.3. Anatomi prostat..........................................................................................4
2.4. Fisiologi prostat..........................................................................................6
2.5. Patofisiologi Benign Prostatic Hyperplasia................................................7
2.6. Etiologi Benign Prostatic Hyperplasia.......................................................8
2.7. Gambaran klinis Benign Prostatic Hyperplasia.......................................10
2.7.1. Keluhan pada saluran kemih bagian bawah (LUTS)5....................10

2.12. Diagnosis Banding.................................................................................32

2.13. Prognosis Benign Prostatic Hyperplasia................................................32
BAB IV DAFTAR PUSTAKA...............................................................................34

(b)
(c)

Retensi urinaria+gejala yang

berhubungan dg BPH
Riwayat Tes diagnostic
Hematuria persistent
Gejala ringan Pemeriksaan
Tes diagnostic fisik & Pressure
DRE Batuflow
buli
(AUA7) / Gejala sedang
Urinalisa Uretrosistoskopi
Infeksi saluran urinaria
Uroflow
(a) non-invasif
tdk Terapi
ada gejala
Watchful
Gambaran normal PSA Indeks
Tekanan
Penyempitan
Pilihan
Residu Terapi
urin
/berat gejala
Hiperplasia
intravesika
(meningkat/tidak)
Terapi terapi lumen
minimal
Gambaran
(AUA8) Terapi
Prostat
invasif
BPH invasif
meningkat
USGuretra
(d)Terapi berulang
prostat
minimal invasif
Operasi
Benigna
Hipertofi Operas
Operas
prostat
Hidronefrosis
Hidroureter
otot detrusor
 2.7.2. Gejala pada saluran kemih bagian atas5..........................................11
2.7.3. Gejala di luar saluran kemih...........................................................11
2.8. Diagnosa Benign Prostatic Hyperplasia...................................................11
2.8.1. Anamnesis Benign Prostatic Hyperplasia......................................11
2.8.2. Pemeriksaan fisik Benign Prostatic Hyperplasia...........................12
2.9. Pemeriksaan Penunjang............................................................................14

2.12. Diagnosis Banding.................................................................................32

2.13. Prognosis Benign Prostatic Hyperplasia................................................32
BAB IV DAFTAR PUSTAKA...............................................................................34

(b)
(c)

Retensi urinaria+gejala yang

berhubungan dg BPH
Riwayat Tes diagnostic
Hematuria persistent
Gejala ringan Pemeriksaan
Tes diagnostic fisik & Pressure
DRE Batuflow
buli
(AUA7) / Gejala sedang
Urinalisa Uretrosistoskopi
Infeksi saluran urinaria
Uroflow
(a) non-invasif
tdk Terapi
ada gejala
Watchful
Gambaran normal PSA Indeks
Tekanan
Penyempitan
Pilihan
Residu Terapi
urin
/berat gejala
Hiperplasia
intravesika
(meningkat/tidak)
Terapi terapi lumen
minimal
Gambaran
(AUA8) Terapi
Prostat
invasif
BPH invasif
meningkat
USGuretra
(d)Terapi berulang
prostat
minimal invasif
Operasi
Benigna
Hipertofi Operas
Operas
prostat
Hidronefrosis
Hidroureter
otot detrusor
 2.9.1 Pemeriksaan laboratorium...............................................................14
2.9.2. Pemeriksaan Patologi Anatomi......................................................15
2.9.3. Pencitraan pada Benigna Prostat Hiperplasia.................................16
2.9.4. Pemeriksaan lain.............................................................................18
2.10. Tatalaksana Benign Prostatic Hyperplasia.............................................19
2.10.1. Watchful waiting..........................................................................22

2.12. Diagnosis Banding.................................................................................32

2.13. Prognosis Benign Prostatic Hyperplasia................................................32
BAB IV DAFTAR PUSTAKA...............................................................................34

(b)
(c)

Retensi urinaria+gejala yang

berhubungan dg BPH
Riwayat Tes diagnostic
Hematuria persistent
Gejala ringan Pemeriksaan
Tes diagnostic fisik & Pressure
DRE Batuflow
buli
(AUA7) / Gejala sedang
Urinalisa Uretrosistoskopi
Infeksi saluran urinaria
Uroflow
(a) non-invasif
tdk Terapi
ada gejala
Watchful
Gambaran normal PSA Indeks
Tekanan
Penyempitan
Pilihan
Residu Terapi
urin
/berat gejala
Hiperplasia
intravesika
(meningkat/tidak)
Terapi terapi lumen
minimal
Gambaran
(AUA8) Terapi
Prostat
invasif
BPH invasif
meningkat
USGuretra
(d)Terapi berulang
prostat
minimal invasif
Operasi
Benigna
Hipertofi Operas
Operas
prostat
Hidronefrosis
Hidroureter
otot detrusor
 2.10.2. Medikamentosa............................................................................22
2.10.3. Terapi Invasif Minimal.................................................................24
2.10.4. Operasi..........................................................................................26
2.10.5. Kontrol berkala.............................................................................30
2.11. Komplikasi.............................................................................................31

2.12. Diagnosis Banding.................................................................................32

2.13. Prognosis Benign Prostatic Hyperplasia................................................32
BAB IV DAFTAR PUSTAKA...............................................................................34

(b)
(c)

Retensi urinaria+gejala yang

berhubungan dg BPH
Riwayat Tes diagnostic
Hematuria persistent
Gejala ringan Pemeriksaan
Tes diagnostic fisik & Pressure
DRE Batuflow
buli
(AUA7) / Gejala sedang
Urinalisa Uretrosistoskopi
Infeksi saluran urinaria
Uroflow
(a) non-invasif
tdk Terapi
ada gejala
Watchful
Gambaran normal PSA Indeks
Tekanan
Penyempitan
Pilihan
Residu Terapi
urin
/berat gejala
Hiperplasia
intravesika
(meningkat/tidak)
Terapi terapi lumen
minimal
Gambaran
(AUA8) Terapi
Prostat
invasif
BPH invasif
meningkat
USGuretra
(d)Terapi berulang
prostat
minimal invasif
Operasi
Benigna
Hipertofi Operas
Operas
prostat
Hidronefrosis
Hidroureter
otot detrusor