Benign prostatic hyperplasia (BPH) is defined as stromal cell proliferation of prostate gland which causes enlargement of the gland. It manifests as urine flow disturbance, difficult to urinate, and desire to urinate, however, the urine emission is low. In 2013, Indonesia has 9.2 million cases of BPH among men aged over 60 years. This study was aimed to obtain the profile of BPH cases at Prof. Dr. R. D. Kandou Hospital Manado in the period of January 2014 to June 2017. This was a retrospective descriptive study at Medical Record Installation of Prof. Dr. R. D. Kandou Hospital. The results showed that during that period of time, the highest percentage of cases was in 2016 (38.46%) and the most common age group was 61-70 years old (46.15%). The main complaint among the patients was difficult to urinate and the most frequently performed action was transurethral resection of prostate (TURP) (51.28%). Conclusion: In this study, BPH cases were most common at the age group 61-70 years old. Moreover, TURP was the most common action performed.Keywords: benign prostatic hyperplasia Abstrak: Benigna prostat hiperplasia (BPH) didefinisikan sebagai proliferasi dari sel stromal pada prostat, yang menyebabkan pembesaran kelenjar tersebut. Manifestasi BPH dapat berupa terganggunya aliran urin, sulit buang air kecil (BAK), dan keinginan buang air kecil namun pancaran urin lemah. Pada tahun 2013 di Indonesia terdapat 9,2juta kasus BPH, umumnya diderita laki-laki berusia di atas 60 tahun. Penelitian ini bertujuan untuk mendapatkan gambaran kasus BPH di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2014 – Juli 2017. Jenis penelitian ialah deskriptif retrospektif , yang dilakukan di Instalasi Rekam Medik RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian menunjukkan bahwa jumlah kasus BPH tertinggi pada tahun 2016 (38,46%) dan pada kelompok usia 61-70 tahun (46,15%). Keluhan utama semua pasien ialah sulit BAK. Tindakan yang paling sering digunakan yaitu transurethral resection of prostate (TURP) (51,28%). Simpulan: Kasus BPH terutama ditemukan berusia 61-70 tahun. Tindakan yang paling sering dilakukan yaitu reseksi prostat transuretra (TURP).Kata kunci: benigna prostat hiperplasia
Prostate cancer is a malignant disease of urogenital system which is the second most common type of cancer in men after lung cancer. Prostate cancer is also one of the most common cause of death in male population. There is no database regarding profiles of prostate cancer in Manado. This study was aimed to determine the profile of prostate cancer patients treated at Prof. Dr. R. D. Kandou Hospital Manado in the period 2013 to 2015. This was a descriptive retrospective study in October to November 2016. Samples were taken based on secondary data of the medical record. The results showed that there were 54 patients with prostate cancer, most were found in 2015 (38.9%), age group 61-70 years old (37.0%), lived in Manado (33.3%), graduated Senior High School (64.8%), retirees (50.0%), difficult urination (44.4%), PSA levels >100 ng/ml (50.0%), histopathological of adenocarcinoma (100.0%), and Gleason score ranging from 8-10 (46.7%). Based on metastasis, 14 patients had metastasis (25.9%).Keywords: prostate cancer, profile, PSA, histopatology, Gleason score Abstrak: Kanker prostat ialah penyakit keganasan sistem urogenital yang merupakan kanker kedua terbanyak pada pria setelah kanker paru. Kanker prostat juga merupakan salah satu penyebab terbanyak kematian pada populasi pria. Belum ditemukan data tentang profil kanker prostat di Manado. Penelitian ini bertujuan untuk mengetahui profil penderita kanker prostat yang dirawat di RSUP Prof. Dr. R. D. Kandou pada periode 2013–2015. Jenis penelitian ialah deskriptif retrospektif yang dilakukan pada bulan Oktober sampai November 2016. Sampel diambil berdasarkan data sekunder dari catatan rekam medik. Hasil penelitian mendapatkan 54 penderita kanker prostat, paling banyak ditemukan pada tahun 2015 (38,9%), kelompok usia 61-70 tahun (37,0%), berdiam di Kota Manado (33,3%), tamat SMA (64,8%), pensiunan (50,0%), keluhan utama sulit buang air kecil (44,4%), kadar PSA >100 ng/ml (50,0%), jenis adenokarsinoma (100,0%), dan skor Gleason 8-10 (46,7%). Berdasarkan metastasis, sebanyak 14 penderita (25,9%) mengalami metastasis. Kata kunci: kanker prostat, profil, psa, histopatologi, skor gleason
Renal cell carcinoma or Grawitz tumor is a tumor originating from the proximal tubular epithelial and 3% of malignant tumors in adults. The cause of this disease appeared was not accurately known but this disease can occur all over the world, depend on their ages, sex and race. Smoking and obesity are the most common cause of this tumor. This study was aimed to determine the profile of patients with renal cell carcinoma in the RSUP of Prof. Dr. R. D. Kandou Manado period 2013-2015 based on number of patients, age, sex, location, metastasis, histopathology results, complaints, and treatments. This was a descriptive retrospective study using data of the Medical Record and Department of Pathology of Prof. Dr. R. D. Kandou Hospital Manado. The results showed that the distribution of patients with renal cell carcinoma in 2013 until 2015 was the highest in 2015 (62.5%). Th majority of cases were males (2:1), age group 51-65 yrs (50%) with back pain (87.5%). unilateral location of the renal cell carcinoma (100%) in right position (56.25%), and without metastasis (62.5%). Many histopathological results could not be found or missed (56.25%). Most patients were treated with nephrectomy (56.25%).Keywords: renal cell carcinoma, profile, manado Abstrak: Karsinoma sel ginjal atau tumor Grawitz merupakan tumor yang berasal dari epitel tubulus proksimal dan merupakan 3% dari tumor ganas pada orang dewasa. Penyebab penyakit ini belum diketahui secara pasti namun dapat terjadi di seluruh dunia dan tergantung pada umur, jenis kelamin, dan ras. Merokok dan obesitas merupakan penyebab terbanyak dari tumor ini. Penelitian ini bertujuan untuk mengetahui profil penderita karsinoma sel ginjal di RSUP Prof. Dr. R. D. Kandou Manado Periode 2013-2015, dan untuk mengetahui gambaran distribusi berdasarkan jumlah penderita, umur, jenis kelamin, letak, metastasis, hasil histopatologi, keluhan dan penanganan. Jenis penelitian ialah deskriptif retrospektif dengan menggunakan data di bagian Rekam Medik dan Patologi Anatomi RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian menunjukkan bahwa distribusi penderita karsinoma sel ginjal periode 2013-2015 terbanyak pada tahun 2015 (62,5%), dan tertinggi pada kelompok umur 51-65 tahun (50%). Jumlah pasien laki-laki lebih banyak daripada perempuan (2:1). Letak karsinoma sel ginjal terbanyak yaitu unilateral (100%) pada posisi dekstra (56,25%). Untuk hasil histopatologik, banyak data yang tidak ada atau hilang (56,25%). Keluhan tersering pada penyakit ini yaitu nyeri pinggang (87,5%). Sebagian besar penderita tidak mengalami metastasis (62,5%) dan penanganan terbanyak yang dilakukan ialah nefrektomi (56,25%). Kata kunci: karsinoma sel ginjal, profil, manado
Hypospadias is a congenital abnormality. In hypospadia the urethra meatus is located ventral position and proximally from its normal position at the tip of glans penis. Hypospadia present with a wide array of meatal position and curvature. Surgery to repair anatomical defect is the only one treatment for hypospadias. Urethrocutaneous fistula is the most frequent complication of hypospadias. There is not yet research about hypospadias in Prof. Dr. R. D. Kandou Hospital. That’s motivated me make research about hypospadias. This research is retrospective descriptive with the medical record in Prof. Dr. R. D. Kandou Hospital Manado period January 2009 to October 2012. This research was two month from November 2012 to Desember 2012. The incidence of hypospadias has been found by 17 cases. The most frequent is in 2011 and 2012. Penoscrotal hypospadia is the most frequent in this research. There are many patient have uretroplasty and chordectomy. Fistula in this research have been found two cases. Keywords: hypospadias, incidence, type, manajemen, fistula Abstrak: Hipospadia merupakan salah satu kelainan kongenital saluran kemih. Pada hipospadia meatus uretra eksternus terletak di permukaan ventral penis dan lebih ke proksimal dari tempatnya yang normal pada ujung penis. Hipospadia dibagi menurut posisi meatus dan derajat kelengkungan penis. Koreksi bedah untuk memperbaiki kelainan anatomi merupakan satu-satunya penanganan untuk hipospadia. Fistula uretrakutaneus merupakan komplikasi dengan frekuensi yang paling banyak pada koreksi hipospadia. Juga dilaporkan adanya fistula uretra kongenital yang timbul bersama-sama hipospadia. Penelitian mengenai hipospadia di RSUP Prof. Dr. R. D. Kandou Manado belum pernah dilakukan. Hal tersebut mendorong penulis untuk melakukan penelitian tentang hipospadia.Penelitian ini bersifat deskriptif retrospektif dengan menggunakan data rekam medik di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2009 hingga Oktober 2012. Penelitian ini dilakukan selama 2 bulan yaitu pada bulan November hingga Desember 2012. Ditemukan angka kejadian hipospadia sebanyak 17 kasus. Angka kejadian hipospadia paling tinggi ialah pada tahun 2011 dan 2012. Tipe penoskrotal merupakan tipe hipospadia yang paling banyak frekuensinya. Penderita hipospadia paling banyak mendapat penanganan uretroplasti dengan chordectomi. Fistula yang ditemukan sebanyak dua kasus. Kata kunci: hipospadia, angka kejadian, tipe, penanganan, fistula.
Facial Trauma, also known as maxillofacial trauma, is a forced to the face. Trauma maxillofacial occurred about 6% of all trauma. Trauma Facial causing fractures facial that happen a lot. Facial fractures occur because of trauma load that is greater than facial bones resistance. Facial fractures are divided into several parts, the nasal bone fracture, fracture zygoma and zygoma arch, maxilla fractures, orbital fractures and fractures of the mandible. With the increase of people’s mobilization and a growing level of transportation, causing accident that led to increased facial trauma. The research objective was to determine the incidence of facial fractures in patients SMF BLU Surgical Hospital Prof. R. D. Kandou the period January 2012 to December 2012. Research method: Retrospective descriptive study of the medical records in SMF BLU Surgical Hospital Prof. Dr. R.D. Kandou Manado from January 2012 to December 2012 is used in this paper. Result: Number of patients with facial fractures who were treated at the Surgical SMF period January 2012-December 2012 as many as 156 cases (5.60%) of the total of 2786 treated facial trauma. Most facial fractures age are 20-29 years that is 78 (50.00%), men are more than women that 132 cases (84.62%); most private sector employees work as many as 40 cases (25.64%), the highest in the District Malalayang by 49 cases (31.41%), the most common cause of traffic accidents as many as 82 cases (52.56%), as well as the location of the mandibular bone fracture is the most, 72 cases (39.77%). Conclusion: Trauma face causing facial fractures that went on SMF Surgical Hospital Prof R. D. Kandou still quite high, so it is necessary to continually educate people to avoid the possibility of injury in day-to-day activities. Keywords: facial trauma, facial fractures, facial bones. Abstrak: Trauma fasial disebut juga trauma maksilofacial adalah trauma akibat ruda paksa terhadap wajah. Trauma maksilofacial terjadi sekitar 6% dari seluruh trauma. Trauma fasial menyebabkan fraktur fasial yang banyak terjadi. Fraktur tulang fasial terjadi karena beban trauma yang lebih besar dari tahanan tulang fasial. Fraktur fasial dibagi menjadi beberapa bagian, yaitu fraktur tulang hidung, fraktur zigoma dan arkus zigoma, fraktur maksila, fraktur orbita dan fraktur mandibula. Dengan peningkatan mobilisasi penduduk serta tingkat transportasi yang berkembang, menyebabkan insiden kecelakaan yang menyebabkan trauma fasial meningkat. Tujuan penelitian adalah Untuk mengetahui angka kejadian penderita fraktur tulang fasial di SMF Bedah BLU RSU Prof. R. D. Kandou periode Januari 2012 sampai Desember 2012. Metode penelitian: metode retrospektif deskriptif melalui penelitian data rekam medik di SMF Bedah BLU RSU Prof. Dr. R.D. Kandou Manado periode Januari 2012 sampai Desember 2012. Hasil penelitian: Jumlah penderita fraktur fasial yang dirawat di SMF Bedah periode Januari 2012-Desember 2012 sebanyak 156 kasus (5,60%) dari total 2786 trauma fasial yang dirawat. Usia terbanyak fraktur fasial 20-29 tahun yaitu 78 (50,00%); pria lebih banyak wanita yaitu 132 kasus (84,62%); dari pekerjaan paling banyak pegawai swasta sebanyak 40 kasus (25,64%); terbanyak di Kecamatan Malalayang sebesar 49 kasus (31,41 %); penyebab terbanyak akibat kecelakaan lalulintas yaitu sebanyak 82 kasus (52,56 %); serta lokasi fraktur terbanyak adalah tulang mandibula sebanyak 72 kasus (39,77 %). Simpulan: Trauma wajah yang menyebabkan fraktur fasial yang masuk di SMF bedah RSU Prof R. D. Kandou masih cukup tinggi, sehingga diperlukan edukasi terus menerus kepada masyarakat agar menghindari kemungkinan terjadinya trauma, dalam kegiatan sehari-hari. Kata kunci: trauma fasial, fraktur fasial, tulang-tulang wajah.
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