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Abstrak :
Protrusi prostat intravesika adalah penonjolan prostat yang mengindentasi buli-buli akibat pertumbuhan prostat lobus median dan lateral. Terdapat hubungan yang positif antara protrusi prostat intravesika, volume prostat, ketebalan otot detrusor buli-buli dan keluhan berkemih. Tujuan penelitian ini adalah mengukur tingkat korelasi antara panjang protrusi prostat intravesika dengan ketebalan otot detrusor buli-buli. Metode: Penelitian ini merupakan penelitian korelasi menggunakan disain potong lintang. Uji korelasi yang dilakukan adalah uji korelasi Spearman Rank. Hasil: Selama bulan Juli dan Agustus 2013 didapatkan jumlah sampel 20 orang. Rerata tebal otot detrusor buli-buli 2,83 mm (SD 0,64). Rerata panjang protrusi prostat intravesika 7,44 mm (SD 4,63). Hasil uji korelasi Spearman Rank didapatkan koefisien korelasi 0,54 (p 0,015). Kesimpulan: terdapat korelasi yang kuat antara panjang protrusi prostat intravesika dengan ketebalan otot detrusor buli-buli.

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Introduction : intravesical prostatic protrusion is prostatic protrusion to the bladder wall due to the growth of the median and lateral lobes of the prostate . There is a positive relationship between intravesical prostatic protrusion , prostate volume , thickness of the bladder detrusor muscle and bladder complaints . The purpose of this study was to Measure the degree of correlation between the length of intravesical prostatic protrusion with the detrussor wall thickness. Methods : This study is a correlation study using cross-sectional design . Correlation test was performed Spearman Rank correlation test . Results : During the months of July and August 2013 found 20 persons of samples. The mean of detrussor wall thickness 2.83 mm ( SD 0.64 ) . The mean of intravesical prostatic protrusion length 7.44 mm ( SD 4.63 ) . Spearman Rank correlation test results obtained correlation coefficient 0.54 ( p 0.015 ) . Conclusion : there is a strong correlation between the length of intravesical prostatic protrusion with detrussor wall thickness.

Abstrak :
Latar belakang: Adenokarsinoma prostat merupakan salah satu jenis kanker yang paling banyak didiagnosis pada laki-laki di seluruh dunia, dengan mayoritas pasien berusia di antara 60 ndash; 80 tahun. Usia adalah salah satu faktor risiko yang paling berperan, dan diperkirakan mempunyai andil dalam perkembangan penyakit ini. Tujuan: Untuk menentukan korelasi antara usia dengan skor Gleason pada pasien dengan adenokarinoma prostat. Metode Data mengenai usia dan skor Gleason diperoleh dari 101 sampel yang diambil dari lembar permintaan pemeriksaan pasien dari tahun 2011 sampai 2014, di Departemen Patologi Anatomik, Rumah Sakit Cipto Mangunkusumo. Analisis statistik Kendall's tau-b digunakan untuk menentukan korelasi. Hasil: Usia rata-rata pasien adenokarsinoma prostat pada penelitian ini adalah 67,87 tahun dan kebanyakan pasien memiliki skor Gleason 9 48 pasien . Pada uji korelasi antara usia dan skor Gleason pasien didapat nilai p = 0,012 dan r = -0,193. Pasien di bawah 65 tahun memiliki rata-rata skor Gleason 8,588, pasien di atas 65 tahun tahun memiliki rata-rata skor Gleason 8,239. Pada uji non parametrik Mann ndash; Whitney didapat nilai p = 0,009. Kesimpulan: Terdapat korelasi sangat lemah antara usia dengan skor Gleason pada pasien dengan adenokarsinoma prostat. dengan pasien muda cenderung memiliki skor Gleason yang lebih tinggi.

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Background: Prostatic adenocarcinoma is one of the most common cancers diagnosed in men worldwide, with most patients being 60 ndash 80 years old. Age is one of the significant risk factors of the disease's development and progression. Aim: To determine the correlation between age and Gleason score in patients with prostatic adenocarcinoma. Methods: Data in regard to age and Gleason score of patients with prostatic adenocarcinoma were obtained from 101 samples from patients'request forms in 2011 to 2014, in Department of Anatomical Pathology, Cipto Mangunkusumo Hospital. Kendall's tau b statistical analysis was used to determine the correlation. Results Mean age of patients in prostatic adenocarcinoma in this study is 67.87 years old, and most patients have Gleason score of 9 48 patients. On statistical analysis to determine correlation between age and Gleason score, we acquire p value of 0.012 and r value of 0.193. Patients below 65 years old have average Gleason score of 8.588, patients above 65 years old have average Gleason score of 8.239. On Mann ndash Whitney non parametric test, we acquire p value of 0.009. Conclusion There was a very weak correlation between age and Gleason score in patients with prostatic adenocarcinoma with younger patients tend to have higher Gleason score.

Abstrak :
Latar belakang: Adenokarsinoma prostat adalah keganasan tersering kedua yang dialami pria di Indonesia. Skor Gleason digunakan untuk mengklasifikasi tingkat diferensiasi dari tumor sedangkan menghitung kadar PSA digunakan sebagai salah satu cara untuk mendiagnosis kanker prostat. Tujuan: Riset ini bertujuan untuk mengetahui korelasi antara skor Gleason dengan kadar PSA pada pasien adenokarsinoma prostat di departemen Patologi Anatomik RSCM. Metode Penelitian: Data dikumpulkan dari 77 sampel yang didapat dari form pemeriksaan hasil diagnosis pasien adenokarsinoma prostat tahun 2011 sampai 2014 di arsip Department Patologi Anatomik RSCM. Data diolah menggunakan analisis uji korelasi Kendall Tau-b di program SPSS 20. Hasil: Sebagian besar pasien datang dengan skor Gleason yang sudah tinggi skor Gleason >7. Nilai PSA terkecil yang didapat dari arsip departemen Patologi Anatomik sebesar 2,73 ng/ml, nilai tertinggi mencapai 7100 ng/ml. Nilai rata-rata PSA meningkat dengan meningkatnya skor Gleason. Rata-rata nilai PSA dari skor Gleason 6, 7, 8, 9, dan 10 adalah 46,641 ng/ml, 63,935 ng/ml, 231,762 ng/ml, 542,146 ng/ml, and 1044,348 ng/ml p = 0,003, r = 0,254. Kesimpulan: Terdapat korelasi yang lemah antara skor Gleason dengan nilai PSA pada pasien adenokarsinoma prostat di Department Patologi Anatomik RSCM. Nilai PSA meningkat seiring meningkatnya skor Gleason.

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Background: Prostatic adenocarcinoma is the second most frequent malignancies occur in men in Indonesia. Gleason score is used to classify the grading of the tumor and PSA is used as one of diagnostic tools for prostate cancer. Aim: To identify the correlation between Gleason score and PSA level in patients with prostate adenocarcinoma at Department of Anatomical Pathology Cipto Mangunkusumo Hospital. Method The data was obtained from 77 samples taken from request forms from patients with prostatic adenocarcinoma from 2011 to 2014 in the archive of Department of Anatomical Pathology and analyzed using Kendall Tau b rsquo s Rank Correlation in SPSS 20. Result: Most patient came with high Gleason Score Gleason score 7 . The minimum PSA level obtained from the arcieve in Department of Anatomical Pathology is 2.73 ng ml and the highest value reached up to 7100 ng ml. The average PSA level increased with the Gleason score. Gleason score 6, 7, 8, 9, and 10 has the average PSA level of 46.641 ng ml, 63.935 ng ml, 231.762 ng ml, 542.146 ng ml, and 1044.348 ng ml respectively p 0.003, r 0.254. Conclusion: There is statistically weak significant correlation between Gleason score and PSA level in patients with prostatic adenocarcinoma in Department of Anatomical Pathology Cipto Mangunkusumo Hospital. PSA increased as the Gleason score increase.

Abstrak :
[ABSTRAK
Gejala saluran kemih bawah LUTS pada laki laki seringkali dikaitkan dengan pembesaran prostat jinak BPH yang menyebabkan obstruksi infravesika yang sering diikuti oleh trabekulasi sehingga terjadi gangguan fungsi kandung kemih Reseksi prostat transuretra TURP adalah tindak baku emas yang bertujuan untuk menghilangkan obstruksi ini Namun gejala LUTS masih banyak dikeluhkan setelah dilakukan TURP Penelitian cross sectional ini dilakukan untuk mencari hubungan antara gejala LUTS pasca TURP dengan derajat trabekulasi dan volume kandung kemih di RSUP H Adam Malik Medan Selama tahun 2013 didapatkan 39 pasien BPH rata rata umur 68 36 7 638 tahun dengan retensi urin berulang yang dilakukan tindakan TURP Dari keseluruhan sampel kelompok yang terbanyak ditemukan adalah derajat trabekulasi sedang 35 9 dan volume kandung kemih 200 cc 46 2 Dua puluh dua sampel 56 4 mengeluhkan LUTS ringan dengan rerata IPSS total 6 28 3 986 Derajat trabekulasi dan volume mempunyai korelasi positif kuat 0 661 dan 0 723 p value.

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ABSTRACT
Lower urinary tract symptoms LUTS in older male is often associated with benign prostate hyperplasia BPH and caused bladder outlet obstruction BOO with the consequential trabeculation that impair bladder contractility and viscoelasticity Transurethral resection of the prostate TURP is the gold standard for relieving BPH caused BOO Nevertheless many still complained of persisting symptoms even after undergoing TURP This cross sectional study was conducted to analyze the correlation between bladder volume and trabeculation in determining LUTS after TURP in BPH patient In 2013 bladder trabeculation and volume was measured during TURP from 39 BPH patients with recurrent urinary retention and were re evaluated 6 months after The most common findings were moderate trabeculation 35 9 bladder volume 200cc 46 2 and mild degree LUTS 56 4 after TURP with mean IPSS 6 28 3 986 Bladder trabeculation and volume are positively and strongly correlated with LUTS after TURP 0 661 and 0 723 respectively p value 0 01 Analytical linear regression found that these two variables are significant factors in determining LUTS after TURP with positive predictive value of 62 In conclusion bladder trabeculation and volume had strong significant correlation with LUTS after TURP although there are other possible determining factors that are not included in the study ;Lower urinary tract symptoms LUTS in older male is often associated with benign prostate hyperplasia BPH and caused bladder outlet obstruction BOO with the consequential trabeculation that impair bladder contractility and viscoelasticity Transurethral resection of the prostate TURP is the gold standard for relieving BPH caused BOO Nevertheless many still complained of persisting symptoms even after undergoing TURP This cross sectional study was conducted to analyze the correlation between bladder volume and trabeculation in determining LUTS after TURP in BPH patient In 2013 bladder trabeculation and volume was measured during TURP from 39 BPH patients with recurrent urinary retention and were re evaluated 6 months after The most common findings were moderate trabeculation 35 9 bladder volume 200cc 46 2 and mild degree LUTS 56 4 after TURP with mean IPSS 6 28 3 986 Bladder trabeculation and volume are positively and strongly correlated with LUTS after TURP 0 661 and 0 723 respectively p value 0 01 Analytical linear regression found that these two variables are significant factors in determining LUTS after TURP with positive predictive value of 62 In conclusion bladder trabeculation and volume had strong significant correlation with LUTS after TURP although there are other possible determining factors that are not included in the study ;Lower urinary tract symptoms LUTS in older male is often associated with benign prostate hyperplasia BPH and caused bladder outlet obstruction BOO with the consequential trabeculation that impair bladder contractility and viscoelasticity Transurethral resection of the prostate TURP is the gold standard for relieving BPH caused BOO Nevertheless many still complained of persisting symptoms even after undergoing TURP This cross sectional study was conducted to analyze the correlation between bladder volume and trabeculation in determining LUTS after TURP in BPH patient In 2013 bladder trabeculation and volume was measured during TURP from 39 BPH patients with recurrent urinary retention and were re evaluated 6 months after The most common findings were moderate trabeculation 35 9 bladder volume 200cc 46 2 and mild degree LUTS 56 4 after TURP with mean IPSS 6 28 3 986 Bladder trabeculation and volume are positively and strongly correlated with LUTS after TURP 0 661 and 0 723 respectively p value 0 01 Analytical linear regression found that these two variables are significant factors in determining LUTS after TURP with positive predictive value of 62 In conclusion bladder trabeculation and volume had strong significant correlation with LUTS after TURP although there are other possible determining factors that are not included in the study , Lower urinary tract symptoms LUTS in older male is often associated with benign prostate hyperplasia BPH and caused bladder outlet obstruction BOO with the consequential trabeculation that impair bladder contractility and viscoelasticity Transurethral resection of the prostate TURP is the gold standard for relieving BPH caused BOO Nevertheless many still complained of persisting symptoms even after undergoing TURP This cross sectional study was conducted to analyze the correlation between bladder volume and trabeculation in determining LUTS after TURP in BPH patient In 2013 bladder trabeculation and volume was measured during TURP from 39 BPH patients with recurrent urinary retention and were re evaluated 6 months after The most common findings were moderate trabeculation 35 9 bladder volume 200cc 46 2 and mild degree LUTS 56 4 after TURP with mean IPSS 6 28 3 986 Bladder trabeculation and volume are positively and strongly correlated with LUTS after TURP 0 661 and 0 723 respectively p value 0 01 Analytical linear regression found that these two variables are significant factors in determining LUTS after TURP with positive predictive value of 62 In conclusion bladder trabeculation and volume had strong significant correlation with LUTS after TURP although there are other possible determining factors that are not included in the study ]