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"Latar belakang: Kehamilan dan persalinan merupakan faktor risiko utama terjadinya disfungsi dasar panggul. Manifestasi utama pada kelainan tersebut adalah gejala saluran kemih bagian bawah dan inkontinensia urin. Studi mengenai prevalensi dan faktor risiko kondisi-kondisi tersebut sangat penting untuk diagnosis dini dan tata laksana yang komprehensif. Namun, hingga saat ini belum terdapat studi mengenai prevalensi dan faktor-faktor risiko tersebut secara komprehensif pada ibu hamil di Indonesia.Tujuan: Mengetahui prevalensi inkontinensia urin dan gejala saluran kemih bagian bawah serta faktor-faktor yang memengaruhi.Metode: Penelitian ini merupakan penelitian analitik observasional dengan metode potong lintang (cross sectional). Subjek dari penelitian ini adalah ibu hamil yang datang untuk pemeriksaan rutin di Puskesmas Kecamatan Jakarta pada April 2021-Maret 2022. Pasien dengan riwayat inkontinensia, kehamilan ganda, diabetes tidak terkontrol, gangguan neurologis, atau riwayat operasi sebelumnya dieksklusi dari penelitian. Faktor risiko yang dinilai adalah usia ibu, usia kehamilan, paritas, indeks massa tubuh, dan riwayat obstetrik sebelumnya.Hasil: Didapatkan sebanyak 236 subjek yang diikutsertakan dalam penelitian. Didapatkan inkontinensia urin tekanan 8,5%, inkontinensia urin desakan 14%, dan inkontinensia urin campuran 1,6%. Didapatkan keluhan berkemih berupa frekuensi (59,3%), nokturia (87,3%), urgensi (33,1%), hesitansi (8,9%), dan straining (0,8%). Hanya terdapat 5,1% subjek yang tidak memiliki keluhan berkemih sama sekali. Faktor risiko yang berpengaruh dengan keluhan berkemih dan inkontinensia urin adalah usia ibu dan trimester kehamilan.Kesimpulan: Didapatkan prevalensi inkontinensia urin dan gejala saluran kemih bagian bawah yang tinggi pada ibu hamil di Indonesia. Faktor risiko terjadinya gangguan saluran kemih dan inkontinensia urin pada ibu hamil adalah usia ibu dan trimester kehamilan.......Background: Pregnancy and childbirth are the main risk factors for pelvic floor dysfunction. The main manifestations of this disorder are lower urinary tract symptoms and urinary incontinence. Studies on the prevalence and risk factors of these conditions are essential for early diagnosis and comprehensive management. However, until now there has been no comprehensive study of the prevalence and risk factors for pregnant women in Indonesia.Objective: To determine the prevalence of urinary incontinence and lower urinary tract symptoms and the factors that influencing.Methods: This research was an observational analytic study with cross sectional method. The subjects of this study were pregnant women who came for routine check-ups at the Jakarta Publics Health Center in April 2021-March 2022. Patients with a history of incontinence, multiple pregnancy, uncontrolled diabetes, neurological disorders, or a history of previous surgery were excluded from the study. The risk factors assessed were maternal age, gestational age, parity, body mass index, and previous obstetric history.Results: There were 236 subjects who were included in the study. We found stress urinary incontinence 8.5%, urgency urinary incontinence 14%, and mixed urinary incontinence 1.6%. There were urinary complaints in the form of frequency (59.3%), nocturia (87.3%), urgency (33.1%), hesitancy (8.9%), and straining (0.8%). There were only 5.1% of subjects who did not have urinary complaints at all. The risk factors that influence lower urinary tract symptoms and urinary incontinence are maternal age and trimester of pregnancy.Conclusions: We found a high prevalence of urinary incontinence and lower urinary tract symptoms in pregnant women in Indonesia. Risk factors for urinary tract disorders and urinary incontinence in pregnant women are maternal age and trimester of pregnancy."

"[ABSTRAKGejala 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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ABSTRACTLower 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 ]"

"ABSTRAKTujuan Mengetahui hubungan antara nilai glukosa darah puasa, disfungsi ereksi DE , dan lower urinary tract symptoms LUTS pada pasien dengan pembesaran prostate jinak.Metode Terdapat 42 pasien berusia lebih dari 50 tahun dengan pembesaran prostat jinak. LUTS dan DE dievaluasi dengan menggunakan International Prostate Symptom Score IPSS and International Index of Erectile Function-5 IIEF-5 . Diabetes mellitus ditegakkan jika gula darah puasa lebih dari 126 mg/dL. LUTS dikategorikan menjadi 3 grup; ringan, sedang, dan berat dimana DE dikategorikan menjadi 2; positif dan negative. Semua data dianalisa menggunakan SPSS ver. 22.Hasil Usia rata-rata pasien adalah 68,83 8,56 tahun dengan mayoritas menderita DE 83.33 dan LUTS 80.96 . Diabetes mellitus ditemukan pada 26,19 pasien dengan rata-rata nilai gula darah puasa 108.3 21.1 mg/dL. Nilai IPSS didapati berhubungan signifikan dengan nilai gula darah puasa r = 0.879, p

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ABSTRACTAims To discover the correlation between fasting glucose level, erectile dysfunction, and lower urinary tract symptoms LUTS in patients diagnosed with benign prostatic hyperplasia BPH .Methods There were 42 patients with BPH related LUTS aged over 50 years old enrolled in this study. LUTS and erectile dysfunction ED were evaluated using International Prostate Symptom Score IPSS and International Index of Erectile Function 5 IIEF 5 . Diabetes mellitus was established if fasting glucose level was above 126 mg dL. LUTS was classified into 3 groups mild, moderate, and severe LUTS while ED was classified into 2 groups ED positive and ED negative. Data were analyzed using SPSS ver. 22Results Patients rsquo mean age was 68.83 8.56 years old with most of them had ED 83.33 and also suffered from severe LUTS 80.96 . Diabetes mellitus was observed in 26.19 subjects with mean fasting glucose level was 108.3 21.1 mg dL. IPSS score were significantly correlated with fasting glucose level r 0.879, p "

"Penelitian ini dilakukan untuk menggambarkan dan mengevaluasi manajemen gejala saluran kemih bawah LUTS laki-laki sugestif dari benign prostatic hyperplasia BPH oleh dokter umum di Jakarta. Penelitian cross-sectional observasional ini dilakukan pada periode Januari 2013 hingga Agustus 2013 di Jakarta. Peneliti mengembangkan kuesioner yang terdiri dari 10 pertanyaan yang menjelaskan manajemen LUTS laki-laki sugestif BPH oleh dokter dalam praktek sehari-hari pada bulan sebelumnya. Peneliti mengumpulkan kuesioner dari 200 dokter yang berpartisipasi dalam 4 simposium urologi yang diadakan di Rumah Sakit Cipto Mangunkusumo, Jakarta. Sebagian besar dokter berusia antara 25 dan 35 tahun 71,5 dan telah bekerja selama lebih dari 1 tahun 87,5 . Satu sampai lima kasus LUTS pada pria sugestif BPH diobati oleh 81 dokter setiap bulannya. Saat diagnosis, gejala yang paling umum ditemukan adalah retensi urin 55,5 , frekuensi 48 , dan nokturia 45 . Pemeriksaan diagnostik yang lazim termasuk pemeriksaan colok dubur 65 , sistem skoring 44 , pengukuran tingkat antigen spesifik prostat PSA 23,5 , dan penilaian fungsi ginjal 20 . Kebanyakan dokter merujuk pasien pria dengan LUTS sugestif dari BPH ke dokter spesialis urologi 59,5 dan 46,5 dokter umum meresepkan obat-obatan sebagai terapi awal. Antagonis antagonis alfa-adrenergik 71,5 adalah obat yang paling umum diresepkan. Terapi kombinasi dengan antagonis -adrenergik dan inhibitor 5a-reduktase tidak rutin diresepkan 13 . Tiga puluh delapan persen dari dokter umum merujuk pasien ketika retensi urin berulang dan 33 ketika terjadi komplikasi. Penelitian ini memberikan bukti bahwa manajemen LUTS pada laki-laki sugestif BPH oleh dokter umum di Jakarta menyarankan sisitem rujukan sebagian untuk pedoman yang tersedia dalam hal metode diagnostik dan terapi awal. Namun, beberapa aspek dari pedoman, seperti pengukuran tingkat PSA, penilaian fungsi ginjal, urinalisis, pemeriksaan ultrasound, dan peresepan terapi kombinasi, masih jarang dilakukan.

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This study was performed to describe and evaluate the management of male lower urinary tract symptoms LUTS suggestive of benign prostatic hyperplasia BPH by general practitioners GPs in Jakarta. This observational cross sectional study was performed between January 2013 and August 2013 in Jakarta. We developed a questionnaire consisting of 10 questions describing the management of male LUTS suggestive of BPH by GPs in their daily practice in the previous month. We collected questionnaires from 200 GPs participating in 4 urology symposiums held in Cipto Mangunkusumo Hospital, Jakarta. Most GPs were aged between 25 and 35 years 71.5 and had worked for more than 1 year 87.5 . One to 5 cases of male LUTS suggestive of BPH were treated by 81 of GPs each month. At diagnosis, the most common symptoms found were urinary retention 55.5 , frequency 48 , and nocturia 45 . The usual diagnostic workup included digital rectal examination 65 , scoring system 44 , measurement of prostate specific antigen PSA level 23.5 , and renal function assessment 20 . Most GPs referred their male patients with LUTS suggestive of BPH to a urologist 59.5 and 46.5 of GPs prescribed drugs as an initial therapy. Alpha adrenergic antagonist monotherapy 71.5 was the most common drug prescribed. Combination therapy with adrenergic antagonists and 5 reductase inhibitors was not routinely prescribed 13 . Thirty eight percent of GPs referred their patients when recurrent urinary retention was present and 33 when complications were present. Our study provides evidence that the management of male LUTS suggestive of BPH by GPs in Jakarta suggests referral in part to available guidelines in terms of diagnostic methods and initial therapy. However, several aspects of the guidelines, such as PSA level measurement, renal function assessment, urinalysis, ultrasound examination, and prescription of combination therapies, are still infrequently performed."

"Latar belakang: Gangguan saluran berkemih bawah gangguan berkemih meningkat seiring dengan bertambahnya usia oleh karena berbagai faktor. Dengan meningkatnya usia harapan hidup, populasi kelompok wanita menopause juga meningkat dan kualitas hidup terkait aktivitas fisik mereka sehari-hari dapat terganggu oleh karena gangguan berkemih. Tujuan: Untuk mengetahui prevalensi gangguan berkemih pada wanita menopause yang berkunjung ke poliklinik Departemen Ilmu Kesehatan Mata RSCM dan untuk melihat hubungan antara gangguan berkemih dengan kualitas hidup wanita menopause yang berkunjung ke poliklinik Departemen Ilmu Kesehatan Mata RSCM dengan menggunakan kuesioner Bristol Female Lower Urinary Tract Symptoms BF LUTS Questionnaire dan International Consultation on Incontinence Modular Questionnaire Female Lower Urinary Tract Symptoms ICIQ-LUTSQol . Metode: Studi potong lintang dilakukan pada wanita menopause pasien yang berkunjung ke Poliklinik Departemen Ilmu Kesehatan Mata Rumah Sakit Cipto Mangunkusumo pada bulan November-Desember 2017. Pasien yang setuju untuk berpartisipasi dalam studi ini ditanyakan beberapa pertanyaan sesuai dengan kuesioner Bristol Female Lower Urinary Tract Symptoms BF LUTS Quesionnaire dan kuesioner International Consultation on Incontinence Modular Questionnaire Female Lower Urinary Tract Symptoms ICIQ-LUTSQol . Hasil: Terdapat 259 pasien yang berpartisipasi pada studi ini, usia median 59 45-70 tahun. Dari 259 pasien didapatkan 36 pasien 13.6 tidak memiliki gangguan berkemih, 199 pasien 76.8 memiliki gangguan berkemih ringan dan 24 pasien 9.3 memiliki gangguan berkemih sedang. Prevalensi gangguan berkemih pada wanita menopause yang berkunjung ke poliklinik Departemen Ilmu Kesehatan Mata RSCM adalah 86.1 . Semakin berat gangguan berkemih skor BF LUTS yang semakin tinggi maka semakin buruk pula kualitas hidup wanita menopause semakin tinggi skor ICIQ LUTS Qol . Kesimpulan: Prevalensi gangguan berkemih pada wanita menopause yang berkunjung ke poliklinik Departemen Ilmu Kesehatan Mata RSCM adalah 86.1 . Semakin berat gangguan berkemih skor BF LUTS yang semakin tinggi maka semakin buruk pula kualitas hidup wanita menopause semakin tinggi skor ICIQ LUTS Qol .

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Background: Lower urinary tract symptoms increase with age due to several factors. With the increase of life expectancy, the number of menopausal women also increase and their quality of life may be affected by lower urinary tract symptoms.Objective: To know the prevalence of lower urinary tract symptoms among menopausal women who visited Cipto Mangunkusumo Nationa Hospital rsquo;s Clinis Facility. To see the relationship between lower urinary tract symptoms and menopausal women whom visit Ciptomangunkusumo Hospital Policlinic using Bristol Female Lower Urinary Tract Symptoms BF LUTS Quesionnaire and International Consultation on Incontinence Modular Questionnaire Female Lower Urinary Tract Symptoms ICIQ-LUTSQol . Method: Cross-sectional study was conducted among menopausal women who visited Policlinic of the Ophtalmology Department of Cipto Mangunkusumo National Hospital from November ndash; December 2017. Patients who agreed to participate were asked several questions from both questionnaire Bristol Female Lower Urinary Tract Symptoms BF LUTS Questionnaire and International Consultation on Incontinence Modular Questionnaire Female Lower Urinary Tract Symptoms ICIQ-LUTSQol . Results: A total 259 patients were included in this study, median age was 59 45-70 years. Of the 259 patients, 36 patients 13.6 patient had no lower urinary tract symptoms, 199 patients 76.8 had mild lower urinary tract symptoms and 24 patients 9.3 had moderate lower urinary tract symptoms. Prevalence of lower urinary tract symptoms of menopausal women who visited is 86.1 . The more the lower urinary tract symptoms higher score of BF LUTS , the worse the quality of life ICIQ LUTS qol score . Conclusion: The prevalence of lower urinary tract symptoms in menopaussl women who visited Cipto Mangunkusumo National Hospital rsquo;s Clinic Facility was 86,1 . There is associations between quality of life and lower urinary tract symptoms on the three group p"

"ABSTRAKPenelitian ini membandingkan kuesioner Visual Prostate Symptom Score VPSS yang jarang digunakan dengan kuesioner International Prostate Symptom Score IPSS dan parameter uroflowmetri di Indonesia pada pasien laki-laki yang berobat di Rumah Sakit Umum Nasional Cipto Mangunkusumo. Evaluasi menggunakan IPSS dalam bahasa Indonesia, VPSS, uroflowmetri dan ultrasonografi transabdominal dikerjakan pada pasien pria berusia lebih dari 45 tahun yang berobat ke Rumah Sakit Umum Nasional Cipto Mangunkusumo antara Februari 2014 dan Agustus 2015. Dari seluruh subyek, 24,2 dan 11,1 membutuhkan bantuan ketika menjawab kuesioner IPSS dan VPSS. Usia rata-rata, skor total IPSS, skor total VPSS, Q-max, volume berkemih, dan volume residu pasca berkemih masing-masing adalah 67,4 8,9 tahun, 13,4 7,8, 10,8 2,7, 13,6 8,6 mL / detik, 248 136 ml, dan 54,9 68,3 ml. Skor total, IPSS kualitas hidup QoL , IPSS pertanyaan Q 2, IPSS Q7, dan IPSS Q5, secara signifikan berkorelasi dengan skor total VPSS, VPSS QoL, VPSS Q1, VPSS Q2, dan VPSS Q3 koefisien korelasi r , nilai P masing-masing: 0,57,

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ABSTRACTThis study aims to compare and correlate the novel Visual Prostate Symptom Score VPSS with International Prostate Symptom Score IPSS questionnaire and uroflowmetry parameters in Indonesian men who visited Dr. Cipto Mangunkusumo National General Hospital. Male patients older than 45 years who visited Dr. Cipto Mangunkusumo National General Hospital between February 2014 and August 2015 with LUTS were evaluated with Indonesian version of the IPSS, VPSS, uroflowmetry and transabdominal ultrasound. Appropriate statistical analysis was employed. Of all subjects, 24.2 and 11.1 require assistance when answering IPSS and VPSS questionnaires respectfully. The mean age, IPSS total score, VPSS total score, Q max, voided volume, and post void residual volume were 67.4 8.9 years, 13.4 7.8, 10.8 2.7, 13.6 8.6 mL sec, 248 136 ml, and 54.9 68.3 ml respectively. Total IPSS, IPSS quality of life QoL , IPSS question Q 2, IPSS Q7, and IPSS Q5, were significantly correlated with total VPSS, VPSS QoL, VPSS Q1, VPSS Q2, and VPSS Q3 correlation coefficient r P value 0.57, "

"Disfungsi ereksi pada laki-laki sering ditemukan dan berdampak pada penurunan kualitas hidup. Benign prostate hyperplasia (BPH) dengan lower urinary tract symptoms merupakan salah satu komorbid terjadinya disfungsi ereksi dimana terdapat kesamaan jalur patofisiologi pada keduanya. Kontraksi dari otot-otot bulbokavernosus dan isciokavernosus sebagai bagian dari otot dasar panggul akan menginisiasi dan mempertahankan ereksi sehingga latihan penguatan otot-otot tersebut akan membantu rigiditas ereksi penis. Studi laporan kasus berbasis bukti ini dilakukan untuk menjawab pertanyaan klinis yaitu bagaimana efektivitas pemberian latihan penguatan otot-otot dasar panggul terhadap fungsi ereksi pada pasien BPH. Pencarian literatur dilakukan pada database elektronik yaitu Cochrane, PubMed, Scopus, Science direct, Oxford Academic dan Sage Journal dengan kata kunci sesuai dengan pertanyaan klinis. Hasil pencarian didapatkan sebuah studi kajian sistematik setelah dilakukan penapisan terhadap kriteria eligibilitas, adanya duplikasi dan penilaian seluruh isi naskah pada 142 artikel. Kajian sistematik tersebut menunjukkan latihan penguatan otot-otot dasar panggul memberikan respon komplit perbaikan fungsi ereksi pada 35-47% subjek, peningkatan domain ereksi pada International Index of Erectile Function (p<0,05) dan peningkatan tekanan intrakavernosa serta maximal anal pressure. Kesimpulan penelitian adalah latihan penguatan otot-otot dasar panggul dilakukan dengan kontraksi cepat (1 detik) dan kontraksi lambat (tahan 6-10 detik) dengan frekuensi 9-30 repetisi, 2-3 kali per hari selama 3-12 bulan yang dilakukan pada posisi berbaring, duduk dan berdiri, latihan tersebut dapat diberikan sebagai program latihan di rumah dan perlu dilakukan identifikasi dan pengendalian faktor-faktor komorbid disfungsi ereksi lainnya.......Erectile dysfunction (ED) often found in men and has an impact on reducing the quality of life. Benign prostate hyperplasia (BPH) with lower urinary tract symptoms is one of the comorbid which share the similar pathophysiology with ED. Contraction of the bulbocavernosus and ischiocavernosus muscles as part of the pelvic floor muscles (PFM) will initiate and maintain an erection so strengthening for these muscles will help stiffen the penis. This evidence-based case report study was conducted to answer the clinical question, how effective is giving PFM training on erectile function in BPH patients. Literature search was carried out on electronic databases, namely Cochrane, PubMed, Scopus, Science direct, Oxford Academic and Sage Journal with the keywords according to the clinical question. A systematic review study was obtained after screening from the eligibility criteria, duplication and assessment of the entire contents of the manuscript in 142 articles acquired. The study showed that PFM training improve erectile function in 35-47% of subjects, increased erectile domain in International Index of Erectile Function (p<0.05) and increased intracavernous pressure and maximal anal pressure. The conclusions are PFM training are carried out by fast and slow contractions with 9-30 repetitions, 2-3 times per day for 3-12 months which are carried out in lying, sitting and standing positions, these exercises can be given as a home exercise program and it is necessary to identify and control other comorbid factors of ED."

"Disfungsi ereksi (DE) merupakan disfungsi seksual pada laki-laki yang paling sering ditemukan dan prevalensinya mencapai 76% pada pasien LUTS. Penyebab DE dihubungkan dengan kelemahan otot dasar panggul. Salah satu terapi yang dapat diberikan adalah latihan otot dasar panggul, yang bertujuan untuk meningkatkan aktivitas otot ischiocavernosus dan bulbocavernosus. Biofeedback otot dasar panggul dapat memberikan informasi visual dan auditorik sehingga otot dapat melakukan kontraksi dengan tepat. Penelitian bertujuan untuk mengetahui pengaruh pemberian biofeedback otot dasar panggul terhadap perbaikan fungsi ereksi pada pasien dengan lower urinary tract symptoms (LUTS). Perbaikan fungsi ereksi dinilai dengan skor IIEF (International Index of Erectile Function), EHS (Erectile Hardness Score), dan kekuatan otot dasar panggul. Perbaikan gejala LUTS juga dinilai dengan skor IPSS (International Index of Prostat Symptoms). Penelitian ini merupakan studi randomized controlled trial pada pasien rawat jalan di RSUPN Cipto Mangunkusumo. Subjek pada penelitian ini dibagi menjadi 2 kelompok, pada kelompok perlakuan mendapatkan biofeedback otot dasar panggul sebanyak 10 sesi, 2 kali seminggu dan latihan otot dasar panggul dirumah. Kelompok kontrol hanya mendapatkan latihan otot dasar panggul dirumah. Terdapat 21 pasien LUTS yang mengalami disfungsi ereksi (DE). Sebanyak 10 subjek (50%) termasuk dalam kategori DE ringan, 4 subjek (20%) termasuk dalam kategori DE sedang, dan 6 subjek (30%) termasuk dalam kategori DE berat. Dari hasil penelitian didapatkan perbaikan skor IIEF, IPSS, EHS, slow twitch dan fast twitch pada kelompok perlakuan (p-value <0,05), sedangkan pada kelompok kontrol hanya didapatkan perbaikan pada skor IIEF dan IPSS (p-value <0,05). Kesimpulan penelitian ini adalah terdapat perbaikan fungsi ereksi (peningkatan skor IIEF, skor EHS, penurunan skor IPSS dan peningkatan kekuatan otot dasar panggul) setelah pemberian biofeedback otot dasar panggul pada pasien DE dengan LUTS selama 10 sesi.......Erectile dysfunction (ED) is the most common male sexual dysfunction, and its prevalence reaches 76% in LUTS patients. The cause of ED is associated with weakness of the pelvic floor muscles. One of the therapies that can be given is pelvic floor muscle exercises, which aim to increase the activity of the ischiocavernosus and bulbocavernosus muscles. Pelvic floor muscle biofeedback can provide visual and auditory information so that the muscles can contract properly. This research aims to determine the effect of pelvic floor muscle biofeedback on improving erectile function in patients with lower urinary tract symptoms (LUTS). Improvement in erectile function was assessed by scores of IIEF (International Index of Erectile Function), EHS (Erectile Hardness Score), and pelvic floor muscle strength. Improvement in LUTS symptoms was also assessed by an IPSS (International Index of Prostate Symptoms) score. This research was a randomized controlled trial study on outpatients at Cipto Mangunkusumo General Hospital. Subjects in this study were divided into 2 groups, the treatment group received 10 sessions of pelvic floor muscle biofeedback, 2 times a week and pelvic floor muscle exercises at home. The control group only got pelvic floor muscle exercises at home. There were 21 LUTS patients who experienced erectile dysfunction (ED). A total of 10 subjects (50%) were included in the mild ED category, 4 subjects (20%) were included in the moderate ED category, and 6 subjects (30%) were included in the severe ED category. From the results of the study, it was found that the scores for IIEF, IPSS, EHS, slow twitch and fast twitch were improved in the treatment group (p-value <0.05), whereas in the control group there were only improved in IIEF and IPSS scores (p-value <0.05 ). The conclusion of this study was that there was an improvement in erectile function (increased IIEF score, EHS score, decreased IPSS score and increased pelvic floor muscle strength) after administering pelvic floor muscle biofeedback to patients ED with LUTS for 10 sessions."

"Tujuan: Penelitian ini akan mencari korelasi antara pemeriksaan dengan sistim skoring (IPSS) dan hasil pemeriksaan uroflowmetri (Qmax) serta hasil pemeriksaan urodinamik ( BOOI ). Diharapkan akan diketahui sejauh mana data subyektif pasien berkorelasi dengan data obyektif.Bahan dan Cara: Data dikumpulkan dari pasien yang dilakukan pemeriksaan di Poliklinik Khusus Urologi sejak bulan Oktober 2005 sampai dengan Mei 2006 dengan kriteria inklusi dan eksklusi.HasiI Penelitian: Terdapat 89 pasien yang memenuhi kriteria inklusi. Umur rata-rata 65,56 ±7,2 tahun. IPSS rata-rata 20,57+7,0. Pancaran kencing maksimal (Qmax) rata-rata 5,94 ±3,5 ml/detik. BOOI kategori obstruksi sebanyak 56 (65,1%) pasien, ekuivokal 20 (23,3%) dan tidak obstruksi sebanyak 10 (11,6%). Koefisien korelasi antara IPSS dan Qmax adalah r = - 0,32 (sangat lemah) signifikansi p = 0,002. Koefisien korelasi antara IPSS dengan BOOI adalah r = 0,28 p = 0,008. Koefisien korelasi antara Qmax dan BOOI adalah r = - 0,45 p = 0,00. Hasil uji Anova didapatkan adanya perbedaaan Qmax yang bermakna p=0,041 (p<0,05) diantara derajat LUTS. Pada penelitian ini tidak ada perbedaan BOOT yang bermakna (p=0,093) diantara derajat LOTS. Tidak ada perbedaan Qmax yang bermakna (p = 0,12 ) diantara BOOT.Kesimpulan: Keluhan LUTS yang diukur dengan IPSS mempunyai korelasi sangat lemah tetapi signifikan dengan pemeriksaan obyektif yang diukur dengan uroflowmetri dan urodinamik. Pemeriksaan uroflowmetri mempunyai korelasi sangat lemah tetapi signifikan dengan pemeriksaan urodinamik."