Hubungan antara Klinis Hiperplasia Prostat dengan Kejadian Inkontinensia Urin Tipe Luapan ( overflow )pada Pasien Pria Lanjut Usia

Abstract

Backgrounds : urinary incontinence, one of the Geriatric Giants, is defined as a condition of involuntary loss of urine in enough amount and frequency that cause health or social problems. Prostate hyperplasia is one of the cause of overflow urinary incontinence. Prostate hyperplasia can be detected and determined with scoring systems, such as The International Prostate Skoring System (IPSS). Purpose : to find the correlation between clinical of prostate hyperplasia and incidence of overflow urinary incontinence in elderly male patient. Methods : this was Cross Sectional Study with research subjects 46 male patients at Old Patient Clinic Paviliun Prof. R. Boedhi Darmojo RSUP of dr. Kariadi Semarang. Data was collected by using questioner from Journal of American Academy of Family Physician “ Urinary Incontinence in Women : Evaluation and Management “ and IPSS scoring system. Correlation between clinical of prostate hyperplasia and incidence of overflow urinary incontinence was analyzed by Spearman Correlation Test. Results : 17,39% (4 responders) had mild symptom of prostate hyperplasia and overflow urinary incontinence, 95,24% (20 responders) had moderate symptom of prostate hyperplasia and overflow urinary incontinence, and 100% (2 responders) had severe symptom of prostate hyperplasia and overflow urinary incontinence. While 82,61% (19 responders) had mild symptom of prostate hyperplasia without overflow urinary incontinence, 4,76% (1 responder) had moderate symptom of prostate hyperplasia without overflow urinary incontinence, and 0% (0 responder) had severe symptom of prostate hyperplasia without overflow urinary incontinence. Spearman Correlation Test shows that there was a positive correlation between clinical of prostate hypeplasia and incidence of overflow urinary incontinence in elderly male patient ( correlation coefficient = 0,778; p < 0,0001 ). Conclusion : clinical of prostate hyperplasia have a meaning correlation with incidence of overflow urinary incontinence in elderly male patient. Keywords : overflow urinary incontinence, prostate hyperplasia, IPSS score.