CASE REPORT AND LITERATUR REVIEW : PROSTATIC CARCINOMA

Case  report

I.       IDENTITY

Name                           : Mr. M

Age                              :  62years

Gender                         :  Man

Religion                       :  Islam

Address                       :  Arjawinangun

II.     ANAMNESIS (Autoanamnesis  and Alloanamnesis)

Main complaint                 : Can not urinate

Additional complaints      : Pain when urinating

                                          Sometimes bloody piss

History Disease Now:

Patients come to hospitals with complaints Arjawinangun could not urinate since ± 2 days SMRs. The patient began to feel the disturbance BAK since ± 2 months SMRs. When you wish to urinat patient should wait longer straining and new urine out. Clear yellow urine with poor stream but not branched and sometimes stops then out again and sometimes blood-tinged miksion. After sometimes there dripping urine and his bladder patients often feel incomplete. Low back pain, leg pain, a sense of twisting, bladder stones, pubic pain threshold when urinating, fever, raised lump in the groin and rectal bleeding accompanied denied. Patients also denies decreased appetite and weight loss dramatically over bladder disorders arise. smoothly.

Past history of disease:

- Diabetes history indisputably

- History of high blood pressure is recognized

Family history of disease:

No family member who suffers from the same disease as the patient

III.    PHYSICAL EXAMINATION

Generalists status

Tehnology Urology CURRENT AFFAIRS / TEHNOLOGI DIBIDANG BEDAH UROLOGI TERKINI

CHAPTER I
INTRODUCTION

Surgery or operation is a treatment that uses all of the follow-invasive way to open or show the body parts that will be addressed. The opening of the body is generally done by making an incision. Once the parts to be handled is displayed, do the corrective action concludes with the closing and sewing.
Urology is the branch of medicine which studies disorders of the urinary tract and genital male and female urinary tract.
In penetalaksanaan urinary tract and genital abnormalities, science and medical aspects of urology explore aspects of the operative.
Some communities do not yet know or are unfamiliar with the doctor of urology (urologist), although these cases are very much urology.
Most of us probably have a complaint:
• urinate so frequently, straining to urinate and not lampias, or dripping at the end of micturition.
• The pain of colic with reddish or bloody urine, pain while urinating
• Urine is cloudy, or had urinary sandy or rocky.
• Frequent urinating or incontinence.
• There is a congenital malformation of the genitals, such as the testes are not one or both sides, the mouth of the urethra is not at the end of the genitalia (hypospadia).
• Abnormalities of erection / erectile dysfunction in a group of sexual dysfunction
• Abnormalities of fertility or infertility in men
The foregoing are some examples of complaints or disorders related to urology. Medical aspects of the intended management of urology urology kelaianan done a preventive or treatment (Medical) that is not surgery, whereas the operative aspects include the start of surgery that is not invasive to the action that is very invasive.
For example: a man in the diagnosis of kidney stones with a stone the size of a small (<0.5 mm) and found no signs of blockage in the radiological treatment may be recommended ekspektatif the waiting for 2 weeks with lots of drinking and exercises, whereas if the rock is quite there may be many choices of action can be started with no or less invasive, such as ESWL (extra-corporal shock wave lithotripsy), PCNL, URS with litotriptor / special stone-breaking or using a laser. Action is the most invasive open surgery.