CASE OF Bapa HASAN GENITOURINARY SYSTEM

Page 1 A sixty seven years old man Bapa Hasan., came to the Emergency Department of Hasan Sadikin hospital, when you were on duty as a doctor in charge. He could not urinate since ! hours ago, and felt pain in his lower a"dominal region. Six month ago he started to complain of decrease in urinary stream, dri""ling, and fre#uently awake at night for urinating. $o history of "lood or stone during urination. . Page 2 You performed ph !"#a$ e%am"&a'"o& a&d 'he re!u$' (a! a! fo$$o(! )% Blood &ressure '()*( mmHg., +esp.+ate *x)mnt, ,emp. '-./, &ulse +ate ((x)mnt ,here is mass in his suprapu"ic region, cystic and pain on palpation. Digital +ectal Examination 0After catheteri1ation2 % 3eight of the prostate 4( gram, without pain or nodule on palpation.

Page * He was admitted to the hospital and you suggested some la" investigations and ultrasound examination. ,he patient agrees +a,ora'or f"&d"&g!% H" % ' g5, Ht '*5,3B/ 6 (()mm7, 8reum 9' g)dl., /reat. (.6 g)dl. +andom Blood Sugar 6* g)dl., PSA -Pro!'a'e Spe#"f"# A&'"ge&. 1/2 &g0d$/ U$'ra!ou&d e%am"&a'"o& ) Both kidneys and "ladder wall within normal limits. 8sing transrectal ultrasound there is an enlargement of the prostate, volume 4' cc, without hypo)hyperechoic area. Page 1 Ep"$og ) A urologist was consulted to perform Endoscopy surgery 0,8+&),rans 8rethral +esection of the &rostate2 or open surgery After ,rans 8rethral +esection of the &rostate 0,8+&2, the patient could urinate normally. ,he specimens are sent to pathologist and the result was "enign prostatic hyperplasia