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Efek Kateter terhadap Fungsi PSA Serum sebagai Prediktor Volume Prostat pada Pasien yang terbukti Benign Prostatic Hyperpasia pada Pemeriksaan Histopatologis
Todefine the use of Prostate Specific Antigen (PSA) as a predictor of prostate volume in catheterized BPH patient. Data were collected from medical record of symptomatic BPH patients who underwent prostate biopsy at Cipto Mangunkusumo Hospital Urology Clinic since 1994 until 2006. Data of age, serum PSA, indwelling catheter, maximal flow, urine residue, and prostate volume were recorded as variables. Patients who had histopathological result of BPH with or without prostatitis were included; while who had prostate carcinoma, high garde prostatic intraepithelial neoplasm (HGPIN), and BPH with atypical small acinar prolifeation (ASAP) were excluded. Subject were then divided into 2 group, catherized or not. Data were analyzed using Mann-Whitney test, analysis of varance, correlation test and linear regression test. Of 2283 patients were performed prostate biopsy, 1036 patients had results of BPH with or without prostatitis, 766 patients had prostate carcinoma, while 581 patient’s biopsy result were not recorded. Of the 1036 patients, 347 were catherized, 192 non-catherized, 192 non-catherized and 457 were not recorded. In the catherized group the average age were 67,04 years old serum PSA 26,88 ng/ml, prostate volume 54,33 ml, psa density 0,39. In non caterized group the average age were 66,32 years old, serum PSA 16,58 mg/ml, prostate volume 53,94, PSA density 0,39. In non-catherized group it was stronger (F=12,989; p
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