Latihan Kegel untuk Menurunkan Inkontinesia Urine Pasien Post-Trans Urethral Resection of the Prostate (TURP)

Joko Susanto; Trijati Puspita Lestari; Amellia Mardhika; Makhfudli Makhfudli

doi:10.22146/jkesvo.66336

Latihan Kegel untuk Menurunkan Inkontinesia Urine Pasien Post-Trans Urethral Resection of the Prostate (TURP)

https://doi.org/10.22146/jkesvo.66336

Joko Susanto^(1*), Trijati Puspita Lestari⁽²⁾, Amellia Mardhika⁽³⁾, Makhfudli Makhfudli⁽⁴⁾

(1) Departemen Kesehatan, Fakultas Vokasi, Universitas Airlangga, Surabaya Fakultas Keperawatan, Universitas Airlangga, Surabaya
(2) Fakultas Ilmu Kesehatan, Universitas Muhammadiyah, Lamongan
(3) Departemen Kesehatan, Fakultas Vokasi, Universitas Airlangga, Surabaya Fakultas Keperawatan, Universitas Airlangga, Surabaya
(4) Fakultas Keperawatan, Universitas Airlangga, Surabaya
(*) Corresponding Author

Abstract

Latar Belakang: Inkontinensia urine (IU) adalah komplikasi yang sering timbul setelah tindakan Trans Urethral Resection of the Prostate (TURP). Kondisi tersebut dapat diatasi dengan latihan kegel karena mampu meningkatkan daya tahan otot dasar panggul sehingga meningkatkan resistensi uretra dan memperbaiki kemampuan berkemih serta mudah dilakukan secara mandiri, kapan saja, dan dimana saja.

Tujuan: Menganalisis efektifitas latihan kegel terhadap skor inkontinensia urinepasien pasca-TURP

Metode: Desain penelitian menggunakan Quasi Eksperimen dengan besar sampel 64 responden yang diambil dengan metode systematic random sampling (32 kelompok intervensi, 32 kelompok kontrol). Instrumen yang digunakan kuesioner ICIQ-UI-SF untuk mengukur inkontinensia urin. Analisis data penelitian dengan uji Paired t-test dan uji Independen t-test dengan derajat kemaknaan α<0,05.

Hasil: Hasil uji statistik Paired t-test menunjukkan latihan kegel mampu menurunkan skor inkontinensia urin pada pasien pasca-TURP dengan p=0,000 dan CI=0,688, dan hasil uji statistik Independent t-test didapatkan perbedaan skor inkontinensia urine pada kelompok intervensi dan kontrol pasca-latihan kegel dengan p=0,000.

Kesimpulan: Latihan kegel secara efektif menurunkan skor inkontinensia urinepasien pasca-operasi TURP.

Keywords

Inkontinensia Urin; Latihan Kegel; Post TURP

Full Text:

PDF

References

Anan, G., Kaiho, Y., Iwamura, H., Ito, J., Kohada, Y., Mikami, J., & Sato, M. (2020). Preoperative pelvic floor muscle exercise for early continence after holmium laser enucleation of the prostate: a randomized controlled study. BMC Urology, 20(1), 3. https://doi.org/10.1186/s12894-019-0570-5

Badereddin, M. A.-A., Ponholzer, A., Augustin, H., Madersbacher, S., & Pummer, K. (2017). The Long-Term Effect of Radical Prostatectomy on Erectile Function, Urinary Continence, and Lower Urinary Tract Symptoms: A Comparison to Age-Matched Healthy Controls. BioMed Research International, 2017, 1–5. https://doi.org/10.1155/2017/9615080

Geraerts, I., Van Poppel, H., Devoogdt, N., De Groef, A., Fieuws, S., & Van Kampen, M. (2016). Pelvic floor muscle training for erectile dysfunction and climacturia 1 year after nerve sparing radical prostatectomy: a randomized controlled trial. International Journal of Impotence Research, 28(1), 9–13. https://doi.org/10.1038/ijir.2015.24

Hall, L. M., Aljuraifani, R., & Hodges, P. W. (2018). Design of programs to train pelvic floor muscles in men with urinary dysfunction: Systematic review. Neurourology and Urodynamics, 37(7), 2053–2087. https://doi.org/10.1002/nau.23593

Huang, Y., LI, J., Yang, S., Yuan, D., & Wang, S. (2020). Efficacy and safety of transurethral split of prostate for benign prostatic hyperplasia: a meta-analysis. BMC Urology, 20(1), 141. https://doi.org/10.1186/s12894-020-00704-4

Jiang, Y.-L., & Qian, L.-J. (2019). Transurethral resection of the prostate versus prostatic artery embolization in the treatment of benign prostatic hyperplasia: a meta-analysis. BMC Urology, 19(1), 11. https://doi.org/10.1186/s12894-019-0440-1

Kirages, D. J., & Johnson, E. V. (2016). Pelvic Floor Muscle Rehabilitation to Improve Sexual Function in Geriatric Men. Topics in Geriatric Rehabilitation, 32(3), 174–181. https://doi.org/10.1097/TGR.0000000000000107

Kusljic, S., Aneja, J., & Manias, E. (2017). Incidence of complications in men undergoing transurethral resection of the prostate. Collegian, 24(1), 3–9. https://doi.org/10.1016/j.colegn.2015.07.001

Machioka, K., Kadono, Y., Naito, R., Nakashima, K., Iijima, M., Kawaguchi, S., Shigehara, K., Nohara, T., Izumi, K., & Mizokami, A. (2019). Evaluating urinary incontinence before and after radical prostatectomy using the international consultation on incontinence questionnaire‐short form. Neurourology and Urodynamics, 38(2), 726–733. https://doi.org/10.1002/nau.23907

Milios, J. E., Ackland, T. R., & Green, D. J. (2019). Pelvic floor muscle training in radical prostatectomy: a randomized controlled trial of the impacts on pelvic floor muscle function and urinary incontinence. BMC Urology, 19(1), 116. https://doi.org/10.1186/s12894-019-0546-5

Nuari, N. A., & Widayati, D. (2017). Gangguan Pada Sistem Perkemihan & Penatalaksanaan Keperawatan. Deepublish Publisher.

Pan, L.-H., Lin, M.-H., Pang, S.-T., Wang, J., & Shih, W.-M. (2019). Improvement of Urinary Incontinence, Life Impact, and Depression and Anxiety With Modified Pelvic Floor Muscle Training After Radical Prostatectomy. American Journal of Men’s Health, 13(3), 155798831985161. https://doi.org/10.1177/1557988319851618

Scott, K. M., Gosai, E., Bradley, M. H., Walton, S., Hynan, L. S., Lemack, G., & Roehrborn, C. (2020). Individualized pelvic physical therapy for the treatment of post-prostatectomy stress urinary incontinence and pelvic pain. International Urology and Nephrology, 52(4), 655–659. https://doi.org/10.1007/s11255-019-02343-7

Sjamsuhidajat, R., Karnadihardja, W., Prasetyono, T. O. H., & Rudiman, R. (2017). Buku Ajar Ilmu Bedah Sistem Organ dan Tindakan Bedahnya (Ed. 4 Vol.). EGC.

Smeltzer, S. C., & Bare, B. G. (2013). Keperawatan Medikal Bedah Brunner & Suddarth (Edisi 12). EGC.

Uddin, M. M., Amin, R., Rahman, M. M., Chowdhury, S. M., Khan, M. R., & Islam, M. R. (2017). Retrospective Review of TURP Done in One Year and Report on Postoperative Outcome. KYAMC Journal, 4(1), 321–325. https://doi.org/10.3329/kyamcj.v4i1.32252

Wong, C., Louie, D. R., & Beach, C. (2020). A Systematic Review of Pelvic Floor Muscle Training for Erectile Dysfunction After Prostatectomy and Recommendations to Guide Further Research. The Journal of Sexual Medicine, 17(4), 737–748. https://doi.org/10.1016/j.jsxm.2020.01.008

DOI: https://doi.org/10.22146/jkesvo.66336