PENGARUH KEGEL EXERCISE TERHADAP DISFUNGSI EREKSI KLIEN POST TURP

Authors

  • Joko Susanto Departemen Kesehatan, Fakultas Vokasi, Universitas Airlangga Fakultas Keperawatan, Universitas Airlangga
  • Anestesia Pangestu Mei Tyas Departemen Kesehatan, Fakultas Vokasi, Universitas Airlangga
  • Khotibul Umam Departemen Kesehatan, Fakultas Vokasi, Universitas Airlangga Fakultas Keperawatan, Universitas Airlangga
  • Makhfudli Makhfudli Fakultas Keperawatan, Universitas Airlangga

DOI:

https://doi.org/10.36053/mesencephalon.v7i1.274

Abstract

Disfungsi ereksi adalah komplikasi ikutan yang sering timbul setelah tindakan TURP. Klien post TURP sering mengungkapkan keluhan mengalami penurunan fungsi ereksi. Tujuan penelitian adalah menganalisis efektifitas kegel exercise terhadap disfungsi ereksi klien post TURP. Desain penelitian adalah Quasi Eksperimen. Sampel penelitian sebanyak 64 orang, dengan tehnik systematic random sampling (32 kelompok intervensi, 32 kelompok kontrol). Instrumen penelitian menggunakan kuesioner IIEF-5 untuk mengukur disfungsi ereksi. Analisis data menggunakan uji Paired t-testdan Independen t-test dengan taraf signifikasi ?<0.05. Hasil penelitian menggunakan uji Paired t-test menunjukkan kegel exercise meningkatkan fungsi ereksi pada klien post TURP (p=0,000). Hasil analisis dengan uji Independent t-test didapatkan p=0,000, yang berarti terdapat perbedaan skor fungsi ereksi antara kelompok intervensi dan kontrol setelah kegel exercise.Kesimpulan penelitian ini adalah kegel exercise efektif meningkatkan fungsi ereksi pada klien post TURP.Oleh karena itu, kegel exercise sebaiknya digunakan sebagai intervensi pelengkap untuk mengurangi komplikasi akibat tindakan TURP.

References

Arif, M., & Sari, K. (2014). Asuhan Keperawatan Gangguan Sistem Perkemihan. Jakarta: Salemba Medika.

Chen, L. K., Lai, Y. W., Chiu, L. P., & Chen, S. S.-S. (2021). Significant relationship between parameters measured by transrectal color Doppler ultrasound and sexual dysfunction in patients with BPH 12 months after TURP. BMC Urology, 21(1), 9. https://doi.org/10.1186/s12894-020-00776-2

Das, A. K. (2019). Techniques and innovative technologies for the treatment of BPH. The Canadian Journal of Urology, 26(4 Suppl 1), 1. http://www.ncbi.nlm.nih.gov/pubmed/31481141

Duarsa, G. W. K. (2020). LUTS, Prostatitis, BPH dan Kanker Prostat. Airlangga University Press.

El Shorbagy, G., El Ghoneimy, M., El Feel, A., Abdel Rassoul, M., Hussein, H., Kassem, A., & El Gammal, M. (2017). Comparative Study Between Monopolar and Bipolar TURP Regarding the Effect on the Sexual Function in Male Patients with LUTS by the Use Of Iief (Self-Questionnaire Scoring System). Journal of Urology. https://doi.org/10.1016/j.juro.2017.02.1065

Enikeev, D., Glybochko, P., Rapoport, L., Okhunov, Z., O’Leary, M., Potoldykova, N., Sukhanov, R., Enikeev, M., Laukhtina, E., & Taratkin, M. (2018). Impact of endoscopic enucleation of the prostate with thulium fiber laser on the erectile function. BMC Urology, 18(1), 87. https://doi.org/10.1186/s12894-018-0400-1

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

Haryanto, H., & Rihiantoro, T. (2017). Disfungsi Ereksi Pada Penderitabenign Prostate Hyperplasia (BPH) Di Rumah Sakit Kota Bandar Lampung. Jurnal Ilmiah Keperawatan Sai Betik, 12(2), 286–294. https://doi.org/10.26630/jkep.v12i2.612

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

Kemalasari, D. W., Nilapsari, R., & Rusmartini, T. (2015). Korelasi Disfungsi Seksual dengan Usia dan Terapi pada Benign Prostatic Hyperplasia. Global Medical & Health Communication (GMHC), 3(2), 60. https://doi.org/10.29313/gmhc.v3i2.1547

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

Kumar, R., & Nehra, A. (2013). Treatment for Male Incontinence: Surgical Procedures (Post-TURP/RRP). In Continence (pp. 433–450). Springer London. https://doi.org/10.1007/978-1-84628-510-3_31

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

Mandang, C. S., Monoarfa, R. A., & Salem, B. (2015). Hubungan Antara Skor IPSS dan Skor IIEF Pada Pasien BPH dengan Gejala LUTS yang Berobat Di Poli Bedah RSUP Prof. Dr. R. D. Kandou Manado. E-CliniC, 3(1). https://doi.org/10.35790/ecl.3.1.2015.7481

Milios, J. E., Ackland, T. R., & Green, D. J. (2020). Pelvic Floor Muscle Training and Erectile Dysfunction in Radical Prostatectomy: A Randomized Controlled Trial Investigating a Non-Invasive Addition to Penile Rehabilitation. Sexual Medicine, 8(3), 414–421. https://doi.org/10.1016/j.esxm.2020.03.005

Myers, C., & Smith, M. (2019). Pelvic floor muscle training improves erectile dysfunction and premature ejaculation: a systematic review. Physiotherapy, 105(2), 235–243. https://doi.org/10.1016/j.physio.2019.01.002

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

Prabowo, E., & Pranata, A. E. (2014). Buku Ajar Asuhan Keperawatan Sistem Perkemihan.

Prota, C., Gomes, C. M., Ribeiro, L. H. S., de Bessa, J., Nakano, E., Dall’Oglio, M., Bruschini, H., & Srougi, M. (2012). Early postoperative pelvic-floor biofeedback improves erectile function in men undergoing radical prostatectomy: a prospective, randomized, controlled trial. International Journal of Impotence Research, 24(5), 174–178. https://doi.org/10.1038/ijir.2012.11

Rival, T., & Clapeau, L. (2017). Effectiveness of pelvic floor rehabilitation in erectile dysfunction: A literature review. Progrès En Urologie, 27(17), 1069–1075. https://doi.org/10.1016/j.purol.2017.09.004

Sjamsuhidajat, & Jong, D. (2010). Buku Ajar Ilmu Bedah Sistem Organ dan Tindak Bedahnya (2). In PENERBIT BUKU KEDOKTERAN EGC (Ed. 4 Vol.). EGC.

Smeltzer, S. C., & Bare, B. G. (2014). Keperawatan Medikal Bedah Brunner & Suddarth (Edisi 12). EGC.

Tawale, M. B., Tendean, L., & Setiawati, L. (2016). Gambaran disfungsi ereksi pada pasien dengan benign prostatic hyperplasia (BPH) di Klinik Advent Tikala Manado. Jurnal E-Biomedik, 4(2). https://doi.org/10.35790/ebm.4.2.2016.14013

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

Verze, P., Califano, G., Sokolakis, I., Russo, G. I., Hatzichristodoulou, G., Musi, G., & Creta, M. (2019). The impact of surgery for lower urinary tract symptoms/benign prostatic enlargement on both erectile and ejaculatory function: a systematic review. International Journal of Impotence Research, 31(5), 319–327. https://doi.org/10.1038/s41443-019-0140-0

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

Downloads

Published

2021-07-31

Issue

Vol. 7 No. 1 (2021): Jurnal Kesehatan Mesencephalon - April 2021

Section

Articles

License

1. Proposed Policy for Journals That Offer Open Access


Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

 

  1. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

 

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

 

2. Proposed Policy for Journals That Offer Delayed Open Access


Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication, with the work [SPECIFY PERIOD OF TIME] after publication simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

 

  1. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

 

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

 

Licensing Policy

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. Any article on the copyright is retained by the author(s).
  2. The author grants the journal, right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share work with an acknowledgment of the work authors and initial publications in this journal.
  3. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of published articles of work (eg, post-institutional repository) or publish it in a book, with acknowledgment of its initial publication in this journal.
  4. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their websites) prior to and during the submission process, as can lead to productive exchanges, as well as earlier and greater citation of published work.
  5. The article and any associated published material is distributed under the Creative Commons Attribution-ShareAlike 4.0 International License