KARAKTERISTIK HIPOSPADIA DI BAGIAN BEDAH ANAK RUMAH SAKIT HASAN SADIKIN BANDUNG
Abstract
ABSTRAK Hipospadia merupakan kelainan kongenital saluran kemih yang disebabkan meatus uretra eksterna tidak terletak pada ujung penis, namun berada pada permukaan ventral penis. Tipe hipospadia berdasarkan letak meatus uretra eksterna yaitu letak anterior 50%, medial 20%, dan posterior 30%. Secara umum hipospadia terjadi satu dari 250 kelahiran bayi laki-laki, dan kejadiannya dapat terus meningkat. Pasien hipospadia posterior sering diikuti oleh chordee. Hipospadia hanya dapat dikoreksi dengan tindakan operasi, secara umum dapat dilakukan dengan satu kali operasi, namun pada beberapa kasus operasi harus dilakukan lebih dari satu kali. Penelitian ini merupakan penelitian deskriptif retrospektif pada 64 rekam medik di Rumah Sakit Hasan Sadikin Bandung tahun 2012-2014. Hasil Penelitian menunjukkan dari 64 pasien, 98,4% pasien hipospadia dibawa ke rumah sakit usia >18 bulan, kasus hipospadia terbanyak ditemukan adalah hipospadia posterior 49,0%. Chordee ditemukan pada 71,9% kasus, dan 78,1% kasus hanya dilakukan satu kali tindakan operasi. Kesimpulan penelitian ini yaitu dari 64 kasus hipospadia yang ditemukan, didapatkan hipospadia terbanyak adalah hipospadia posterior, pasien dilakukan pemeriksaan pada usia >18 bulan, dan banyak kasus hipospadia disertai chordee, serta dapat dikoreksi dengan satu kali operasi. Berdasarkan penelitian ini banyak pasien hipospadia terlambat dilakukan pemeriksaan. Keterlambatan dapat disebabkan kurangnya pengetahuan orang tua mengenai hipospadia. Skrining hipospadia pada bayi baru lahir diharapkan dapat menjaring kasus hipospadia lebih dini sehingga dapat dilakukan penanganan lebih awal dan dapat mengurangi kemungkinan terjadinya komplikasi, terutama komplikasi psikologis.
Kata kunci: chordee, hipospadia, operasi, tipe
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