BALANITIS AKUT PADA ANAK DENGAN FIMOSIS GRADE III DAN GANGGUAN BERKEMIH: LAPORAN KASUS

Baso Aldirham; Irna Diyana  Kartika; Akina Maulidhany  Tahir; Berry Erida  Hasbi

doi:10.62710/cqp2qx71

Authors

Baso Aldirham Program Studi Profesi Dokter, Fakultas Kedokteran, Universitas Muslim Indonesia Author
Irna Diyana Kartika Bagian Ilmu Patologi Klinik, Fakultas Kedokteran, Universitas Muslim Indonesia Author
Akina Maulidhany Tahir Bagian Kardiologi dan Kedokteran Vaskular, Fakultas Kedokteran, Universitas Muslim Indonesia Author
Berry Erida Hasbi Bagian Ilmu Bedah, Fakultas Kedokteran, Universitas Muslim Indonesia Author

DOI:

https://doi.org/10.62710/cqp2qx71

Keywords:

Anak, Balanitis, Fimosis, Gangguan Berkemih, Sirkumsisi

Abstract

Balanitis pada anak dengan fimosis dapat disertai gangguan berkemih, tetapi laporan mengenai penatalaksanaan bertahap pada kondisi akut masih terbatas. Menggambarkan manifestasi klinis, evaluasi, dan tata laksana balanitis akut pada anak dengan fimosis Grade III yang disertai gangguan berkemih. Anak laki-laki berusia 2 tahun datang ke unit gawat darurat dengan nyeri penis dan kesulitan berkemih yang memberat dalam 24 jam. Pemeriksaan menunjukkan edema dan eritema preputium, erosi dengan sekret purulen, nyeri tekan, ballooning saat berkemih, fimosis Grade III menurut klasifikasi Meuli, dan leukositosis 17,12 × 10³/µL. Pasien mendapat cairan, parasetamol, dan amoksisilin intravena, kemudian menjalani sirkumsisi dan debridement sebagai terapi definitif. Setelah operasi, nyeri dan pembengkakan berkurang dan fungsi berkemih membaik. Pada kontrol hari ketujuh pascaoperasi tidak ditemukan nyeri berat, pembengkakan progresif, maupun gangguan berkemih. Balanitis akut dengan fimosis berat dan gangguan berkemih memerlukan evaluasi klinis yang menyeluruh. Pengendalian inflamasi akut yang dilanjutkan dengan sirkumsisi memberikan perbaikan klinis pada kasus ini, meskipun etiologi tidak dapat dipastikan karena kultur sekret dan histopatologi tidak dilakukan.

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