Sunteți pe pagina 1din 2

SISTEM ________________________________________________ PEMERIKSAAN REFLEX BULBOCAVERNOSUS____________________________________

KOMPETENSI Tilikan Nilai Tilikan


Tertinggi bila
1. Alat yang Peserta APD:
dibutuhkan memfasilitasi - Sarung tangan
pasien untuk
menceritakan
penyakitnya
dengan
pertanyaan-
pertanyaan yang
sesuai untuk
mendapatkan
informasi yang
relevan, adekuat,
dan akurat
2. Pemeriksaan Peserta ujian Bulbocavernosus reflex (BCR) or "Osinski reflex" is a polysynaptic reflex that is useful in
fisik melakukan cuci testing for spinal shock and gaining information about the state of spinal cord injuries (SCI).
(selengkap, tangan sebelum Bulbocavernosus is an older term for bulbospongiosus, thus this reflex may also be referred to as
serunut dan setelah
the bulbospongiosus reflex.
mungkin) pemeriksaan
menggunakan The test involves monitoring anal sphincter contraction in response to squeezing the glans penis
sarung tangan
or tugging on an indwelling Foley catheter. This reflex can also be tested electrophysiologically,
dalam melakukan
pemeriksaan fisik by stimulating the penis or vulva and recording from the anal sphincter. This test modality is
sesuai masalah used in intraoperative neurophysiology monitoring to verify function of sensory and motor sacral
klinik pasien roots as well as the conus medullaris.

The reflex is spinal mediated and involves S2-S4. The absence of the reflex without sacral spinal
cord trauma indicates spinal shock. Typically this is one of the first reflexes to return after spinal
shock. Lack of motor and sensory function after the reflex has returned indicates complete SCI.

OSCE Prep 2013 Sistem____________Genitourinaria_____________ Page 1


Absence of this reflex in instances where spinal shock is not suspected could indicate a lesion or
injury of the conus medullaris or sacral nerve roots.

There is an association between hyperexcitable bulbocavernosus reflex resulting from


stimulation of the prostatic urethra and premature ejaculation. The bulbocavernosus reflex has
been found to be delayed or absent at a higher rate than the general population in diabetic men
with complaints of erectile impotence, and men who are circumcised or have foreskin retraction.

Kepustakaan

OSCE Prep 2013 Sistem____________Genitourinaria_____________ Page 2

S-ar putea să vă placă și