[An alternative to current waiting list guarantee].
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Ethics, Medical↗
Biomedical subjects
A F Rosenlund
Publications and source records attributed to A F Rosenlund.
An unusually avulsed penis successfully replanted by using microsurgical technique.
An unusually avulsed penis and its successful microsurgical replantation is reported. The penis was self-avulsed between the superficial fascia of the shaft, and the shaft was cut distally, just proximal to the glans, with the whole glans and a short part of the shaft hanging in the avulsed skin of the penis. According to our search in the literature, this is the first successful replantation of such a case by microsurgery. The blood circulation of the replant was reestablished, after 15 hours of tissue ischemia, by means of microsurgical vascular anastomosing of the minimal subcutaneous vessels in the skin. Both the skin and the glans survived, indicating the alternative possibility of replantation of avulsed penile skin by microsurgery, rather than by skin grafting.
Adult↗
[Transurethral microwave therapy of benign prostatic hyperplasia. Results after 1-year follow-up].
We describe the results after one year follow-up of the first 17 patients treated with transurethral microwave therapy at the University Hospital in Tromsø. We used the Prostatron (Technomed International), a microwave generator delivering heat to the prostate through a water-cooled transurethral catheter. After six weeks we recorded significant improvement in symptom score, residual urine and peak flow rate. There was continuous improvement in all recorded parameters until the last control 13 months after treatment, except in the case of symptom score, where the level was the same after 13 months as after six months. We found a high incidence of urinary tract infections after treatment, owing to liberal use of prophylactic transurethral catheters. In one patient we also recorded retrograde ejaculation as an adverse effect of treatment. To our knowledge this has not been reported earlier.
Aged↗
[Breast tumor--a diagnostic challenge].
The study includes all patients referred for surgical examination with suspected breast cancer (n = 439) during a single year. All women were examined clinically. Mammography was performed in 372 cases (88%), and 195 (46%) women underwent biopsy. 37 (8.7%) of the admitted women had breast cancer, which was verified by histological examination. This corresponds to an incidence rate of 0.8 per 1,000 women, and an incidence rate of 2.0 per 1,000 in women above 40 years. In four patients who were not suspected as having breast cancer after clinical examination, breast cancer was revealed by mammography. However, mammography alone is insufficient, since three mammograms were false negative, in cases where cancers were diagnosed clinically. Therefore, both mammography and clinical investigation are necessary in the examination of women with breast tumors. When breast cancer cannot be ruled out by physical and mammographic examination, a representative specimen of the tumor should be removed for histological or cytological examination.
Adult↗
[Mammography screening in Tromsö. Realization and results of the first mammography screening in Norway].
The screening was carried out as a part of a health survey. Women aged 40 or more, (N = 4,290), were eligible. The acceptance rate were 84.4%. Altogether 5.3% was selected fro detailed mammographic examination, 1.7% were referred to a surgeon and 1.1% underwent surgery. In ten (25%) of them breast cancer was proven histologically. The mammograms were read independently by two radiologists. The predictive value was highest if only women on which both radiologists agreed were referred to detailed mammography. Of the women attending the health survey, 98% in the urban and, 79% in the rural part of the municipality were screened for breast cancer. The latter group had to make an appointment and travel to the city center to have their mammograms taken. The interpretation of the breast cancer screening was centrally administered. The follow-up was organized locally.
Adult↗