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Biomedical subjects

C F Asmussen

Publications and source records attributed to C F Asmussen.

4 recordsLinked to original sources

[Prostatotomy. Long-term results].

Sixty-five patients were treated with transurethral incision of the prostate (TUI-P) on account of slight obstructive enlargement of the prostate. Out of these, 46 were followed-up with a median period of observation of just under four years. In five patients prostatotomy proved insufficient and resection or repeated TUI-P was necessary. 80% of the patients considered that micturition had improved as assessed subjectively by means of a simple rank scale. Assessed symptomatically according to Madsen & Iversen's scale, a median score of 2 and less than 10 was found in 85%. Assessed objectively by means of urine flow measurement, a median peak flow of 10.5 ml/second was found and greater than 9 ml/second in 73%. No structures were demonstrated and none of the patients were incontinent. The magnitude of the ejaculate was unchanged in 26%, less in 39% while this was unknown in 35%. These results do not differ essentially from corresponding long term observations and the method must be considered particularly suitable for treatment of obstructive moderate hypertrophy of the prostate.

Aged↗

Symptoms and signs predictive of the voiding pattern after acute urinary retention in men.

Over a 9-month period 228 men were admitted for acute urinary retention to six different casualty wards in the Copenhagen area. The patients were followed in the corresponding urological departments for one year. Twenty-seven variables were registered for each patient. The cumulative rate of recurrent retention was 56% after one week and 68% after one year. Factors predictive of preserved voiding ability were a retained volume less than 500 ml, a known event provocative of acute retention, and a maximum flow rate of more than 5 ml/s after the retention. The maximum flow rate measured within the first week after the retention was reliable within the follow-up period if the voided volume was 150 ml or more. The etiology of the acute retention was infravesical obstruction in 90% of the patients, and 85% required subsequent surgical treatment. Predictive of surgical treatment for infravesical obstruction were recurrent urinary retention within one week, a volume of retention of more than 500 ml, the absence of a provocative situation prior to the retention episode and nocturia twice or more.

Acute Disease↗

Acute urinary retention in women: a prospective study of 18 consecutive cases.

Over a 9 month period 18 women were admitted for acute urinary retention to six different Copenhagen hospitals, serving a population of approximately 700,000 people. Urodynamically 9 patients had underactive detrusor function, 2 had infravesical obstruction and 3 had both underactive detrusor function and infravesical obstruction. In 4 patients bladder and urethral function were not classified. In 10 patients a provocative event preceded the retention episode. Eleven patients developed recurrent retention within 3 months and 7 patients had persistent severe obstructive voiding problems. Best prognosis was found for patients with correctable infravesical obstruction and for patients with minimal symptoms prior to the retention episode.

Acute Disease↗