Peyronie curvature treated by plication of the penile fasciae.

OBJECTIVE: To evaluate the results of plication of the penile fascia in patients with penile curvature secondary to Peyronie's disease. PATIENTS AND METHODS: Twenty-eight men with Peyronie curvature underwent plication of the penile fascia. Before operation, the deviation of the penis was so severe (median 60 degrees) in 24 men that they were unable to perform sexual intercourse. Follow-up was based on hospital records, one postal questionnaire sent to all patients and a clinical evaluation of the men in the out-patient clinic. RESULTS: After an uncomplicated operation and a median follow-up of 34 months, 20 of the 28 men were able to perform sexual intercourse and 23 were satisfied with the result of the operation. The most frequent reasons for dissatisfaction with the outcome of the operation were insufficient straightening, pain from sutures and uncharacteristic pain related to the penis and/or scrotum. CONCLUSION: The technique is simple to perform and the method gives functional and cosmetic results equal to those of more invasive procedures. The provision of adequate information to patients before the operation is important to ensure their satisfaction with the outcome.

[Breast reduction surgery. County of Velje--a 12-year follow-up study]. / Mammareduktionsplastik. Vejle Amt--en 12 års opgørelse.

A questionnaire investigation of 299 women treated operatively over a 12-year period for breast hypertrophy in four general surgical units is presented. Different surgical techniques were used, and in one of the departments one plastic surgeon performed the operations. The results of the different techniques were compared. All techniques gave good physical relief. Pers & Bretteville-Jensen's technique proved to be better in maintaining the sensitivity of the nipple, but a higher incidence of complications occurred. With McKissock's, Strömbeck's and Bames-Ragnell's techniques all scars end up looking like an anchor. These methods are preferred by most women, in spite of a higher risk of losing the sensitivity of the nipple. Significantly more women who had undergone reduction mammaplasty with the Pers & Bretteville-Jensen technique, which ends up with a horizontal scar across the breast, regretted the operation. The cosmetic results were very important for the patients, and a more uniform treatment of the patients might be preferred.

[The course after ileo-cystoplasty in patients with interstitial cystitis]. / Forløbet efter ileocystoplastik hos patienter med cystitis interstitialis.

The results of ileocystoplasty in nine patients with interstitial cystitis were evaluated. In addition to the information obtained from the hospital records, all patients answered a postal questionnaire. No serious complications occurred. Mean follow-up was 95 months (75-125 months). Seven patients were continent, of whom three were practising clean intermittent self-catheterization (CIS). One patient remained stress and urge incontinent in spite of CIS. After an uncomplicated operation one patient died seven years later from unknown causes. Six patients were very satisfied and two fairly satisfied with the outcome of the operation. All would accept a new operation if necessary.

[Vesicovaginal fistulas with special reference to therapeutic possibilities and time]. / Vesikovaginale fistler specielt med henblik på behandlingsmuligheder og -tidspunkt.

We report our own results of minimally invasive treatment in eight women with vesicovaginal fistula after gynecologic surgery. Minimally invasive or non-operative measures include fulguration of the fistula area and bladder drainage. In addition to our own results, the paper gives a review of the treatment of vesicovaginal fistulae. With respect to the literature we compare and discuss the possible procedures, surgical as opposed to conservative of minimally invasive. We also focus on the results of non-delay in the treatment of vesicovaginal fistulae. The results of non-delay and minimally invasive therapy are interesting, and it seems that these possibilities could be offered to some patients prior to or instead of surgery.

[Duodenal cancer--illustrated by 5 cases, with special consideration to symptomatology, diagnosis and treatment]. / Cancer duodeni--belyst ved fem sygehistorier, specielt med henblik på symptomatologi, diagnostik og behandling.

Over a period of 30 months we have seen five patients with duodenal cancer (four adenocarcinomas and one carcinoid-tumour). All patients are presented with a brief history of vague and non-specific symptoms. Diagnosis was established by endoscopy and biopsies. In one case, a Whipple's procedure was performed, and the patient is without evidence of tumour recurrence eight months later. Three patients could only be offered palliative surgery, of these, one is still alive two years after the operation, one (the patient with a carcinoid tumour) died three months postoperatively, and the third has only just recently been operated. The fifth patient died ten days after the diagnosis was confirmed, without any specific treatment. The different diagnostic methods available as well as the treatment and prognosis of duodenal cancer are discussed. We conclude that: 1) despite improved diagnostic procedures, the diagnosis of duodenal cancer is still difficult and delayed due to vague and non-specific symptoms, 2) the diagnostic procedure is endoscopy and biopsy. 3) the treatment is surgery and 4) the prognosis is poor in the majority of patients.