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Biomedical subjects

B Otnes

Publications and source records attributed to B Otnes.

At least 19 recordsLinked to original sources
PubMed1992

[De Vesiculis Seminalibus--reflections on the occasion of a 150-year anniversary].

In 1842, F. C. Faye obtained the degree of doctor of medicine. He was the fourth person to do so in Norway. His dissertation was on the seminal vesicles. These were the focus of much attention at that time, when so-called seminal flux was considered both a serious symptom and the cause of many ills, both mental and physical. The treatise, which was in Latin, and the academic proceedings involved serve to illustrate the medical world of his time. They also provide a background for a brief review of today's conception of the seminal vesicles, which is still incomplete and not entirely satisfactory. Newer methods of imaging, such as transrectal ultrasonography, may shed new light on the pathology of these organs.

Academic Dissertations as Topic↗
PubMed1986

Treatment of T2/T3 bladder carcinoma: total cystectomy with and without preoperative irradiation.

Total cystectomy with or without preoperative radiotherapy was performed in 122 patients with T2/T3 bladder carcinoma (group 1:42 patients, 23 X 2 Gy; group 2:34 patients, 5 X 4 Gy; group 3:46 patients, 0 Gy). Crude and disease-free survival was 40 and 54%, respectively, in this retrospective study. No survival difference was observed between the different groups. 'Stage reduction' in the cystectomy specimen (P less than T) was the only significant prognostic parameter and was seen in 24, 15 and 18 patients from groups 1, 2 and 3, respectively. Distant metastases were found in 47 patients during follow-up, equally distributed between the 3 groups, but significantly less often in patients with 'stage reduction'. In patients with T2/T3 bladder cancer, the role of precystectomy radiotherapy remains undefined, though there might be a nonidentifiable subgroup of patients (about 20%) who probably benefit from preoperative irradiation. Preferably short-term radiotherapy should be applied. As distant metastases represent the most common reason for treatment failure after total cystectomy, the role of adjuvant systemic chemotherapy has to be explored in further clinical studies.

Carcinoma↗
PubMed1983

Crystalline composition of urinary stones in Norwegian patients.

During a 5 year period, 500 stones from the upper urinary tract and 100 from the urinary bladder of as many unselected and consecutive patients were obtained in one hospital and analysed crystallographically. 90.4% of the upper urinary tract stones and 65% of the bladder stones belonged to the groups of calcium stones, while 6.6% and 24%, respectively, were triple phosphate stones. The contribution of calcium stones to this material is higher and that of triple phosphate stones lower than in comparable materials. Frequency variations between materials also exist within the groups of calcium stones, and for uric acid, urate and cystine stones. On the basis of published material, it is not possible to say if these differences are renal or reflect variations in the selection of stones and the methods of analysis. Reports on stone materials should include information on these aspects in order to allow meaningful comparison. Distinction between stones from the upper urinary tract and from the bladder is mandatory. The composition pattern reported here is believed to be as representative as is possible to obtain. A major part of stones from the upper urinary tract is, however, lost for analysis following spontaneous passage. Such stones are more often pure calcium oxalate and less often triple phosphate stones than those which are obtained by surgical methods, and the extent to which they are obtained will influence the findings in stone materials.

Adult↗
PubMed1983

Correlation between causes and composition of urinary stones.

On the basis of routine clinical and laboratory investigations, one or more probable or possible causes of stone formation were established in 27% of upper urinary tract and 98% of bladder stone patients. In the upper urinary tract, causes were usually found for triple phosphate and pure calcium phosphate stones and rarely for pure calcium oxalate stones. Except for cystine stones and largely for triple phosphate stones there was no definite correlation between the composition of stone and causes. Uric acid and urate stones were often not associated with obvious causes, but their demonstration should lead to further investigations. In a small group of recurrent calcium stone formers examined for hypercalciuria, hyperoxaluria, hyperuricosuria, and renal tubular acidosis, positive findings were noted for 65%, but there was no consistent correlation between these findings and the types of stone. Stone analysis is most useful in so far as it identifies or excludes triple phosphate, cystine, and uric acid/urate stones. This may be done by simple chemical analysis. Certain rare components may, however, be overlooked, as will details of stone structure, unless crystallographic methods are employed.

Bacterial Infections↗
PubMed1983

Crystalline composition of urinary stones in recurrent stone formers.

175 stones from 70 recurrent stone formers with each at least two stones available for analysis were studied crystallographically. The chance that a subsequent stone belonged to the same of five major stone groups was 65% but rose to 91% if three of these groups were considered as one (calcium stones). Other findings, however, indicate that distinction between the three groups of calcium stones is of interest. Thus, pure calcium oxalate stones (Ox) did not occur in the same patients as pure calcium phosphate stones (P). In comparable stones containing both the above types of components (OxP), the calcium phosphate content was significantly lower (average apatite content per stone 9%) in stones from patients who also had Ox stones than (37%) in those who had associated P stones. Also, the stone nucleus was frequently Ox in the OxP stones from the former and usually P in the OxP stones of the latter patients. Brushite occurred in 10% of the stones, which is more frequent than in unselected stone materials and largely due to a tendency for it to recur in a few patients. Patients who provide more than one stone for analysis appear to differ considerably in stone composition from stone patients in general, and inclusion of several stones from some patients will lead to bias in materials purporting to reflect stone composition in a population. When available, several stones from each patient should preferably be analysed. Exceptions may be made for cystine and, possibly, pure uric acid stone patients.

Calcium Carbonate↗
PubMed1983

Quantitative observations on the crystalline composition of urinary stones.

Quantitative analytical findings on upper urinary tract stones from 500 patients are reported and compared to data in the literature. Methods of presentation of quantitative data are discussed. A wide range of findings between recurrent stones in the same patient and between stones from patients with the same cause of stone formation was found. No immediate clinical value of quantitation can be seen, but larger materials and correlation with metabolic investigations in stone formers may reveal correlations of clinical interest. Quantitative observations may identify groups of patients and types of stones not recognised on the basis of qualitative analysis. Examples of this are given for calcium oxalate-calcium phosphate stones and for stones containing brushite. The organic matrix which usually contributes 2-3% of stone mass was not considered, but distinctly visible and separate organic material in 7 stones was quantitated by visual estimate. 32 stones were incomplete, and their quantitation may not be wholly representative. Their exclusion, however, would have led to major bias because most were large and nearly half were triple phosphate stones, both properties being relatively rare. In cases of multiple stones, usually only one was quantitated. Seventy patients provided more than one stone for analysis (Otnes, 1983b), but except when specifically stated only the first stone is considered.

Calcium Oxalate↗
PubMed1983

Observations on urinary stone weight correlated with composition.

The weight of 500 upper urinary tract stones is correlated here with qualitative and quantitative stone analysis findings. The average weight was 725 mg, but 65% of the stones weighed less than 200 mg. With increasing weight, a shift in dominance from calcium oxalate to triple phosphate occurs. Stone materials differ in weight distribution, and reports of composition in different weight ranges may facilitate comparison and compensate for bias in selection of stones for analysis. Quantitative observations on stones consisting of calcium oxalate mono- and dihydrate with apatite show that the proportions of these components are much the same in all weight ranges, but vary with the composition of the nucleus. This is taken to support the significance of apatite in such stones and to indicate that stones with different nuclei should be considered separately. Similar observations on pure calcium oxalate stones may support a primary role of calcium oxalate monohydrate in the deposition of many such stones. Weight data for bladder stones are presented briefly and show a wide range of weights for all types of composition.

Calcium Oxalate↗
PubMed1979

A morphological study on the effect of cyproterone acetate on human prostatic carcinoma.

Sixteen patients with prostatic carcinoma were treated with 200 mg of Cyproterone acetate daily. No other kind of hormonal treatment was given. Transrectal biopsies of the prostate were taken before the treatment was started, and at regular intervals afterwards. The treatment period lasted from 3 to 16 months, with an average of 9 months. A thorough examination of multiple sections from all specimens revealed no convincing signs of cellular involution. The study has demonstrated no specific or significant atrophic changes following Cyproterone acetate therapy. Some possible explanations regarding the effect of Cyproterone acetate on human malignant prostatic tissue are discussed.

Adenocarcinoma↗
PubMed1978

Probable endometrial carcinoma of the prostate, crossed renal ectopia and dermatomyositis in a 32-year-old man.

An unusual type of prostatic carcinoma associated with crossed renal ectopia and dermatomyositis is reported in a young man. Infiltration by an epithelial tumor filled the enlarged prostate with soft papillary masses. Cystoprostatectomy and removal of a single large pelvic lymph node metastasis were done. Histologically, the tumor resembled endometrial carcinoma and may have arisen from paramesonephric tissue in the prostate. Large amounts of immunoglobulins were found in the tumor tissue. The patient has survived for more than 5 years, although a slow growing urethral recurrence has been noted.

Adenocarcinoma↗
PubMed1978

Treatment of prostatic carcinoma with cyproterone acetate.

Sixteen patients with prostatic carcinoma were treated with 200 mg of Cyproterone acetate daily. No other kind of hormonal treatment was administered. Increasing skeletal metastases were observed in 6 patients, whereas significant reduction of metastases took place in 2 patients. Objective relief of stranguria was observed only in 3 patients. The amount of residual urine increased in 3 patients and was reduced in 5. In about one third of the patients, the prostate gland became smaller and softer. The acidic phosphatases decreased from pathological to normal values in 7 patients. There were no observed hepatic, renal or haemotological side-effects. However, serious cardio-vascular complications occurred in 6 patients, while arterial hypertension developed in 4. It is suggested that Cyproterone acetate cannot be recommended as the only kind of hormonal treatment of prostatic cancer.

Acid Phosphatase↗
PubMed1978

Comparison of radiological measurement and actual size of ureteral calculi.

100 ureteral calculi were measured on X-ray films and directly on the stone after passage or removal. The largest diameters were compared. The size of the stone was radiologically overestimated for 59 stones, correct for 26 and underestimated for 15. 73 of the stones were radiologically measured within +/-25% of the actual size.

Evaluation Studies as Topic↗