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MEN’S HEALTH 3. 30.11.10 Dr. Andrew Sumnall Mr. Phillip Koenig. Assessment of Learning Needs. Testicular lumps Management of prostate symptoms PSA testing 1.BPH 2.current thoughts on PSA use in general practice 3. ‘red flags’ in general practice ie what not to miss!. PSA and screening
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MEN’S HEALTH 3 30.11.10 Dr. Andrew Sumnall Mr. Phillip Koenig
Assessment of Learning Needs • Testicular lumps • Management of prostate symptoms • PSA testing • 1.BPH • 2.current thoughts on PSA use in general practice • 3. ‘red flags’ in general practice ie what not to miss!
PSA and screening • Management of different stages of prostate cancers, i.e radiotherapy local, hormone treatments • Cancers and recognizing symptoms/signs • Normal PSA result- but rising trend-?when to repeat • Advances in treatment of prostate cancer
Difficult Aspects of Men’s Health • Knowledge • Skills • Attitudes /Self Awareness
Case 1 • Testicular symptoms • CG27 Referral for suspected cancer: quick reference guide • Scrotal swellings: diagnosis and management - Surgery - BMJ Learning
Case 2 • Cancer Screening • Prostate Cancer Risk Management Programme • Managing patients at risk of prostate cancer: in association with the NHS prostate cancer management programme - Video - BMJ Learning
Case 3 • LUTS • CG97 Lower urinary tract symptoms: quick reference guide • Lower urinary tract symptoms in men: a guide to management - in association with NICE - Surgery - BMJ Learning • Benign prostatic hyperplasia: an update on investigation and management - Surgery - BMJ Learning
Case 4 • High PSA • CG58 Prostate cancer: quick reference guide
Interesting Cases ? • 24yr old with lump testicle been there few years, previous USS nothing abnormal found. Become painful last few weeks but not changed in size. 0.5cm epididymal lump o palpation, slightly tender.
Follow up • Presentation • Access • Media • Epidemiology • Complaints • AKT • CSA