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National Men’s Health Ambassador Speaker Program 2008 - 2010

National Men’s Health Ambassador Speaker Program 2008 - 2010. The Men’s Health Ambassador Speaker Program is proudly bought to you by the Prostate Cancer Foundation of Australia and is funded by the Australian Government Department of Health

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National Men’s Health Ambassador Speaker Program 2008 - 2010

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  1. National Men’s Health Ambassador Speaker Program 2008 - 2010

  2. The Men’s Health Ambassador Speaker Program is proudly bought to you by the Prostate Cancer Foundation of Australia and is funded by the Australian Government Department of Health and Ageing under the National Continence Management Strategy - National Men’s Continence Awareness Project Community partners: - The Continence Foundation of Australia - Rotary International • Lions Australia • The National Network of Prostate Cancer Support Groups - Men’s Health Volunteer Ambassador Speakers

  3. Prostate Health Issues The prostate is a small gland the size of a walnut which produces fluid to protect and lubricate the sperm It sits beneath the bladder and surrounds the urethra in the shape of a doughnutConditions of the prostate gland include: Lower Urinary Tract Symptoms (LUTS) Prostatitis Enlarged Prostate (BPH) and Prostate Cancer

  4. Lower Urinary Tract Symptoms (LUTS)Lower Urinary Tract Symptoms describe the urinary symptoms that may be linked with prostate disease. Urinary symptoms in men are most often caused by prostate enlargement and are not prostate cancer They must be discussed with your doctor

  5. Prostatitisis swelling of the prostate gland caused by an infection or inflammation. Prostatitis can affect men at any age, it is a non life-threatening condition but can be very painful and impact greatly on quality of life Bacteria sometimes cause Prostatitis, however, the underlying cause is often uncertain. If the following symptoms are present, men should consult their doctor without delay: Fever Low back pain Groin pain Urgent and frequent urination

  6. Benign Prostatic Hyperplasia (BPH) is the most common form of prostate disease in older men. It is an enlarged prostate gland and may result in Lower Urinary Tract Symptoms (LUTS)TURP (Transurethral resection of the prostate) is a common surgical treatment for BPH. It involves “reboring” the inside of the prostate to relieve obstruction to the flow of urine

  7. Prostate CancerProstate Cancer occurs when some of the cells of the prostate gland reproduce rapidly, causing a lump or tumour in the gland. Early Prostate Cancer may have no symptomsProstate cancer cells have the ability to escape the prostate gland and invade distant parts of the body, particularly the bones and lymph nodes, producing secondary tumours. This process is known as metastasis and means spreading. Once the cancer escapes from the prostate, treatment is possible but “cure” becomes impossibleThis is why early detection of prostate cancer is so important and can save Australian men’s lives

  8. Prostatecanceristhe mostcommoncancerin Australian men excluding non-melanoma skin cancers Australian Institute of Health and Welfare and Australasian Association of Cancer Registries 2007 Regional and rural Australian men have a 21% higher mortality from prostate cancer than men in capital cities For every 100 men in Australian cities who die of prostate cancer121 men in regional and rural Australia die of prostate cancer Michael D Coory and Peter Baade Medical Journal of Australia February 2005 Urban-rural differences in prostate cancer mortality, radical prostatectomy and prostate specific antigen testing in Australia

  9. There are more prostate cancer deaths than breast cancer deaths in Australia In 2005 more than 2,900 Australian men tragically died from prostate cancer In 2006 it is estimated that 18,700 new cases of prostate cancer were diagnosed in Australia Australian Institute of Health and Welfare and Australasian Association of Cancer Registries 2007

  10. Prostate Cancer Risk Factors

  11. Symptoms of early prostate cancer

  12. Speaking with your GP about Prostate Cancer isimportantfrom 50 years or 40 years if you have a family history of prostate cancer Two tests you need to know and feel fully informed about, that you can request from your GP, or your GP may inform you about are: 1. Prostate Specific Antigen Blood Test (PSA) The PSA blood test is the best available first stage marker which determines the level of prostate specific antigen in the blood stream. An elevated PSA may indicate some form of prostate disease 2. The Digital Rectal Examination (DRE)

  13. The Digital Rectal Examination (DRE) In a digital rectal examination, the doctor inserts a gloved finger into the rectum to feel the prostate gland for any abnormality such as a hardness or lump Speak with your GP to become fully informed and request a test A combination of the PSA Test and DRE Test is recommended annually Make a date!

  14. Referral to a UrologistIf either the PSA or DRE is abnormal, the next step is referral by your GP to a specialist Urologist who may recommend a prostate biopsyA biopsy is when small samples of prostate tissue are taken and examined under a microscope by a pathologist, to see if cancer cells are present A biopsy is the definitive way of diagnosing prostate cancerThe pathologist will give information about the cancer grade (how rapidly it is likely to grow) and stage (how far it has grown)The PSA and DRE tests, together with the cancer grade and stage are important in deciding what risk the cancer poses to a man’s health and life expectancy. Men should speak with their urologist about each of the results and any recommended treatments. They can also seek a second opinion

  15. Treatment Options for Prostate CancerTreatment options for prostate cancerrequire informed consent and a clear understanding of both the treatment itself and any side-affects. Some treatment options are listed here and should be discussed with your partner and medical specialist

  16. Possible treatment side effects to discuss with your medical specialist

  17. Recovery after Prostate Cancer It is important after a diagnosis of prostate cancer and subsequent treatment that may follow, to be aware that there may be both psychological recovery as well as physical recovery from incontinence and erectile dysfunction. Speak with your specialist Post prostate cancer intervention side effects can vary greatly between men Pelvic floor muscle strengthening with a physiotherapist or continence nurse advisor is recommended for men and is suggested prior to and after prostate cancer treatment, in consultation with your specialist

  18. Men’s Continence Health AwarenessUrinary Continence Health is no leakage of urine from the bladder Bladderincontinencemeans urine leakage Bowel Continence Health is no leakage of liquid or solid faeces from the bowel Bowel incontinencemeans faecal leakage Prevalence of Incontinence Urinary incontinence in Australian men ranges from 2.2% to 13%Faecal incontinence in Australian men ranges from 5.5% to 20%Up to 30% of men in GP waiting rooms report some type of incontinenceAustralian Institute of Health and Welfare – Australian Incontinence Data Analysis and Development 2006

  19. Normal Bladder FunctionIt is normal to pass urine 4 to 6 times per dayIt is normal to pass urine zero to one time at nightA normal bladder holds 400 to 600 ml of urine, gives plenty of warning to go to the toilet and when urine is passed the bladder should empty completely with no leakage Normal Bowel FunctionEveryone has different bowel habits. Some men empty their bowels 3 times a day and others 3 times a weekBowel motions should be soft, sausage shaped, easy to pass and take about a minute or so to passAt the end of the bowel movement you should feel empty There should be no straining, pain or leakage

  20. Common Questions

  21. Risk Factors for Incontinence

  22. Risk Factors for Constipation

  23. Bladder and Bowel Conditions

  24. Men’s Continence Products and CAAS Funding A wide range of products is available to help manage bladder or bowel incontinence including: • Absorbent pads and pants • Absorbent bed sheets and chair covers • Condom drainage and catheters • Products to assist toileting A Commonwealth Government funding scheme is available, for those eligible, to assist in meeting some of the costs of continence products – the Continence Aids Assistance Scheme (CAAS) For more information about these products or CAAS talk to your doctor, continence advisor, pharmacist or the National Continence Helpline 1800 33 00 66

  25. A man’s pelvic floor muscles help to control the bladder and bowel and also help sexual function They are layers of muscles which stretch from the tailbone at the back to the pubic bone in front Men need to maintain the strength and function of their pelvic floor muscles

  26. Bladder Health Promotion Activities

  27. Bowel Health Promotion Activities

  28. Treatment Options for Urinary Incontinence First stage treatment Pelvic floor exercises & physiotherapy Continence advice from a continence nurse on good habits and bladder and bowel training Second stage treatment if first stage not successful Medications prescribed by GP or Urologist Third stage treatment if first and second stage not successful is surgery with a Urologist the male sling the artificial urinary sphincter Artificial Urinary Sphincter

  29. Reducing the Impact of Incontinence on Australian Men and their Families1.Increase awareness about continence health in the community2. Talk about incontinence, take action to prevent it, manage it, seek treatment for it and live life well with it 3. When there is a concern about incontinence talk about it with:

  30. Conclusion Being aware of and understanding all aspects of prostate health and continence health is an important first step in self-management, knowing who to talk to and how to seek expert assistance Quality of life is important to everyone and early detection, prevention, health promotion activities including exercise, diet and a healthy lifestyle, mean that men with a diagnosis of prostate cancer, bladder or bowel incontinence can live life to the full Vitality can belong to any man at any age, it can be cultivated and fostered by men’s health awareness. Vitality is enthusiasm for living and having fun along the way!

  31. Prostate Cancer Foundation of Australia 1800 22 00 99 www.prostate.org.au The Continence Foundation of Australia National Continence Help Line 1800 33 00 66 www.continence.org.au Australian Government Department of Health and Ageing Bladder and Bowel Website www.bladderbowel.gov.au National Public Toilet Map www.toiletmap.gov.au

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