Men's Health

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Prostate Cancer - No man is an Island

Prostate cancer is the number 2 cancer killer of males in Australia. With 12,000 males living each year with the diagnosis of prostate cancer, many are or will be living with the post-operative health issues associated with prostate cancer. Blokes being blokes, can put issues on the back burner with a 'she'll be right mate' attitude.

Sure, a lot of things improve with time, but not prostate cancer. A much better approach is to get educated, get involved, and start preparing and planning. Given their age and gender, there can be other related health issues for men when they find out they have prostate cancer. images

Our recommendation is that as soon as you receive a diagnosis of prostate cancer, consider getting your physical body into order. Doug can assist you to develop and follow an appropriate exercise program, with specific emphasis on learning how to develop your pelvic floor. We offer a pelvic floor imaging service, during which you will learn to correctly turn on and off your pelvic floor. Seeing is believing, and knowing that you are performing correct pelvic floor contractions is vital. One of the main post-operative side effects is urinary incontinence and research has shown that undertaking a 'pre-operative' program for 6 weeks significantly strengthens your pelvic floor pre-operation and reduces the time to achieve your goal of being dry again post-operation.

Key factors to consider that are associated with prostate cancer are;

  • Physical condition
  • Pelvic floor health and awareness
  • Urinary incontinence
  • Erectile dysfunction

Dr Doug Cary can assist you with education, developing a physical training program, getting your pelvic floor in shape and erectile function.

Chronic Pelvic Pain

Chronic Pelvic Pain, (or Pudendal Neuralgia) is a very complex and misunderstood condition. Just like the sciatic nerve which refers pain from the lower back/buttocks and into the legs (with or without pins and needles) the pudendal nerve when irritated causes problems in and around the genitalia. Once irritated the pudendal nerve causes a range of symptoms involving the bladder, bowel, and male genitalia;

  • Severe pain in the pelvis, testicles, or rectum
  • Overactive or painful bladder symptoms
  • Sexual dysfunction (erectile or ejaculatory)

Following a detailed assessment and with an understanding of the relevant anatomy, your physiotherapist can offer a range of treatments that will also involve lifestyle solutions.

Resources

Beyond Blue Maintaining Your Well Being - www.beyondblue.org.au

Prostate Cancer Foundation of Australia - www.pcfa.org.au

Australian Government - www.health.gov.au

  • Pelvic Floor Muscle Training for Men (brochure)

Erectile Dysfunction

Conquering Incontinence - Peter Dornan

Peter is a physiotherapist who had one of the early radical prostatectomies, writes about finding out how to cure himself and continue to achieve his life's goals. A real groundbreaking story.

Facing the Tiger - Suzanne Chambers

Psychologist and nurse writes about the importance of mental preparation for men and their loved ones for the challenges ahead when dealing with prostate cancer.

Prostate Recovery Plan - M.A.P. - Craig Allingham

Physiotherapist with a strong interest in post-prostate cancer and developing a physical recovery plan for incontinence.

Redefining Prostate Cancer - Lamm, Lepor & Sperling

Co-authored by a men's health internist, research & clinical urologist, and an interventional radiologist, this book explores the research evidence of different treatment options for prostate cancer. Written in an easy-to-read style it ranges from the preventative stage, treatment pros and cons to lie after treatment. It is filled with case studies and patient checklists to assist discussion with your GP and medical team.