ISCP Talk : Friday 23rd September 2016 (Dublin Ireland)
Coombe Hospital,Dublin,Ireland
An amazing informative 2 hour talk by Jo begun with the acknowledgement of the significant part played by WCPT 2015 in her journey and the support offered by people such as Dr Emma Stokes, Peter Dornan, her brother (Urologist) and all her patients. A couple of men Jo saw this week:
S….: Peyronie’s US and retn of intimacy with his wife
J…. : Prostate Cancer. Loss of libido & wife & hapiness. Exercise prog and found some mates
Listen to the guys and how can we help them.
Some facts
Men live 5 years less
“MH is 30 years behind” WH Pauline Chiarelli 2011, Now? 15 years behind
Male mortality
“Most diseases preventable but men wait until a crisis occurs”
Cardio Vascular: less me time , less exercise, sedentary work, less sleep
Waist circumference : men shouldnt be greater 94 cm. Get an Ikea tape and measure yourself
Civilisation syndrome: smoking, alcohol, stress etc
67% men over weight
Every 16kg weight gain: lose 2.1cm
Phys activity :less ED, better sperm mob
Ireland:60% male cancers, high incid prostate cancer
40% couple infertility is male
Depression & anxiety 1 in 8 men
Any penile dysfunction linked to loss of masculinity
Penis Facts
Small penis anxiety 45% of men
85% woman happy with partners penile length
Some Prostate Cancer Facts
1 in 7 men
1 in 2 if +ve family history
1 in 4 if associated breast, ovarian, uterine
At risk men: check from 35 years of age
Ask re family history
What can Physios do to help at First Contact?
Recommended Tests
PSA Guidelines
Gleason Score
Prostate Cancer Diagnosis
” Triple C”
Work, women & wine change
Cancer, Continence, Coitus ,
Post Radical Prostatectomy
98% Incontinent 98% full revovery (Perth , Australia)
68 -100% Erectile Dysfunction (only 22% recover) 60 + ( only 15%)
Clamacturia
70-80 % of men post RP
Advice ( condom, bladder emptying pre coitus)
PFME helps
Pelvic Floor Retraining
12 weeks ideal
Start 6/52 pre op
Explaining Erectile Dysfuntion to Men
Use the sea sponge as an example
Loss of house keeping erections (1500 per year)
Types of Dysfunction
1. ED & changes to penile length
2. Penile Pain
3. Post Prostatectomy Regret ”sexual bother”
What is Penile Rehab by Jo Millios.
See the next blog
Gerard Greene Men’s Health Physio
To make a Men’s Health Physio Appointment in Perth Australia 😎:
Perth Australia
(Google Jo Millios)
West Midlands UK
http://www.harbornephysio.co.uk
Southampton
http://www.cerianlife.com
@gerardgreenephy
