Men’s Health in Prostate Cancer: A Clinical and Research
Perspective (Recorded Webinar)
Presented by Dr. Jo Milios
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Nonfinancial: Jo Milios has no competing nonfinancial interests or relationships with regard to the content presented in this course.
This course is a recording of a previously hosted live webinar event. Polling and question submission features are not available for this recording. Format and structure may differ from standard MedBridge courses.
Men’s health is recognized as being 30 years behind women’s health, and there is typically a five-year life span discrepancy between men and women in almost every country of the world. This has largely been attributed to men being less likely to seek help for health issues, stemming from traditional values around strength and masculinity, with preventive health behaviors less commonly practiced. Gaps in knowledge include men suffering with issues of continence, the prostate, sexual health, and the pelvic floor that they may have been reluctant to investigate. With advances in screening, diagnostic, and rehabilitation tools for common disorders affecting men (such as prostate cancer), education to change culture and bridge gaps in the community is now paramount. This men’s health webinar will introduce all of these topics and is suitable for members of the public and health professionals from a range of specializations, including nursing and urology. It will especially assist physical therapists keen to upskill and who may wish to work in men’s health with a focus on prostate cancer. Many topics, including pelvic floor muscle training for incontinence and erectile dysfunction, penile rehabilitation, and exercise therapies for men with cancer, will also be covered.
Meet your instructor
Dr. Jo Milios
Dr. Jo Milios is a clinical researcher and men’s health physiotherapist who has a special interest in prostate cancer rehabilitation and has recently completed PhD studies at the University of Western Australia. In her thesis, "Therapeutic Interventions for Patients With Prostate Cancer: A Focus on Urinary Incontinence,…
Chapters & learning objectives
1. An Introduction to Men’s Health
Men’s health is recognized as being 30 years behind women’s health, and there is typically a five-year life span discrepancy between men and women in almost every country of the world. Gaps need to be recognized and understood, and support for change must be implemented. In this chapter, we will address the what, why, and how of men’s health.
2. An Introduction to Prostate Cancer
Prostate cancer affects one in six men globally, and there is a strong genetic link that few recognize. Building awareness through education and reducing the stigma of assessment and treatment options are paramount. Side effects from treatment can be minimized with advances in technology and a broad range of physical therapy options that are new and little known.
3. The Role of Pelvic Floor Muscles in Men’s Health
Most men don’t even know they have a pelvic floor. Education including awareness, localization, function, and performance of the pelvic floor will be introduced. The relationship of the pelvic floor to sexual function and continence control will also be covered.
4. Pelvic Floor Muscle Training for Bladder, Bowel, and Erectile Dysfunction in Prostate Cancer
Side effects from treatment for prostate cancer can be devastating and may greatly impact the quality of life of a man. Pelvic floor muscle assessment and training have a role to play in all three major side effects. Evidence-based research, including recent publications from the host, will be introduced. Education from allied health professionals such as OTs is essential to providing holistic health care, with information presented applicable across the multidisciplinary team. The massive knowledge gap in men’s health will be addressed, and practical applications to ADLs will be emphasized.
5. Penile Rehabilitation and Exercise in Prostate Cancer
In addition to pelvic floor muscle training, there are many therapies that are essential to improving quality of life for men with prostate cancer. These include penile rehabilitation, such as the use of vacuum pumps; activities to enhance ADLs with practical management strategies; and an overview of medications to assist sexual health recovery. The role of exercise will also be introduced, with a focus on yoga, gym-based rehabilitation, and innovative men’s health programs. This combination of therapeutic approaches aims to expand men’s health services in everyday practice.
6. Question and Answer Session
This chapter is a viewer-submitted question and answer session facilitated by Dr. Jo Milios.