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PATIENT EDUCATION PAMPHLETS v Important practice builders v Assists risk management v Extensively peer reviewed v High-quality patient communications v Enhances the doctor-patient relationship v Assists the informed-consent process TREATMENT OF URINARY INCONTINENCE A Guide for Men o o o o tion Edi A DIAG R Deep inguinal ring vein t Round ligamen Deep inguina Sacrum t Pelvic floor Ovary Pelvic floor Superior muscles Rectum pubic ramus Seminal vesicles Bladder er muscle Anus Patient’s name: name: Surgeon’s Date: day This illustrat Prostate Urethra muscle Anal sphinct ion should Prostatic urethra Vagina year month photocopied not be Pelvic floor and handed reprodu out, nor electronic ced in any format. © .com.au www.mitec orders: Bladder tec.com.au Colon Sacral spinal nerves Pelvic floor muscles Deep inguina l ring Superficial muscles Rectum inguinal ring Vas deferen s Ureters muscles Puborectalis s Ilium Uterus tube Fallopian Vas deferen Iliac arteries Sacrum Round ligamen Ovary Colon Sacral spinal nerves spinal nerves 6465 e-mail: orders@mi Abdominal muscle l ring Deep inguina Fallopian tube Iliac arteries l ring Iliac crest Puborectalis 61 3 9888 Peritoneum Ilium spinal Hip bone Abdominal muscle Superior pubic ramus muscle Prostate Anus Penis Prostatic urethra Bladder Vas deferen s Epididymis Testis Urethra Urethra Scrotum This illustrat Publishing Fascia Right ureter Vertebral column Lumbar Blood vessels Left ureter Vertebral column Mi-tec Medical Iliac crest Hip bone TS vein Left kidney Left ureter Right kidney artery and Right renal artery and vein Right ureter Right renal vein artery and o o o o AM FO R PAT I EN Left renal Aorta Inferior vena cava Right kidney Facsimile Left and renal artery Left kidney Vas deferen Patient’s name: Surgeon’s name: Date: day ion should s month not be photocopied year and handed out, nor reprodu ced in any electronic format. © Anatomy Of The Female Pelvic Floor And Urinary Tract Each pad contains 100 leaflets $39 per pad Number of pads: A4, single pocket, $16 per unit A4, single pocket, $19 per unit Number of units required: .............. Number of units required: .............. Anatomy Of The Male Pelvic Floor And Urinary Tract Each pad contains 100 leaflets $39 per pad Number of pads: www.mitec.com.au +61 3 9888 6465 [email protected] OR post to: USANZ Patient Education Mi-tec Medical Publishing P.O. Box 24, Camberwell, VIC 3124 AUSTRALIA July 2014 Telephone orders: +61 3 9888 6262 Prices do not include 10% GST. GST applies to orders within Australia only. Prices may change over time. Postage and handling are charged as an at-cost disbursement. Mi-tec Media Pty Ltd A.C.N. 053 106 497 A.B.N. 65 053 106 497 PLEASE PRINT CLEARLY Name: Dr te 6262 Aorta TS EN R PAT I AM FO cava Inferior vena PAMPHLET HOLDERS (CLEAR ACRYLIC) Wall mounted Free standing Order online: OR return this form by fax to: OR email: osta r er2012 $84 $162 $390 $750 ed Pr Bladde 1 18Decemb 84 cents each: 81 cents each: 78 cents each: 75 cents each: larg Anatomy of the Ma and Urinar le Pelvic Floor y Tract Floor ale Pelvic of the Fem Tract y and Urinar R A DIAG LOWER URINARY TRACT SYMPTOMS - A GUIDE FOR MEN @ @ @ @ an En © Telephone : 61 3 9888 Anatomy o o o o Lumbar nerves 100 copies 200 copies 500 copies 1000 copies t of Edition number: $115 $224 $545 $1050 .com.au $1.15 each: $1.12 each: $1.09 each: $1.05 each: www.mitec @ @ @ @ tmen RACS Patient Education Leaflets on Normal Anatomy THE SURGICAL TREATMENT OF AN ENLARGED PROSTATE - A GUIDE FOR MEN WITH BPH 100 copies 200 copies 500 copies 1000 copies Trea num o o o o orders: $84 $162 $390 $750 ical T tec.com.au 84 cents each: 81 cents each: 78 cents each: 75 cents each: Surg T he pro shown state is a like thin tubin the gland illustra of the passesa collar. e tha ma tio A Gu t The throug When carries n, it sur le reprod ide milky h por a ma for uri Me n eja ne or rounds uctive es flui n wit Th benign e prosta d nou in the ure culate semen the ure tract. As h BP s, rish thr H of uri prosta te enlarg es and thra and fluid froout of the a (th tic nar bod e pinch y pro hyp es with energises is add m the y) tion the ure blems erplasia age. Th sperm ed to the prostate Ure com thra sperm bladdeto the flowthra and in older (BPH). is condit cells. pre Ductus by BPH ssed . of uri hamper men. BPH is ion is to uri r. The deferens the An enl a com known bladde nate evethickenedne can flow arg mo n wh r. wall cause thi of uri ed pro n cau as Prostate en onl of the Mo ckenin ne. state se with BPH Th on the st uri bla ya nar small dder g of the is obstrucan pam urethr y sym camoun can inc wall phlet a pto and Ure has t of rease the of the “Lo alte ms due thra fur Pressure on urethra urine your ther inf wer uri red fun to BP urge Enl causes urinary symptoms is in ctio nar urolog orm H pro arged atio y tract n of the are cau the ist. n and glan state sed sym d pto bladder. by pre may be hel ms – The ssu Th sym pful. a guide e Society re Sym ptoms It is pto of availabfor men”’s promp ms dis BPH le fro level is elevated, this does not necessarily includ t me tressin increa m dical se g mean that cancer cells are in the blood ore: or sur enough with age rep eat . gical to have spread to other parts of the body. bleedi ed uri smalle treatmneed nary ng ove tra Rec ent severe r prosta tum bladde r-stret from the ct inf Free:Total Ratio urinar te enl r mu ched bla urethr ections y pro argem DIAG bladde If your PSA level is above the median for scles dder a blems ent and Tests NO kidney r stones may . SIS your age, then the pathologysurlaboratory weake have includ used in OF dam e of ned BP urineis age the may report a free:total PSA ratio. e: gland, caused ina This diagno H digita medicisbil ity because some PSA in the blood bound sis of by bac the sound abdom l rec urgent al em to pas ina BPH k pre and textur prostate tal exa An ergenc s uri to proteins whilst some is not may int l ultras sly(“free”). IVP minat ne. y. thi of the e can be gland’ The aifdoctor of uri tracks ravenous ound, ion The ratio may assist in guiding s rec not sev s occ Seek me This (DR using rectum felt thr size, direct erity urs. urethr ne from the for pyelog tal ult dical is a E) the is more sha as to whether a PSA rise likely raof uri matio ram a usi the help insert a glo . The docough the pe and– prosta ly cau on (IV nar n kid sed X-ray ng a for ratiote.is high) ved y sym ed fro tor neys, and pas P). due to BPH (the free:total by a exami special uri through and lub performsnt wall sag have man wit For exa the ove ptoms bla a of a ne tes or more likely due to cancer free:total mp the mi(the speed urine flow nation dye tha dder and e rall ha ld sym urinar ts – to anus. ricated DRE size is t sho ver le, of the the stu . the fing ptoms ratio is low). Discuss this with youry larg it is pos of ws up urine. y tract check patien urine dy – the er sible , wh e pro infect for the IMP blo sta ile a stre doctor if you have any concerns. Urody t urinat flow is ion presen DEA ORTAN kidney od tes man te to the es int measu ngth and and nam T: ts – with pati R SUR s blood ce ent' GEO FILL amounpressure ic studie o a spe red wh a Som s med IN uri are functioto che N: in cia e surg en Talk to your Doctor ck how ical When ALL includ nary DE tion, t of uri inside s – tes l device hist eon tract ning. s ask ory or you disc TAILS ts e how we ne the . his pamphlet is intended to provide you to an Xthei card uss ll the imagi urinat check much left beh bla this ON TH ray dde with general information. It isr pati notentsa. This will pamphle ion, E STI exam ng – and urine is ind afte r, the rem Cy t with CKER substitute for advice from your doctor and to sign the ind of the this ma passed r uri you fitted stoscopy other stic and your pati does not contain all the known facts about ker prosta y – a thi factors. in a sin nato conyour pati ent, rem urethr with te PSA or PSA blood tests. gle n a firm ent that ove rece inside a to allo lense, fibre-o this this It is important that you have enough ipt w the is gui ptic dev of the pam sticker of information so you can assess the benefits, pam phlet hasand put doctor ded ice, PSA the ure phle thra bee it on up kno test risks, limitations and consequences of PSA t. to n prov the the w and – ided bla look at tests. antige the blo your . the n (PS od lev doctor dder. Carefully read all the information in the ma el A). Soc Edi this pamphlet. Some technical terms are tion on PSA iety's For mo of prosta y want numrequire further explanation patien to re te used that may ber , inform specifi availab : t from your doctor.3Write down any quesle fro education ation, c m you tions, and discuss them with your doctor. pam see YO phl r uro This pamphlet should only be used in UR logist. et UR consultation with your doctor. OL Urologists are doctors who specialise OG IS T in treating diseases of the prostate and other organs of the urinary tract. orders@mi 6465 e-mail: @ @ @ @ Ureter Seminal vesicle 61 3 9888 100 copies 200 copies 500 copies 1000 copies A o o o o PROSTATE SPECIFIC ANTIGEN - A GUIDE FOR MEN ter Ure have years d to 45 ten than blems pro older e: men These includ 10 ne. signs every g uri r in h passin ptoms and ing t fou bou ms wit age. Sym rt flow g) proble n with ne to sta stream startin e stat Pro d worse the uri r urine ng and tus glan g for weake (stoppi g Ducerens Urethra g din def waitin r and voidin of voi thra thinne upted the end the flow Ure ) s up inence interr ing at clothe keep tis incont nate dribbl ng to ne onto Tes to uri (urge y incr ere the inside squeez ch is a straini e of uri en night l leaks that . Wh urine der urinar whi bag thra the blad state, leakag ing oft ing the accidenta empty n to lar ure ps the scu the tion and treatment of prostate cancer. kee and the pro y PSA and benign prostate growth tructio a mu ugh that urinat g up dur ed by r is not . nar is obs thro er) er relaxes ugh LUTS scles, uri ing ow der r thro They are performed to help the doctor: gettin y foll bladde urinat gest an dder. men, the prostate usually grows have blad bladder (sphinct inct muIn most ses “lowe fidence sph the pas The still incter ding es the r ringate, the thra urgencg that n when ms sug le bla ms as n’s con es such . determine the likelihood that prostate cula ure leav very slowly over many years. This enlarge te can r, sph ction lea pai pto irritab sympto a ma lin mus to urin male eas system sta a or fee and t dde is star fun ive g pro ct le dis cer cancer is present se . The uct se sym t an zed the bla se dys ment is called benign prostatic hyperyou thra reprod burnin of the sugges of the can affe possib by can ure e mal-si s to e y cau all LUTS about the decide which treatment is likely to be mal ent Som plasia or BPH. BPH is a non-cancerous others r to caused . h a nor change thra ma of the argem while ts refe LUTS se anxiety is rarely blem. ure n wit lated best nation but can cause problems with s enl H). As condition and flow ologis ms” or a ma age-re cau LUTS lth pro Ur exami scles , ncerou ia (BP thra pto monitor the cancer during treatment. , and other te mu y or urination.an sym of life However ing hea non-ca erplas e the ure ing tract histor e: prosta TS. eez cer. reaten is the tic hyp In men with prostate cancer, PSA can quality TS. na- with BPH, the prostate is In men includ dical y includ and state can a life-thof LUTS prosta te can squ to LU ng, of LU TS exami an ma leak from the prostate into the blood to s, me ray inflamed often slightly. As a result, PSA as pro leads n cause benign prosta cause of LU tom s. Tests ct imagi (Xr) or ed only type dde ne. stream, causing the PSA blood level to be e rarely commo te called enlarg blaleak result nary tra logram can from to the prostate into the blood, of uri was the y and A urinat an uri us pye neys and ne) higher than normal. you y be prosta e 2, the flow BPH severit uri causing a high thePSA level. In some men al often el ma ravenothe kid of the on pag stop ed that that the in int how ar lev However, a high PSA blood level is or dy residu BPH of e: and shown per e believ know ne left and no inflammation, their red tion ound stu stvoid with ham becaus drink od-sug es not proof that prostate cancer is present. tate of uri levels may and was onc tors now BPH beatnormal. Inflammation ultras PVR (po ount PSA guided d you ting blo e diabet quanti telets to is It doc flui to pla a Only the removal of a small piece of am ding ver, scopereaction, solely look and it does not mean a fas to excludcount” cells, tissue the voi is atele can Howe related od ed iod prostate tissue (biopsy) and its examinacheck r after a thin doctor c ant srequir “full blo ite blo s y: that the prostate is are is not preinfected. wh a bladde toscop a so the te specifi sis of tor tion under a microscope can determine tests the of cys cells, od fac gno tors state TS n and t opporcheck speed prostaand urethr PSA whether the prostate is cancerous. blood er blo t for pro the diarisk fac ilt s to prostate cancer of LU ormatio the bes in ess oth up the dder andic studie r and the difficu Soc inf osis and blood tes assist vide bla If cancer is present and the PSA blood blood tests any sis: am PSA ed forhave a role in the detecto ass . See the on the a to the bladde Diagnfollowing to pro diagno luding TS et urodyn your t is reserv (PSA) cer and The necessary urate y, inc blem, anyt, gen te can with LU pamphlurologist. so acc inside s tes tor n t IN ALL DETAILS ON THE STICKER often for an al his ical pro the pas sure ion; thi IMPORTANT: FILL prosta ociatio education m your portan r IS T dic in DEAR SURGEON: OGWhen you discuss this pamphlet with your patient, remove this sticker and put it on the tunity r me urinat cholog or in ass patient ilable fro ts are im as bladde or OL history or card. This will remind you and your patient that this pamphlet has been provided. you or psy patient's medical now e . UR cases. ety’s test, ava ing tes s (such diseas of e, Some surgeons ask their patients to sign the sticker to confirm receipt of the pamphlet. sical problem or allergy UR een tak phy y YO y, PSA ese scr dition , kidney r chance oking t you Th tha e-counter s con cer ate urinar us surger y of sm ines seriou dder can e a gre t previo r histor medic over-th tha , bla hav t. r you of all and es cer) presen ck you ion stones te can ns TS may a list script remedi to che digital ed, if nditio n LU such prosta detect ion te; a bal as pre the d co er tha ptoms such and her examinat prosta ws being nce, ts an oth allo l and E) r tes dition have sym ontine n. drugs, physica itals and shape into a Othe lth con if you nary inc ital pai ts gen ion (DR size, ed gen en, tes te’s ert nat A hea pected ne, uri or any other pabdom exami the prosta finger ins ar be sus ody uri nation ide that r sym , sug rectal to feel a gloved uri you as blopainful may dec e of protein ether doctor e using aus ion, ine wh iagvery doctor ile bec infect textur tum und Your rthwh rec tests for to determby an the wo are urine cells caused few Edition number: 3 next t of blood may be m the ble and oun ptoms al pro ry” for the am sym medic dia h as nosed “voiding ails suc det a ord rec :2 days; ber Facsimile $84 $162 $390 $750 r Bladde Bladder 6262 84 cents each: 81 cents each: 78 cents each: 75 cents each: on Col : 61 3 9888 @ @ @ @ n © Telephone 100 copies 200 copies 500 copies 1000 copies er urA Guide for Me low t trac Publishing URINARY TRACT INFECTIONS IN ADULTS S– LUT y inar Mi-tec Medical $115 $224 $545 $1050 er2012 $1.15 each: $1.12 each: $1.09 each: $1.05 each: 1 18Decemb @ @ @ @ he prostate is a male sex gland. It produces fluid that becomes part of semen. As shown in the illustration, the prostate surrounds part of the urethra, the tube that empties the bladder and through which semen is ejaculated. The prostate’s size and shape are often compared to a walnut. The prostate produces a protein called “prostate specific antigen” (PSA). PSA prevents the semen from becoming too thick, and it may assist fertilisation after intercourse. PSA blood tests: While most PSA is in the semen, a very small amount gets into the blood. To determine the level of PSA in the blood, a small amount of blood is drawn from a vein and tested. As PSA may sometimes indicate the presence of a benign (noncancerous) growth or a malignant (cancerous) growth, PSA is called a “tumour marker”. icle ves inal Doctors find PSA blood tests helpful, but the tests cannot tell for Sem certain whether prostate cancer or other prostate diseases are present. tum The normal PSA level was historically considered to be between Rec 0 and 4.0 nanogram per millilitre of blood, with slight variations ary up or down, according to age. We now understand that a PSA level e urin mal ts the trac should be around 1.0 ng/mL or less for a man of 40, increasing to y of tom uctive l anareprod ne e. Uri der about 4.0 ng/mL at age 70. If a man has a PSA level above the Norma and urin blad en normal range for his age, further investigation may be indicated re to stojoins the . Wh der e into size his risk of prostate cancer increases as the level of PSA rises. d es in urethrathe blades urin glanbecause eas Edition number: 100 copies 200 copies 500 copies 1000 copies Prostate Specific Antigen T ms pto sym ORDER ONLINE: www.mitec.com.au If you have a practice stamp, please make an imprint below. Billed to: Post Office Box or Street Address: City/Town: State: Phone: Fax: Postcode: Please add your email address: 1. N Cred O it Surc Card harg e 2. All email addresses and customer details are confidential. Pay now by credit card, or we can invoice with the shipment. If paying by cheque, please pay on receipt of invoice. Card number: ___ ___ ___ ___ Name on card: Signature: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Expiry date: Please tick m Mastercard m Visa m American Express m Diners Club Prices do NOT include GST. 10% GST will be added to the Tax Invoice for orders within Australia only. Postage and handling are charged as an at-cost disbursement.