Nocturia – More Than Just a Bladder Issue

Nocturia is often dismissed by patients and their health care providers as a trivial condition and normal part of ageing when in fact it is an independent predictor for early death(1).

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A Paradigm Shift In Pregnancy-Related Pelvic Girdle Pain

The need for a biopsychosocial, whole person framework to manage low back pain and persistent pelvic pain has a strong evidence base and this is also slowly being acknowledged for Pregnancy Pelvic Girdle Pain. Based on this, at WMHP we have changed our approach to PPGP, however we are aware a strong biomedical bias in the diagnosis, language and management advice regarding PPGP persists.

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We Can All Support The Psychological Impact of Prostate Cancer

Almost one-third of men with prostate cancer will experience some form of psychological distress across the different stages of the disease and throughout the treatment spectrum.

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Adverse Childhood Experiences: Implications For Adult Health

Did you know that adverse experiences in childhood can have a big impact on health later in life? A landmark study in 1998 known as the ACE (Adverse Childhood Experiences) study followed over 17,000 participants, investigating the impact of emotional and physical trauma in childhood on physical and psychological health later in life. The results were overwhelmingly clear that childhood abuse and...

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Treating Incontinence, Empowering Women

Urinary incontinence (UI) is a significant problem for Australian women. Affecting 1 in 3 women of all ages, this is an issue that needs to be taken seriously. When a woman is not able to control her bladder, it can affect her life profoundly. Women will often stop exercising, withdraw from intimacy, have reduced self-esteem, and avoid engaging in things they enjoy. Shockingly, a large population...

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New ‘Magic Pill’ For Treating Erectile Dysfunction

Erectile dysfunction affects up to 1 in 2 men. Current typical treatment options include medication and lifestyle modification. A systematic review published this year has found a new “wonder drug” for erectile dysfunction and premature ejaculation. This magic pill has no side effects, is affordable, and is easy to administer. And you will never guess what it is….. Pelvic Floor Exercises!

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Fluid Intake And OAB: Less Is More!

Many health professionals endorse drinking 2 litres of water each day, despite a lack of scientific evidence to support this1. In patients with overactive bladder (OAB), excessive fluid intake is known to exacerbate urinary frequency and urgency. A new systematic review has just been published, investigating fluid intake and OAB, and the results are fascinating.

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Better Bowels With Rectal Balloon Biofeedback

Rectal balloon therapy is emerging as an exciting biofeedback tool to effectively treat a variety of benign anorectal disorders. Wald and co-authors recently published the American College of Gastroenterology Clinical Guideline: Management of Benign Anorectal Disorders1, and strongly recommended the use of biofeedback with rectal balloon therapy for treatment of defecatory disorders, chronic...

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Faecal Incontinence: The Role Of Ageing And Gender

Faecal incontinence (FI) affects up to 1 in 5 Australian men and 1 in 8 Australian women. This is higher than the prevalence of diabetes (6%) and asthma (11%). Dr Danette Wright, colorectal clinical fellow, recently delivered a fascinating presentation at the Continence Foundation Australia NSW State Meeting, discussing the role of ageing and gender in FI. Males and females are both affected by...

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Weight Loss: The "Wonder Drug” For Incontinence

Australians are getting fatter, with 7 in 10 Australian men, 1 in 2 women and 1 in 4 children now being overweight or obese. Unfortunately these numbers are continuing to rise. Dr Lucy Bates, Urogynaecologist at Westmead Hospital in Sydney, recently presented at the Continence Foundation Australia NSW State Meeting, exploring the relationship between obesity and incontinence, and what we can do...

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New Treatment Option For OAB: TTNS

Professor Suzanne Hagen, Scottish pelvic floor research guru, recently delivered a key note address at the 26th National Conference on Incontinence 2017. She discussed Transcutaneous Tibial Nerve Stimulation (TTNS) as a treatment option for overactive bladder (OAB). The research base supporting this treatment technique is growing. A systematic review published this year concluded that TTNS can...

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10 Tips For Managing IC / PBS From Professor Curtis Nickel

Interstitial cystitis / painful bladder syndrome (IC/PBS) is a complex condition, and often difficult to treat. Professor Curtis Nickel, urologist and pelvic pain guru from Canada, was a key note speaker at the recent USANZ conference, and shared ‘10 Tips For Managing IC/PBS’. His overwhelming message, loud and clear, was that IC/PBS is a multi-factorial condition, and a multidisciplinary...

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