PROSTATE FOCUS 

 JANUARY 2010

 

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Statins.

My old favourite !!

 

Every body will soon be on statins if the pharmacy companies and government health authorities have anything to do with it.  Start a story, in this case, that statins will stop heart attacks and the health accountants see how much money they would make by not having patients taking up hospital beds.  A few clicks on the hand held calculator and they rush to their government ministers and persuade them that statins are the best thing since sliced bread.

                                                                                                  
MERLINMerlin.

"I predict that one day men will fly 
and our world will be subject to climate change."
















Sounds a lot like climate warming.  Oooops, no it was changed to climate change, could that be because it was obvious that our climate wasn’t warming at all ? Well whatever, the spin has caused just about every government to believe that man is responsible for every flood, hurricane, and drought. For some reason this means that every Tom, Dick and Joan is to be ripped off by higher energy bills, petrol and higher taxes etc.

I agree that some drought and floods can be put down to de-forestation for instance, but there are much bigger forces dwarfing mans puny efforts.   However with our Met office unable to forecast what happens six months from now, for instance this mild winter looks like turning out to be the coldest for 100 years, what chance have they forecasting what is to happen in 10, 20 or 50 years in the future as they claim.

So what is the latest on statins.  (See below.) What this means is that now your GP can say “ take these statins and not only will they prevent a heart attack but also prostate cancer.  What a con.

I see that Dr. Fanu in his Daily Telegraph column says that some men go for a cholesterol check, ring up for the result and are told to call in for their statins. We all appear to be sheep, all being led to slaughter, or worse. 

Check up on the side effects that statins can have - see our January 2009 issue.  I wonder if the GP explains to his patient the varied problems that he may have by injesting this drug.  Guess not, he is too busy ticking another box on his government form to ensure that he gets his bonus.

 What is it with this bonus thing?  I have had some half dozen jobs in my life and cannot recall ever receiving a bonus.  I received my pay/salary to do the best I could for my employer. If that best is what you get paid for how does anyone qualify for extra?  (PD)

 

BEWARE RESEARCHERS FINDINGS.

Who paid for the research I would like to ask?

Researchers found that men who were not taking statins were three times more likely to develop PROSTATE cancer. The study followed 2,447 men between the ages of 40 and 79.

Men taking the drugs were also less likely to suffer benign prostate enlargement or erectile dysfunction, according to the findings, presented at the American Urological Association (AUA) meeting in Chicago.

Rodney Breau, from the Mayo Clinic in Rochester, Minnesota, who carried out the research, said that the findings were preliminary and that further research was needed to prove that statins did actually prevent cancer.  (I bet they did ! doesn’t that last sentence conflict with the first paragraph ? Ed)

Previous laboratory tests have suggested that the drugs could halt the spread of the disease by preventing cancer cells from dividing.

Recently released figures show there are now more than 7 million people in England taking statins to lower their cholesterol and reduce their risk of suffering a heart attack.

The NHS now spends more than £450 million a year on the medication.

 

 

But if you get Prostate Cancer

is there any downside ?

 

Oooops ! Now this is a bit of a downer for the Pharmaceutical Co’s.

 

Statins, could potentially make it harder for doctors to diagnose the disease, one of the most common forms of cancer, according to a new study.

Researchers found that patients with prostate cancer who were prescribed statins had "significantly" lower levels of PSA compared to men not taking a statin drug. 

 "We found that PSA levels are actually significantly lower in prostate cancer patients on statins versus prostate cancer patients not on statins," says Dr Piyush Agarwal, from Henry Ford Hospital in Detroit.

"The implication is that we may need to lower our PSA threshold for performing a biopsy in patients on statins, as statins may decrease the amount of measurable PSA."

The study looked at 3,828 patients with the disease, 1,031 patients who had been prescribed statins.

The findings were presented at the American Urological Association's annual meeting in Chicago.

 

Of course if you lower the thresholds then you will send more men for biopsies, which in turn could flush out more men with minute cells evidence.  The majority of these would never cause the patient any problems but a good percentage would then go on to have surgery and other prostate cancer treatments. 

Regrettably these treatments would/could destroy/reduce their current standard of living.  (PD)

 

Prostatitis Information Wanted.

 

Have you been to have the treatment described at the web site below.

 

http://www.prostatitisdr.com/

 

The PHA are anxious to hear from anyone who has, with a full report on the  procedure and subsequent success or otherwise.

 

As the period of treatment is up to forty days the cost of the stay in Hong Kong is high let alone the cost of the treatment.  We know how desperate men can become with the non treatment which occurs in just about every country in the world, so it would be sad if this turns out to be just a scheme to relieve men of their cash.

Our email address is at the top of the page.  We look forward to any details to enable us to pass on help and advice to your fellow men.


Prostatitis.

Is it all bacterial or is it caused by muscle tension ?

 

To put it as simply as I can, the theory is that muscle tensing in an attempt to ease the pain of prostatitis produces a long term problem of pain long after the original problem, this report shows the continuing research into this form of treatment.

Department of Urology, School of Medicine, Stanford University, Stanford, California.

MERLIN_TWO



      Policeman.

"Sir, I can assure you that this is not the place to practice 
your physiotherapy and specific relaxation.
















A combination of manual physiotherapy and specific relaxation training effectively treats patients with chronic prostatitis/chronic pelvic pain syndrome. However, little information exists on myofascial* trigger points and specific chronic pelvic pain symptoms. We documented relationships between trigger point sites and pain symptoms in men with chronic prostatitis/chronic pelvic pain syndrome.

We randomly selected a cohort of 72 men who underwent treatment with physiotherapy and relaxation training from 2005 to 2008. Patients self-reported up to 7 pelvic pain sites before treatment and whether palpation of internal and external muscle trigger points reproduced the pain. Fisher's exact test was used to compare palpation responses, ie referral pain, stratified by reported pain site.

*Myofascial release is a form of soft tissue therapy used to treat somatic dysfunction and accompanying pain and restriction of motion. This is accomplished by relaxing contracted muscles.

Pain sensation at each anatomical site was reproduced by palpating at least 2 of 10 designated trigger points. Furthermore, 5 of 7 painful sites could be reproduced at least 50% of the time (p <0.05). The most prevalent pain sites were the penis in 90.3% of men, the perineum in 77.8% and the rectum in 70.8%. Puborectalis/pubococcygeus and rectus abdominis trigger points reproduced penile pain more than 75% of the time (p <0.01). External oblique muscle palpation elicited suprapubic, testicular and groin pain in at least 80% of the patients at the respective pain sites (p <0.01).

This report shows relationships between myofascial trigger points and reported painful sites in men with chronic prostatitis/chronic pelvic pain syndrome. Identifying the site of clusters of trigger points inside and outside the pelvic floor may assist in understanding the role of muscles in this disorder and provide focused therapeutic approaches. PMID: 19837420

Written by:
Anderson RU, Sawyer T, Wise D, Morey A, Nathanson BH

 

 

Pelvic pain treatment for options in the UK once appeared to be zero.  However, it now appears that there are clinics and help available. See the reportage from one of the web sites.

Chief Medical Officer Annual Report March 2009

7.8 million people live with chronic pain

1 million women suffer from chronic pelvic pain

1.6 million adults per year suffer from chronic back pain

49% of patients with chronic pain experience depression

16% of sufferers feel that their chronic pain is so bad that they sometimes want to die

1 pain specialist for 32,000 people in pain

 

Learn powerful and dynamic fascial release techniques that will deepen your therapeutic effectiveness in restoring balance and creating structural change that is both measurable and functional.

MFR UK offers postgraduate workshops for healthcare professionals that enhance diagnostic and therapeutic skills in treating the whole body. The workshops provide a skillful and unique blend of both direct and non direct fascial techniques and approaches that can be immediately integrated into existing practices. This integration of applications is called integrated myofascial therapy, iMFT.

Myofascial release therapy is effective in the treatment of both physical and emotional pain and discomfort including back pain, sporting injuries, fibromyalgia, chronic myofascial pain syndrome and trigger point formation, repetitive strain injury, headaches, jaw, neck and shoulder issues. 

 You will find MFR here http://myofascialrelease.co.uk/Home/

As per the advice above any feedback for fellow sufferers would be appreciated.



AND TO FINISH ON……

 

“Prostate Cancer Surgery Performed by Many Surgeons with Little Experience”

November 19, 2009

(PhysOrg.com) — A new study from researchers at Memorial Sloan-Kettering Cancer Center has found that the majority of surgeons treating prostate cancer in the United States have extremely low annual caseloads.

“The research was published in the December issue of The Journal of Urology. Of US surgeons treating prostate cancer patients in 2005, more than 25 percent performed only a single radical prostatectomy that year and approximately 80 percent of surgeons performed fewer than ten such procedures.

“It is known that surgical volume is associated with improved patient outcomes, and fewer complications.  Previous work from this team has indicated that a surgeon’s lifetime experience with radical prostatectomy is strongly associated with cancer control;  patients treated by experienced surgeons had a 40 percent lower risk of a cancer recurrence than patients treated by inexperienced surgeons. The importance of experience in cancer outcomes has been termed the “learning curve.”

“We have previously shown that a surgeon needs to conduct an average of 250 radical prostatectomies to give patients the best chance of cure,” said Dr. Vickers, “so we decided to look at how long it would take a typical surgeon to reach that number of procedures. While the learning curve is not the only factor in determining surgical skill, we found that the majority of surgeons who treat prostate cancer patients will not achieve that number of procedures in their entire career.”

“A high-volume surgeon is defined as one who performs 50 cases a year or more. According to Dr. Vickers and colleagues’ research, only 2 percent of surgeons nationally and 4 percent of New York State surgeons fall into this category. Nationally, only about one in five prostate cancer patients are treated by high-volume surgeons; this rises to 40 percent in New York .

On the basis of this research, Dr. Vickers said that, “prostate cancer patients considering surgery should be aware that most surgeons have very little experience treating this disease. They are likely to have a reduced risk of complications, and better chance of cure, if they are treated at a specialist cancer center by a surgeon who focuses on treating prostate cancer.”

Provided by Memorial Sloan-Kettering Cancer Centre.

The information you need is not readily available in the UK :- 

SO YOU NEED TO ASK, AND ASK AGAIN, JUST HOW MANY TREATMENTS HAS YOUR MEDIC DONE, AFTER ALL WOULD YOU LET A MAN WITH A SLEDGE HAMMER AND NAILS CHECK OUT THE ELECTRICS ON YOUR CAR ?



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Inclusion of links is NOT an endorsement by the Prostate Help Association, nor do we guarantee any information you will find, other than our own.
We would remind everyone that they should discuss with their medical team all aspects of their condition
and then come to a decision in regard to the best treatment for their condition.

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