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Medical imaging is revolutionising healthcare as technological advances in hardware and software development occur at an astonishing pace. Now, advanced imaging is becoming routine for prostate cancer. Multiparametric MRI (mp-MRI) provides high quality images of the prostate that allow radiologists and urologists to assign a score, using a 1-5 scale called the prostate imaging-reporting and data system (PI-RADS), to prostate tumours. PI-RADS scores indicate how likely it is that cancer cells will be found if a biopsy is done.

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Your mental health is how you think, feel, and behave. Your physical health is the state of your body when you consider the presence or absence of bodily illness and fitness. Your mental and physical health are also connected, meaning that one effects the other. People living with chronic (persistent or long-term) physical conditions are more likely to experience poor mental health than those who are well, and those who have poor mental health are at a higher risk of developing problems with their physical health.

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There has always been conflicting advice on whether a GP should order PSA (prostate specific antigen) testing for their patients, due to the ambiguity around the potential benefits and risks of the test. However, over the past two years, the use of PSA testing has evolved with better outcomes for the patient.

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Author, counsellor and men’s health advocate, Alan White, was diagnosed with early-stage prostate cancer a few months before his fiftieth birthday. Ten years later, the cancer returned. Now, as he approaches his seventieth birthday, he reflects on the treatment decisions he made at the time.

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Benign prostatic hyperplasia, or BPH, is a non-cancerous enlargement or growth of the prostate gland. It’s the most common prostate disease. The prostate surrounds the top part of the urethra (the urine passage between the bladder and the tip of the penis) so when your prostate grows, it makes the urethra narrower and puts pressure on the base of the bladder which can affect the passing of urine. It's not usually life threatening, but some symptoms can have an impact on your life.

Posted in Men's health

Sixty-eight-year-old Colin Stephen was a musician and singer in the early part of his career, with his band Quadrant playing the support act for the Eagles on their first Australian tour in 1976. He reflects on his early excesses — and how keeping his ailments at bay now involves lots of home cooking, long bike rides, and regular toilet stops.

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Weaker muscle strength is an unfortunate side effect of aging, but regular exercise can help to ensure your body performs its best throughout the later years. The muscles of the pelvic floor, which run from the coccyx (your tail bone) to the pubis (the bony part of the front of your pelvis) to support the internal organs, can weaken with age. These muscles help to control the release of urine, faeces, and gas, so if the pelvic floor muscles weaken these bodily functions may be affected. Pelvic floor exercises are generally promoted for women because the pelvic floor muscles and ligaments can weaken and stretch with pregnancy and childbirth, but men can also benefit from practicing them too.  

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Most men want to be a Dad one day and hundreds of thousands of Australian men father a child each year. So, how are new Dads faring? Does the health system care for them as well as it cares for mothers and babies? In March, we asked men these questions and more in an anonymous survey as part of our Plus Paternal: A focus on fathers project. Nearly 300 men who had fathered or tried to father a child in the past five years responded. Overall, they paint a picture of a health system that is letting them down. This is what they told us.

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In this week's Ask the Doc, Dr Ie-Wen Sim answers "What can I do to shrink my prostate and boost my testosterone?".

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"What does the prostate do?" In this week's Ask the Doc, A/Prof Tim Moss shares the basics on the prostate's role and what it does.

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