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</o:shapelayout></xml><![endif]--></head><body bgcolor="#D0DBE5" lang=EN-CA link=blue vlink=purple style='margin-top:3.75pt'><div class=WordSection1><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Hi all:<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>FYI, see below.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Glen<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0cm 0cm 0cm'><p class=MsoNormal><b><span lang=EN-US style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span lang=EN-US style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> Johns Hopkins Health Alerts [mailto:johnshopkins@p.johnshopkinshealthalerts.com] <br><br><b>Subject:</b> Managing UI After Prostate Cancer Surgery<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal style='line-height:13.5pt'><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'><img width=1 height=1 id="_x0000_i1025" src="http://www.johnshopkinshealthalerts.com/media/ui/eletterbtn.gif?ET=johnshopkins:p112387:416023i:" alt="Please Enable Images"><o:p></o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=701 style='width:525.75pt'><tr><td style='padding:3.75pt 3.75pt 3.75pt 3.75pt'><p class=MsoNormal align=center style='text-align:center;line-height:13.5pt'><span style='font-size:7.5pt;font-family:"Arial","sans-serif";color:black'><a href="http://www.johnshopkinshealthalerts.com/eletter/profile/10761/112387.html?ET=johnshopkins:p112387:416023a:&st=pmail&s=PPH_130605_AA1">View as a Web page</a> <o:p></o:p></span></p></td></tr></table></div><p class=MsoNormal style='line-height:13.5pt'><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black;display:none'><o:p> </o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=701 style='width:525.75pt;background:white'><tr><td colspan=3 style='padding:3.75pt 3.75pt 3.75pt 3.75pt'><p class=MsoNormal style='line-height:13.5pt'><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'><img border=0 id="_x0000_i1026" src="http://cdn.johnshopkinshealthalerts.com/media/ui/generic_banner.gif" alt="Johns Hopkins Health Alerts"><o:p></o:p></span></p></td></tr><tr><td colspan=3 style='background:#FFFFCC;padding:0cm 0cm 0cm 0cm'><p align=right style='mso-margin-top-alt:0cm;margin-right:3.75pt;margin-bottom:0cm;margin-left:3.75pt;margin-bottom:.0001pt;text-align:right;float:right'><b><span style='color:black'><a href="mailto:customerservice@johnshopkinshealthalerts.com">Contact Us</a><o:p></o:p></span></b></p></td></tr><tr><td valign=top style='padding:7.5pt 7.5pt 7.5pt 7.5pt'><h2 align=center style='text-align:center;line-height:13.5pt'><span style='font-family:"Arial","sans-serif"'>NEW from a leading expert at world-renowned Brady Urological Institute at Johns Hopkins ...<o:p></o:p></span></h2><p class=MsoNormal style='line-height:13.5pt'><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'><br><img border=0 id="_x0000_i1027" src="http://www.johnshopkinshealthalerts.com/media/ui/ProstUrinaryIncontinence_Cover.jpg" alt="Managing Urinary Incontinence After Prostate Cancer Surgery Cover Image"><o:p></o:p></span></p><h1 align=center style='text-align:center'><span style='font-family:"Arial","sans-serif"'>Managing Urinary Incontinence <br>After Prostate Cancer Surgery<o:p></o:p></span></h1><p><span style='color:black'>Many men undergoing a radical prostatectomy for prostate cancer focus on erectile dysfunction as the major complication they face.<o:p></o:p></span></p><p><span style='color:black'>But in fact, following prostate surgery, men often confront another potentially more troubling complication: urinary incontinence. By some estimates, 50 to 60 percent of all men suffer from serious incontinence after surgery for prostate cancer.<o:p></o:p></span></p><p><strong><span style='font-family:"Arial","sans-serif";color:black'>The good news</span></strong><span style='color:black'> is that most incontinence is temporary. However, for some men it persists - and will continue to persist unless you take the right steps to treat this condition, which if left untreated can lead to embarrassment and even social withdrawal.<o:p></o:p></span></p><p><span style='color:black'>Whether you are already experiencing incontinence symptoms -- or you are a candidate for prostate cancer surgery and would like to take steps to reduce the risk of incontinence -- <em><span style='font-family:"Arial","sans-serif"'>this special report provides the information you need</span></em>.<o:p></o:p></span></p><p><span style='color:black'>Johns Hopkins expert <strong><span style='font-family:"Arial","sans-serif"'>Jacek Mostwin</span></strong>,<strong><span style='font-family:"Arial","sans-serif"'> M.D.</span></strong>, <strong><span style='font-family:"Arial","sans-serif"'>D. Phil.(Oxon)</span></strong>, is ideally positioned to write <strong><span style='font-family:"Arial","sans-serif"'>Managing Urinary Incontinence After Prostate Cancer Surgery</span></strong>. In addition to heading the Division of Reconstructive and Neurological Urology at Johns Hopkins, Dr. Mostwin has performed more than 3,000 radical prostatectomies and is an expert in bladder function in men and women.<o:p></o:p></span></p><p><span style='color:black'>From his extensive personal clinical experience, Dr. Mostwin understands firsthand the questions and concerns of patients just like you because he treats them every day in his practice.<o:p></o:p></span></p><h3 align=center style='text-align:center'><strong><span style='font-family:"Arial","sans-serif"'>Urinary Incontinence: Embarrassing and Life-Limiting</span></strong><o:p></o:p></h3><p><span style='color:black'>Although urinary incontinence is not a life-threatening problem, if left untreated it can become a life-limiting condition -- one that affects quality of life and self-esteem. The stigma attached to wet clothing and offensive odor can have profound consequences, including an avoidance of everyday activities and encounters.<o:p></o:p></span></p><p><em><span style='font-family:"Arial","sans-serif";color:black'>But you don't have to live with urinary incontinence</span></em><span style='color:black'>. As Dr. Mostwin explains, treatments are available that can dramatically improve bladder control.<o:p></o:p></span></p><p><span style='color:black'>In this new special report, you'll learn the components of the urinary system and how the bladder is affected by prostate cancer surgery. Dr. Mostwin also explains how choosing an experienced surgeon can markedly reduce the chances of severe incontinence occurring as a result of surgery.<o:p></o:p></span></p><p><span style='color:black'>You'll also read about <strong><span style='font-family:"Arial","sans-serif"'>nonsurgical therapies</span></strong> for chronic mild to moderate urinary incontinence. Topics include:<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:48.0pt;text-indent:-18.0pt;line-height:13.5pt;mso-list:l1 level1 lfo1'><![if !supportLists]><span style='font-size:10.0pt;font-family:Symbol;color:black'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>How to keep an intake and voiding diary to show your urologist<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:48.0pt;text-indent:-18.0pt;line-height:13.5pt;mso-list:l1 level1 lfo1'><![if !supportLists]><span style='font-size:10.0pt;font-family:Symbol;color:black'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>Behavioral therapy for post prostatectomy incontinence, as explained by Dr. Patricia S. Goode, an incontinence specialist at the University of Alabama at Birmingham<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:48.0pt;text-indent:-18.0pt;line-height:13.5pt;mso-list:l1 level1 lfo1'><![if !supportLists]><span style='font-size:10.0pt;font-family:Symbol;color:black'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>How to use Kegel exercises -- before and after surgery - to target the right muscles for enhancing bladder control<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:48.0pt;text-indent:-18.0pt;line-height:13.5pt;mso-list:l1 level1 lfo1'><![if !supportLists]><span style='font-size:10.0pt;font-family:Symbol;color:black'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>Choosing incontinence pads and diapers to provide comfort in public<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:48.0pt;text-indent:-18.0pt;line-height:13.5pt;mso-list:l1 level1 lfo1'><![if !supportLists]><span style='font-size:10.0pt;font-family:Symbol;color:black'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>The injection of bulking substances such as collagen to improve resistance to outflow<o:p></o:p></span></p><p><span style='color:black'>For men with moderate stress urinary incontinence that hasn't gotten better a year after surgery, it may be time to consider <strong><span style='font-family:"Arial","sans-serif"'>medical treatments</span></strong>. Dr. Mostwin discusses the AdVance sling, which works by repositioning the urethra and sphincter to their original anatomical position.<o:p></o:p></span></p><p><span style='color:black'>He also answers questions about the artificial urinary sphincter (AUS) for persistent and severe incontinence:<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:48.0pt;text-indent:-18.0pt;line-height:13.5pt;mso-list:l0 level1 lfo2'><![if !supportLists]><span style='font-size:10.0pt;font-family:Symbol;color:black'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>When should a man consider having an AUS implanted?<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:48.0pt;text-indent:-18.0pt;line-height:13.5pt;mso-list:l0 level1 lfo2'><![if !supportLists]><span style='font-size:10.0pt;font-family:Symbol;color:black'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>What can a patient expect during AUS implant surgery?<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:48.0pt;text-indent:-18.0pt;line-height:13.5pt;mso-list:l0 level1 lfo2'><![if !supportLists]><span style='font-size:10.0pt;font-family:Symbol;color:black'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>What happens following the surgical implantation of an AUS?<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:48.0pt;text-indent:-18.0pt;line-height:13.5pt;mso-list:l0 level1 lfo2'><![if !supportLists]><span style='font-size:10.0pt;font-family:Symbol;color:black'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>Is an AUS a lifetime implant and what happens if something goes wrong?<o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:48.0pt;text-indent:-18.0pt;line-height:13.5pt;mso-list:l0 level1 lfo2'><![if !supportLists]><span style='font-size:10.0pt;font-family:Symbol;color:black'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>What precautions should you take when you have an AUS?<o:p></o:p></span></p><p><span style='color:black'>What if you experience urinary urgency (overactive bladder) without full-blown incontinence? The report presents a multi-step bladder retraining program that offers effective strategies for treating the problem.<o:p></o:p></span></p><p><span style='color:black'>Dr. Mostwin also discusses medications that can be used in conjunction with bladder retraining to alleviate urinary symptoms -- and explains sacral nerve stimulation with the FDA-approved InterStim device, which can be used to establish bladder control if behavioral therapy and medications aren't sufficient.<o:p></o:p></span></p><h3 align=center style='text-align:center'><strong><span style='font-family:"Arial","sans-serif"'>Direct to You From Johns Hopkins Medicine</span></strong><o:p></o:p></h3><p><strong><span style='font-family:"Arial","sans-serif";color:black'>Managing Urinary Incontinence After Prostate Cancer Surgery</span></strong><span style='color:black'> is designed to give you unprecedented access to the expertise of Johns Hopkins Medicine.<o:p></o:p></span></p><p><span style='color:black'>For more than a century, Johns Hopkins has been recognized as a leader in patient care, medical research and teaching. Today, Johns Hopkins Medicine is known for its excellent faculty, nurses and staff specializing in every aspect of medical care. You simply won't find a more knowledgeable and trustworthy source of the medical information you require.<o:p></o:p></span></p><p><span style='color:black'>This information is so crucial that <strong><span style='font-family:"Arial","sans-serif"'>Managing Urinary Incontinence After Prostate Cancer Surgery</span></strong> is available in a <strong><span style='font-family:"Arial","sans-serif"'>print edition</span></strong> and instantly as a <strong><span style='font-family:"Arial","sans-serif"'>digital PDF download</span></strong>. Just click one of the order buttons below to choose the format that you would like. 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