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</o:shapelayout></xml><![endif]--></head><body bgcolor="#DAD7D7" lang=EN-CA link=blue vlink=purple><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'>A publication that may be of interest to some members.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>It’s available as an electronic download.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Take care,<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><p class=MsoNormal><o:p> 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href="http://www.pages02.net/remedyhealthmediallc/Hopkins_FTF/Hopkins_FTF?spMailingID=8278086&spUserID=NDk5ODA3MTk3ODIS1&spJobID=ODAyMTI4OTI5S0&spReportId=ODAyMTI4OTI5S0"><span style='font-size:8.5pt;font-family:"Georgia","serif";color:#C60606;text-decoration:none'>Forward this email to a friend</span></a><span style='font-size:8.5pt;font-family:"Georgia","serif";color:black'> <a href="http://www.pages02.net/remedyhealthmediallc/Hopkins_FTF/Hopkins_FTF?spMailingID=8278086&spUserID=NDk5ODA3MTk3ODIS1&spJobID=ODAyMTI4OTI5S0&spReportId=ODAyMTI4OTI5S0" target="_blank"><span style='text-decoration:none'><img border=0 id="_x0000_i1027" src="http://cdn.healthafter50.com/media/email_images/Ev3.jpg"></span></a><o:p></o:p></span></p></td><td width=15 style='width:11.25pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal style='line-height:18.75pt'><span style='color:black'> <o:p></o:p></span></p></td><td width=25 style='width:18.75pt;background:white;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal style='line-height:18.75pt'><span style='color:black'> <o:p></o:p></span></p></td></tr></table></div><p class=MsoNormal><span style='color:black;display:none'><o:p> </o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=675 style='width:506.25pt;background:white;border-collapse:collapse'><tr><td valign=top style='padding:0cm 0cm 0cm 0cm'></td></tr></table></div><p class=MsoNormal><span style='color:black;display:none'><o:p> </o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=675 style='width:506.25pt;background:white;border-collapse:collapse'><tr><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td><td width=625 valign=top style='width:468.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal align=center style='text-align:center;line-height:15.0pt'><strong><span style='font-size:13.5pt;font-family:"Georgia","serif";color:#C60606'>You DON'T have to live with urinary incontinence...</span></strong><span style='font-family:"Georgia","serif";color:black'> <o:p></o:p></span></p></td><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td></tr></table></div><p class=MsoNormal><span style='color:black;display:none'><o:p> </o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=675 style='width:506.25pt;background:white;border-collapse:collapse'><tr><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td><td width=625 valign=top style='width:468.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal align=center style='text-align:center'><span style='color:black'><img border=0 id="_x0000_i1028" src="http://cdn.healthafter50.com/media/ui/SA_Managing_Urinary_Incontinence_Cover.jpg" alt="Scientific AmericanConsumer Health Lung White Paper"><o:p></o:p></span></p></td><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td></tr></table></div><p class=MsoNormal><span style='color:black;display:none'><o:p> </o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=675 style='width:506.25pt;background:white;border-collapse:collapse'><tr><td valign=top style='padding:0cm 0cm 0cm 0cm'></td></tr></table></div><p class=MsoNormal><span style='color:black;display:none'><o:p> </o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=675 style='width:506.25pt;background:white;border-collapse:collapse'><tr><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td><td width=625 valign=top style='width:468.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal align=center style='text-align:center;line-height:15.0pt'><strong><span style='font-size:15.0pt;font-family:"Georgia","serif";color:navy'>Managing Urinary Incontinence</span></strong><b><span style='font-size:15.0pt;font-family:"Georgia","serif";color:navy'><br><strong><span style='font-family:"Georgia","serif"'>After Prostate Cancer Surgery</span></strong></span></b><span style='font-family:"Georgia","serif";color:black'> <o:p></o:p></span></p></td><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td></tr></table></div><p class=MsoNormal><span style='color:black;display:none'><o:p> </o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=675 style='width:506.25pt;background:white;border-collapse:collapse'><tr><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td><td width=625 valign=top style='width:468.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal style='line-height:16.5pt'><span style='font-family:"Georgia","serif";color:black'>Many men undergoing a radical prostatectomy for prostate cancer focus on ED as the major complication they face.<br><br>But in fact, following prostate surgery, men can confront another potentially more troubling complication: urinary incontinence. The incidence of serious incontinence at medical centers of excellence appears to be relatively low—in the 3 percent range. But if you look at overall national patient survey data, incontinence numbers are dramatically higher, in the range of 50 to 60 percent.<br><br><strong><span style='font-family:"Georgia","serif"'>The good news</span></strong> 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.<br><br>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—this special health report provides the information you need.<br><br>Jacek Mostwin, M.D., D. Phil.(Oxon) is ideally positioned to write <em><b><span style='font-family:"Georgia","serif"'>Managing Urinary Incontinence After Prostate Cancer Surgery</span></b></em>. In addition to heading the Division of Reconstructive and Neurological Urology at Johns Hopkins Medicine, Dr. Mostwin has performed more than 3,000 radical prostatectomies and is an expert in bladder function in men and women.<br><br>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></td><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td></tr></table></div><p class=MsoNormal><span style='color:black;display:none'><o:p> </o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=625 style='width:468.75pt;background:white;border-collapse:collapse'><tr><td valign=top style='padding:0cm 0cm 0cm 0cm'><p class=MsoNormal align=center style='text-align:center;line-height:15.0pt'><strong><span style='font-family:"Georgia","serif";color:black'>Urinary Incontinence: Embarrassing and Life-Limiting</span></strong><span style='font-family:"Georgia","serif";color:black'> <o:p></o:p></span></p></td></tr></table></div><p class=MsoNormal><span style='color:black;display:none'><o:p> </o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=675 style='width:506.25pt;background:white;border-collapse:collapse'><tr><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td><td width=625 valign=top style='width:468.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal style='line-height:16.5pt'><span style='font-family:"Georgia","serif";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.<br><br><em><span style='font-family:"Georgia","serif"'>But you don't have to live with urinary incontinence.</span></em> As Dr. Mostwin explains, treatments are available that can dramatically improve bladder control.<br><br>In this new special health 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.<br><br>You'll also read about nonsurgical therapies for chronic mild to moderate urinary incontinence. Topics include:<o:p></o:p></span></p></td><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td></tr></table></div><p class=MsoNormal><span style='color:black;display:none'><o:p> </o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=675 style='width:506.25pt;background:white;border-collapse:collapse'><tr><td width=625 valign=top style='width:468.75pt;padding:0cm 0cm 0cm 0cm'><ul type=disc><li class=MsoNormal style='color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;line-height:16.5pt;mso-list:l1 level1 lfo1'><span style='font-family:"Georgia","serif"'>How to keep an intake and voiding diary to show your urologist <o:p></o:p></span></li></ul><ul type=disc><li class=MsoNormal style='color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;line-height:16.5pt;mso-list:l4 level1 lfo2'><span style='font-family:"Georgia","serif"'>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></li></ul><ul type=disc><li class=MsoNormal style='color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;line-height:16.5pt;mso-list:l8 level1 lfo3'><span style='font-family:"Georgia","serif"'>How to use Kegel exercises—before and after surgery—to target the right muscles for enhancing bladder control <o:p></o:p></span></li></ul><ul type=disc><li class=MsoNormal style='color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;line-height:16.5pt;mso-list:l6 level1 lfo4'><span style='font-family:"Georgia","serif"'>Choosing incontinence pads and diapers to provide comfort in public <o:p></o:p></span></li></ul><ul type=disc><li class=MsoNormal style='color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;line-height:16.5pt;mso-list:l9 level1 lfo5'><span style='font-family:"Georgia","serif"'>The injection of bulking substances such as collagen to improve resistance to outflow <o:p></o:p></span></li></ul></td><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td></tr></table></div><p class=MsoNormal><span style='color:black;display:none'><o:p> </o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=675 style='width:506.25pt;background:white;border-collapse:collapse'><tr><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td><td width=625 valign=top style='width:468.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal style='line-height:16.5pt'><span style='font-family:"Georgia","serif";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:"Georgia","serif"'>medical treatments</span></strong>. Dr. Mostwin discusses the AdVance sling, which works by repositioning the urethra and sphincter to their original anatomical position.<br><br>He also answers questions about the artificial urinary sphincter (AUS) for persistent and severe incontinence:<o:p></o:p></span></p></td><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td></tr></table></div><ul type=disc><li class=MsoNormal style='color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l3 level1 lfo6'>When should a man consider having an AUS implanted? <o:p></o:p></li></ul><ul type=disc><li class=MsoNormal style='color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l2 level1 lfo7'>What can a patient expect during AUS implant surgery? <o:p></o:p></li></ul><ul type=disc><li class=MsoNormal style='color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l7 level1 lfo8'>What happens following the surgical implantation of an AUS? <o:p></o:p></li></ul><ul type=disc><li class=MsoNormal style='color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l5 level1 lfo9'>Is an AUS a lifetime implant and what happens if something goes wrong? <o:p></o:p></li></ul><ul type=disc><li class=MsoNormal style='color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level1 lfo10'>What precautions should you take when you have an AUS? <o:p></o:p></li></ul><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=675 style='width:506.25pt;background:white;border-collapse:collapse'><tr><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td><td width=625 valign=top style='width:468.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal style='line-height:16.5pt'><span style='font-family:"Georgia","serif";color:black'>What if you experience urinary urgency (overactive bladder) without full-blown incontinence? The special health report presents a multi-step bladder retraining program that offers effective strategies for treating the problem.<br><br>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></td><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td></tr></table></div><p class=MsoNormal><span style='color:black;display:none'><o:p> </o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=625 style='width:468.75pt;background:white;border-collapse:collapse'><tr><td valign=top style='padding:0cm 0cm 0cm 0cm'><p class=MsoNormal align=center style='text-align:center;line-height:15.0pt'><strong><span style='font-family:"Georgia","serif";color:black'>About Scientific American—Experts in Science, Technology and Health</span></strong><span style='font-family:"Georgia","serif";color:black'> <o:p></o:p></span></p></td></tr></table></div><p class=MsoNormal><span style='color:black;display:none'><o:p> </o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=675 style='width:506.25pt;background:white;border-collapse:collapse'><tr><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td><td width=625 valign=top style='width:468.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal style='line-height:16.5pt'><span style='font-family:"Georgia","serif";color:black'>Science is at the forefront of advances in the understanding and treatment of urinary disorders and other serious diseases. At Scientific American we are uniquely qualified to identify emerging trends in the field of medical research and communicate these findings to you. Our broad international reach enables us to deliver to our readers scientific developments in medical research as they happen and to explain how these advances will impact the health and condition management of our readership.<br><br>You can count on Scientific American Special Health Reports to bring you medical information that is trustworthy, impeccably researched and current.<br><br>This information is so crucial that <strong><span style='font-family:"Georgia","serif"'>Managing Urinary Incontinence After Prostate Cancer Surgery</span></strong> is available instantly as a digital download. Just click the order button below and in a few moments your guide will be delivered to your email address. It's that simple!<o:p></o:p></span></p></td><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td></tr></table></div><p class=MsoNormal><span style='color:black;display:none'><o:p> </o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=625 style='width:468.75pt;background:white;border-collapse:collapse'><tr><td valign=top style='padding:0cm 0cm 0cm 0cm'><p class=MsoNormal align=center style='text-align:center;line-height:15.0pt'><strong><span style='font-family:"Georgia","serif";color:black'>Just $19.95 with a FULL Money-Back Guarantee of Satisfaction</span></strong><span style='font-family:"Georgia","serif";color:black'> <o:p></o:p></span></p></td></tr></table></div><p class=MsoNormal><span style='color:black;display:none'><o:p> </o:p></span></p><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=675 style='width:506.25pt;background:white;border-collapse:collapse'><tr><td width=25 valign=top style='width:18.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></td><td width=625 valign=top style='width:468.75pt;padding:0cm 0cm 0cm 0cm'><p class=MsoNormal style='line-height:16.5pt'><em><b><span style='font-family:"Georgia","serif";color:black'>Managing Urinary Incontinence After Prostate Cancer Surgery</span></b></em><span style='font-family:"Georgia","serif";color:black'> comes with a risk-free guarantee of satisfaction: if you're not satisfied for any reason, simply contact Customer Service for a prompt refund of your full purchase price of $19.95.<br><br>So you risk nothing. 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