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One of the most confusing things about being diagnosed with early stage prostate cancer is choosing if and how to treat it. Unlike other cancers that have one or two standard treatment options, acceptable approaches for prostate cancer are more numerous. Each has different pros and cons and the decision about how to proceed needs to be customized to each man, depending on his age, his general health, and the severity of his early prostate cancer. Treatment options · Radical prostatectomy is the surgical procedure that removes the prostate gland. The operation is traditionally performed through a vertical incision made in the pelvis. The man needs to be admitted to the hospital and recover for several days. The most worrisome potential long term side effects are urinary incontinence and impotence. A new technology is available: robotic laparoscopic prostatectomy. This method entails making five small incisions instead of one larger one. The recovery is expected to be faster and easier than with the traditional procedure. · Radiation therapy has a cure rate comparable to that of surgery. The two forms of radiation therapy are external beam and brachytherapy, pronounced bray-kee-ther-uh-pee. o External Beam Radiation Therapy entails the use of a radiation treatment machine, most commonly, a linear accelerator. Using sophisticated treatment planning computers and devices built into the linear accelerator, the radiation beams deliver a very precise dose of radiation to the intended area while sparing the normal surrounding structures, such as the rectum and bladder. By using 3-D conformal radiation therapy, the radiation beams conform to, or match the shape of the tumor. Intensity modulated radiation therapy, also known as IMRT, is a refinement of 3-D conformal radiation therapy. It uses multiple, tiny beamlets, instead of a single radiation beam. IMRT beamlets can be understood by visualizing it as multiple, tiny mosaic tiles of different hues of blue; the tumor receives the dark blue beamlets, whereas the tissue near the rectum and bladder receives the beamlets of the palest shade of blue. This way, the intensity of each tiny beamlet is modulated. IMRT has enabled radiation oncologists to deliver much higher doses of radiation therapy to the prostate with fewer complications to the rectum, resulting in higher cure rates. Temporary and early side effects include the need to urinate frequently, diarrhea, abdominal cramping, and fatigue, which is usually not severe. Side effects that can develop months to years later include urinary incontinence and erectile dysfunction, albeit a significantly lower incidence than with surgery. With the advent of IMRT, the risk of rectal injury that can cause rectal bleeding is uncommon. o Prostate Seed Implants introduce multiple radioactive pellets smaller than grains of rice into the prostate gland. The prostate gland then receives a substantial dose of radiation, but the surrounding tissues receive virtually none. This option is very attractive to men who are concerned about maintaining potency. Also, for men who do not have a significant risk of the cancer penetrating through the capsule that envelopes the prostate, a prostate seed implant can serve as the only form of therapy. However, men whose tumors fall into a higher risk category cannot be treated solely with a prostate seed implant, and need to supplement it with external beam radiation therapy, albeit a briefer course of treatment than in men who receive only external beam radiation therapy. The disadvantages of brachytherapy include the fact that the radioactive seeds take several weeks to decay to the level of background radiation; during this time, men need to refrain from getting close to pregnant women and small children. Also, there is a low risk of rectal irritation in the short and long run. Infrequently, the need to urinate frequently can persist. Incontinence and impotence are relatively rare. The risk of a channel forming between the urinary tract and the rectum, also known as a rectal fistula, can cause urine to leak through the rectum. This complication is rare, fortunately, and can be repaired surgically. · Cryosurgery involves freezing the prostate tissue with liquid nitrogen. Via the guidance of an ultrasound probe inserted in the rectum, needles are guided into the prostate, by piercing the skin between the scrotum and the anus. Short term side effects include blood in the urine for several days, soreness of the surgical area, swelling of the penis and scrotum, urinary burning, and frequency of urine and bowel movements. Late complications include nerve damage that can result in impotence and rarely, the formation of a fistula. Also, the long-term success rate is not well known. · Hormone Therapy is also known as androgen deprivation therapy (ADT). Prostate cancer thrives on testosterone. By depleting testosterone, prostate cancer cells die. ADT has never been demonstrated to be a curative modality, but it is useful in holding the disease at bay for some time. Its other role is in shrinking the prostate prior to surgery or radiation therapy. Side effects are those of “male menopause”, such as hot flashes, weight gain, decreased mental acuity and depression. Other potential adverse effects include osteoporosis, anemia, breast enlargement, fatigue, diminished good cholesterol and loss of muscle mass. · Watchful waiting is a reasonable choice for men who have a short life expectancy, as well as for those men who have very slowly growing prostate cancer and will most likely not die from prostate cancer but rather, from some other more life threatening problem. The down side of watchful waiting is the psychological implication that the man’s mortality is looming ahead of him. Although no active treatment is given, men are still followed with digital rectal exams, PSA levels and possibly, transrectal ultrasounds of the prostate. However, with low risk prostate cancer in an elderly man, this might be a fine option. Apparently the spectrum of treatment options is vast, and ranges from doing nothing to undergoing radical surgery. To make the best decision for himself, a man should know his treatment options based on his individual situation and lifestyle. Then, he will be empowered by knowledge as he embarks on his journey into the world of medical opinions. Finally, he should choose an experienced specialist to ultimately treat and follow him. For more information about radiation therapy, check out http://www.ASTRO.org, the official website of ASTRO, The American Society for Therapeutic Radiology and Oncology. Copyright 2006 by Carol L. Kornmehl. All rights reserved. penile enlargment program penis enlargement procedure magna rx results review result review vigrx free exercise tip for penile enlargement penis enlargment tip pnis enlargement pump penile enlargment traction device

natural pnis enlargement technique

Women love their men strong and confident and secure. They want to feel security in his loving embrace, yearning in his kisses and sincerity in their sexual encounters. Women love men who have the strength to stand up to what they believe in and admit to their mistakes. Have you ever been in the situation before? So, you finally got the girl of your dreams. She’s fine-looking and sexy. She’s definitely a catch! Every time you go out, other guys are checking her out. So, you hold her closer, have a protective arm around her, and cast steely “Don’t you mess with my girlfriend” stares at the other guys. You closely watch her every move and feel a pang of jealousy and insecurity, even at times when it is not the least bit warranted. You constantly call her up to check up on her or count the seconds before she answers your call. You’ve been too paranoid too many times whenever she says she’s out with her girl friends or co-workers, or if she’s meeting up with a high school sweetheart or an ex-flame. You instantly erupt in jealous rage at the mention of past loves. If your response is no, you are what most men want to be. So where does all this insecurity and jealousy spring from? You may have bad experiences before regarding relationships and loyalty, and you ensure that it doesn’t ever happen again. In turn, you intensely guarantee that you are the sole object of her desire. Male insecurity has also been known to directly correlate with a deficiency in the size of the male member. Many men are bothered that they are not big enough or they’re not gonna please their ladies with their current size. This probably explains the thriving and often lucrative business that is penis enlargement. Another reason may be about money or resources. Many guys feel disdain, oftentimes envy, towards other men who are better off than themselves. With more money, you could probably spend lavish gifts for your girl; and with more presents, you think you make yourself highly desirable and attractive. Men, just like women, also need to be liked. They want to be respected, adored, and esteemed. They want to be feel important and special to someone. They want to be loved and needed. So, how would you rein in your insecurity and keep your jealousy in check? Take time to do a self-assessment. Improve your looks and learn new things. Go to the gym, join sports club, or enroll in short courses like foreign languages, arts, or even acting. More importantly, is the measure of trust and loyalty that you and your girl have for each other. Don’t let your insecurities cloud your judgment and ruin your relationships. Treat her with respect as much as you would want her to do the same for you. Spend the time to pleasing her mentally and sexually. If you need assistance on pleasing her, the wolrd is filled with advice you can get at any price. You can get massage oils, penis enlargement products and so many more sexual enhancers for your life. Good Luck. permanent penile enlargement vimax penis enlargement tool penis girth enlarement penis elargement surgeries surgical penile enlargement vimax best penis enlargement surgery free natural penis enargement com enlargement pennis pennis pump natural pnis enlargement technique

The desire to be physically attractive drives many women to seek solutions that are safe, result oriented, easy to follow, and reasonably priced. For many years, surgical implants were the only option available to women to restructure their breasts. But today, with further developments in research, there are many inexpensive non-surgical options available to the women such as breast enlargement pills, creams, pumps, and the Brava system. The surgical method of breast enlargement is, by far, the most expensive of all the alternatives available. A surgical implant may cost on an average $5000 to $10,000. This figure includes additional cost incurred on consultation fees, surgery, operating room cost, and anesthesia. The cost of surgical implants depends to a great extent on a particular region as well as the availability of skilled plastic surgeons. Non-surgical or the natural breast enlargement method is comparatively cheap. Most brands of breast enlargement pills are sold for a discounted price of around $200 to $250 for a full 6-month course. A four-month supply cost approximately $ 150 to $190. An individual bottle of pills may cost on an average $50 for one months use. Breast enlargement pills are sold on Internet sites. Breast enlargement creams are available in different quantities. The price of the cream ranges from $25 to $75 per unit depending upon the quality and the quantity of the cream sold. Breast enhancing pumps are roughly priced at around $ 250 to $280 depending upon the number of accessories packaged with it. There are also pumps available which are priced as little as $50. Like breast enlargement creams and pills, the pumps are sold through Internet sites. In the US, the Brava system is available with 2 set of domes priced at $2500 including the physician services. The Brava Starter System (one set of domes) costs around $1,300. The Brava System is available with an authorized physician or direct from the company. Promoters of breast enlargement through hypnosis market their hypnotherapy in a compilation of two or three CDS, which cost $75 to $100. Also available are single CD compilations priced at $20 to $30 sometimes with an offer of free international airmail included. Some websites offer MP3 downloads, too, at a cost of $26. Hypnotherapy CDs are sold through Internet sites. pennis enlargement device penis enhancement tip vimax enlargement manhattan penis natural pnis enlargement technique penis elargement surgery free natural penis enlagement free exercise tip for penile enlargment manual penis enhancement natural pnis enlargement technique

Are you sick and tired of the pressure that you put on yourself because of your premature ejaculation problem? It may not be as bad as you think. Men try to follow some type of public stigma that we are supposed to be sex machines! You can stop holding your breath as I'm about to blow the lid on the top 10 myths surrounding premature ejaculation and the sexual society that we find ourselves in today... Overcome Premature Ejaculation Myth 1: Your penis is your most powerful sex organ Reality --> Your mind is your most powerful sex organ, and your skin is your largest one! Yes it's true for both men and women. The mind is your most powerful sex organ. This explains the mystery of all those mornings you woke up after a 'wet dream' wondering "wow, how did that happen?" Overcome Premature Ejaculation Myth 2: 'Real men' have sex frequently Reality --> Men have sex less often than they're boasting to their friends. Sometimes men lie about sex. Often they lie about how frequently they're 'doing it'. I want to stress that you shouldn't compare your sex life and performance to others, when it comes to breaking down this myth it is necessary to look at how often other couples have sex. Overcome Premature Ejaculation Myth 3: A 'real man' can last all night long Reality --> Between 2 and 7 minutes is 'average.' This myth would have a man believing that if he is not capable of maintaining a rock hard erection and performing all night (the equivalent of a sexual miracle), he is an incompetent lover. Overcome Premature Ejaculation Myth 4: The man is responsible for his partners' orgasm Reality --> Partners should take responsibility for their own sexual pleasure. Men who try and live up to this myth are termed 'sexual performers' by therapists. They are more likely to fall victim to impotency, premature ejaculation, and other sex related problems. Overcome Premature Ejaculation Myth 5: Men are always ready and willing to perform on command Reality --> Men vary as greatly in their need for sex as women do… This myth surrounding male sexual prowess has continued over the centuries, and would have us believing that a man can get an erection - and be ready to perform immediately, at any time, in response to the smallest flirtation or hint of seduction from a woman. Overcome Premature Ejaculation Myth 6: Men need a fully erect penis to satisfy a woman Reality --> Only 1 in 5 women will ever reach orgasm through penetrative sex alone - no matter HOW long you can go for or how hard it is! With the more recent introduction and prevalence of impotence drugs such as Viagra, this is myth looks set to becoming even more ingrained in our culture. This is in spite of research which now tells us only 1 in 5 women are able to orgasm through penetrative intercourse alone. Overcome Premature Ejaculation Myth 7: A man's erection defines his masculinity Reality --> It's 'normal' to experience erectile dysfunction… Statistics tell us that by age 40, around 90% of men will have experienced some form of erectile dysfunction. It is therefore considered 'normal' for a man to experience this from time to time. Overcome Premature Ejaculation Myth 8: Intercourse is the only way to make love Reality --> Intercourse is just one way to make love I have touched on this briefly in some of the other myths, however it does deserve a special mention also because at some level we (men and women) are all programmed to believe that penetrative intercourse is the ultimate outcome of any sexual encounter. Overcome Premature Ejaculation Myth 9: Having good sex comes naturally Reality --> We have to learn and re-learn how to please our partner(s). The desire for sex is instinctive and a natural response in our bodies. However, what we do about this instinct is learned through society and culture and our attitudes and beliefs about sex. Overcome Premature Ejaculation Myth 10: Everyone else has a wonderful sex life Reality --> We all have problems at some stage… While reported figures will always be subjective, research tells us over 70% of Americans who remain sexually active, have had a problem in his or her sex life or relationship at some point in their lives. Now you have blown the lid on some commonly held myths that we are led to believe. You can relieve much of the anxiety that you may feel right now and start taking some more confident steps in the right direction. penis enargement review plastic surgery penis enhancement best penis enhancement surgery pnis enlargement device vimax top penis enlargement pills real penis elargement prosolution penis enlargement pill penis enhancement information natural pnis enlargement technique

The Man Seed The penis Throws its peapod, to the sun Emancipates itself from the hierarchy with nowhere to go. His environment is the present offer with no outline, His roads bunched to a tie, The tie himself, He rises with the man to achieve— Body needs, Body cravings Innocent as a newborn’s yell. Beastlike, he twirls, reflects, Devoted to his likeness, Through nothing but substance— Flavored, color white! In his cave His interment, And his mound and this He dies with lustrous carcasses. #1315 4/2006 This contemporary poem, breath-taking I find it, written this morning in my husbands life; the only poem, and the only attempt I think at a poem, by him, making a dramatic sand between man and his body, extraordinary it is. I don’t know of anyone else who has attempted to capture mans essence, fundamental nature, and quintessence: man himself, and separate him in the process. As he has told me, many a times, “Trust the man, if you wish, but not his nature.” And after reading his poem I asked myself: just what is his nature? I seldom do his notes, or commentaries, for I do not know the real meaning of his poems that well (I am learning), but this one seems to grab me to where I have to say something, for he will not I am sure; I believe he will leave it for the vultures; when each man needs to examine his inner self; place his psyche beside his nature might be a better way of putting it. Rosa Penaloza de Siluk