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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. vimax homemade penis enlargement natural penis enlargment pills penis enhancement surgery cost vimax penis enlargement traction device penile enlargement system manual penis enlagement exercise pnis enlargement without pills prosolution penis enlarement pills
Signs and Symptoms of Acne Rosacea There are certain contrasts between acne rosacea and acne vulgaris. As you probably know, acne vulgaris is the most common form of acne which seems to start with the onset of puberty and is characterized by the formation of whiteheads and blackheads. Acne rosacea, on the other hand, usually makes its first appearance between the ages of 30 and 50, is confined to the face -- mostly the nose, cheeks, chin, forehead and eyelids -- and is not associated with overactive oil glands. The lesions seen in acne rosacea consist of erythema, minute dilated blood vessels, papules and pustules. The color of the skin in the affected areas varies from bright to dull red, or it can even take on a purplish hue. At first the redness may last for just a few hours, but later as the condition progresses and recurrences continue, the color persists and can become permanent. The hypertrophy of the sebaceous glands, especially on the nose, leads to thickening of the skin, increased visibility of the expanded follicles and an enlargement of the nose, so often associated with acne rosacea. Although most commonly seen in women, men have the most severe cases and are the ones that usually develop the disfiguring bulbous nose, known as rhinophyma. Oddly, sometimes rhinophyma is the only sign of the condition. People suffering from acne rosacea come to realize what aggravates their particular outbreaks and avoid them, if possible. The most common stimulants are hot, spicy foods, hot beverages and alcohol. Exposure to the sun and to heat also seems to be aggravating factors. Acne rosacea is not life-threatening, but it certainly does severely alter a person's appearance. Complications Associated With Rosacea There are few complications associated with acne rosacea. Sometimes, eye irritations can occur due to inflammation of the eyelashes or outer surface of the eyes. The membrane covering the lens (cornea) can become inflamed leading to impaired vision, but this rarely happens. Treatment Options for Acne Rosacea Topical and Oral Medication. There is no proven cure for rosacea since the exact cause of the disease is not known. Successful treatment is based on controlling the acne-like symptoms with the same topical and systemic medications used in treating regular acne. The most effective treatment to date includes long term use of topical and oral antibiotics such as tetracycline which does seem to control the eruptions. The dosage of the antibiotic is slowly lowered to maintain control. In most cases, it can eventually be discontinued altogether without recurrence of the rosacea pimples. Of course, tetracycline should never be taken during pregnancy since the medication does affect the unborn child. Laser and Surgery. Laser treatment has been successful in eliminating the enlarged facial blood vessels. This is a treatment that causes very little discomfort. Also, surgery can be used to remove the excess tissue associated with rhinophyma. Other Treatment. The psychological and stress problems associated with acne rosacea should always be assessed and treated. cheapest penis enlagement pills compare penis enlargement pills pnis enlargement program vimax best penis enlargement pills penis enlarement surgery picture free penis enlarement pills penis enargement pic before and after penis enlarement before and after picture free penis enhancement tip
Here are seven reasons why men should consider shaving their privates. No, I'm not talking about Privates in the Army, although a "soldier" at attention, with a shiny helmet and a loaded weapon, is definitely involved. Most men worry obsessively about the hair on their heads but rarely give a second thought to their pubic hair. Only when the time is right with that special lady do men realize they should have spent some time grooming their privates. Guys, here are 7 compelling reasons why you should groom your pubic hair or even remove it completely. 1. Cleanliness. The crotch is a focal point for heat, sweat, and bacteria. Cropping or removing your pubic hair makes that area much easier to keep clean, and more importantly, smelling clean and manly. She's more likely to explore that area up close if it's well maintained. 2. Novelty. The contrast between your obviously adult-sized package and your new hairlessness can be quite erotic, and not just to you! Your lover may gush over the idea of making love to what now has the illusion of being forbidden fruit. 3. It's More Inviting. If you remove most or all of her objections to performing oral sex on you, isn't it worth the trouble? Pay special attention to removing stray hairs from your shaft. Hair in the mouth sucks, but she won't if she finds one. 4. Don't Forget The Scrotum. A woman's body is playground of softness and smoothness, so don't you think she'll appreciate the same on you? A silky smooth ball sack invites both manual and oral caresses. She's far more likely to play down there if she doesn't have to use a weed-whacker to find it. 5. It's Healthier. She'll see immediately that you have no skin outbreaks or unwanted "critters" to hide. Furthermore, you will have greater manual sensitivity when you perform your periodic testicular self-exam. You do examine yourself regularly, don't you? You should. The earlier you catch any problems, the easier they are to fix. Learn more about Testicular Self Exams (TSE) at http://my.webmd.com/hw/mens_conditions/hw234856.asp 6. It's Fun To Let Her Do It! That's right, let her shave you! This is not only an exercise in trust, but a highly-suspenseful erotic thrill ride. The danger of an ultra sharp razor in such a sensitive area, the tension of long slow razor strokes, the aching of your pulse-pounding erection, and the foamy friction of her shaving-creamed hand on your shaft can intensify your pleasure like you never thought possible. Just don't make any sudden moves. And most importantly (to some at least): 7. It Makes Your Erection Look Huge. I'm not kidding - you will swear that you gained at least an extra inch in length! If your crotch is not groomed regularly, you probably have pubic hair at least part way up your shaft. Your penis "appears" to begin where that pubic hair ends. Remove the underbrush and your hidden length will be revealed. When you're grooming the hair on your "big head," don't forget about the hair on the "little head" too! Whether you do it to please yourself or a partner (or both), regular pubic hair grooming or even total pubic hair removal can spice up your love life. If you like it enough, consider permanent removal methods such as laser hair removal or electrolysis. Note that some people experience moderate to intense itching the first few days after shaving as the pubic hair grows back. You might want your first grooming experience to be at the beginning of a weekend so you're not squirming in your office chair all day Monday! The itching should decrease or stop if you continue to groom yourself regularly. And if the guys in the gym locker room make fun of you, first ask them why they are checking out your package. In the embarrassed silence that follows, tell them why you did it, that you're having twice as much sex as they are, and what she's doing now that she wouldn't do before! Then get ready to answer their questions. free magna rx penis enlarement surgery picture natural penis enlarement enhancement manhattan penis surgeon vimax results vimax penis enlargement before and after free exercise tip for penis enlarement vig rx review free penis enhancement tip
The debate in many towns continues throughout this country about who should hold the responsibility of educating young people about sex and sexuality. On one side of the spectrum there are those who believe that parents and only parents should be teaching such sensitive and value-fill information to kids. On the other side, there are those who say that not enough education is being done in the home and that the schools need to step up and do the right thing by kids. To further the debate and increase its complexity is the question about what exactly kids need to know and when. President Bush has issued his own view on the matter by granting government funding for those schools and programs that provide “abstinent only” education, meaning that there is no discussion about anything but abstaining from sex until marriage. Many people believe, and most research proves, that this message severely short changes children and could potentially set them up for making bad and or even life threatening decisions. Many parents that I talk to believe in comprehensive education (talking about all aspects of sex and sexuality including abstinence), and are always comforted to hear that research is firm in showing that kids want to hear it from their parents and often make better choices when they have had those parental conversations. But…..parents as sex educators…. This prospect for some is almost as frightening as the concept of kids having sex. Take it from me; it doesn’t have to be frightening. There is so much information available that anyone, even parents, can do a great job. There are just a few things to keep in mind in order to be successful. A. Be honest and open. The rule is that if a kid asks a question, he got the idea from somewhere and needs to have an age appropriate response. Ignoring the question or telling a child that he/she shouldn’t be asking about such things sends the message that certain questions are off limits and they will take those questions elsewhere, school friends for example, who don’t always have the correct answers or have the family values that you would want articulated in mind. Keep in mind the "age appropriate" part of this tip. As parents we don't want our kids to know to much to soon, but developmentally, they may be more advanced and ready to hear more than you think. If you aren't sure, look it up. B. It is ok to share your values and morals and what you expect for your family. I think that often parents feel like they can’t express their own expectations for their children when they educate about sexuality. You can talk about methods of pregnancy and disease prevention at the same time that you are talking about abstinence and relationship building. One is not exclusive of the other. C. It is also ok to set limits and boundaries where you need. Talking about a penis in the middle of the grocery store is not appropriate. Those types of situations can easily be handled by telling a child that his or her question is valid and important, but would be much better dealt with at home. The thing to remember here is that you must go back to your child with the question when you said you would. Thinking that your child will just forget and you’ll be off the hook does nothing for your credibility. And trust me, your kids will not forget, they will just remind you that you forgot when it suits their needs. D. Often times a parent will get a question about a topic or a situation that they are not comfortable with or have very little information about. It is critical for parents to know and believe that they do not have to be experts in sex education. They must be able to, however, know their limits and know where to get the resources they need to refer their children for the right answers. It is also ok to admit to your child that you aren’t the best person to talk about this topic, but that you know the person who is. E. As difficult as it may be, it is also important to completely understand what your child is asking and why he/she is asking the question. I heard a story once that a little girl asked her Dad what secs was. Hearing this, Dad automatically assumed that she was asking about sex and went into his whole birds and bees lecture. When he was finished he asked his daughter why she had asked the question. The young daughter stated that mom said that dinner would be done in a couple of secs. She just wanted to know what that meant. Clarifying the question is vital to making sure that you are answering their questions thoroughly and completely. F. Bone up on your own education. It is not enough that your children know about the latest method of birth control, you should also know. Know what it is that kids are talking about and thinking about when it comes to sexuality. Go to teen websites, read teen magazines, have conversations with your kids. The more information you have the better you can educate your kids. G. Take advantage of teachable moments. Kids won’t always want to talk to their parents. Especially if you haven’t set up your home environment this way. So you may have to bring up a subject out of the blue. Use situations that you see on television shows or articles that you have read to get kids opinions. Ask them what they think. Share with them what you think and why. For example, you are watching the latest episode of The Bachelor. Ask you child how they feel about having intimate relationships with so many people in such a short time. Discuss the messages that you think the show sends, find out what messages your child is receiving. How do they feel about group dates? Anything to open up those lines of communication. So, what do you do when the big day comes and your child asks you a tough question? You can start by using the C.A.L.M. method of answering. C- Clarify the question. Ask the child why the question is being asked. Where did the topic come up? What does the child know about the topic or what does he/she think the answers are. This will definitely make sure that you are staying on the right track. A- Answer the question basically. I like to think about building blocks when answering tough questions. You start with the most basic answer and then build on that answering from the next level and so on. Try to avoid the tendency to lecture. Kids, especially young ones, rarely listen to a long explanation; they only are listening for they think they want to hear. This could become problematic in that kids will not hear the correct answer or they will interpret incorrectly what you have said. L- Listen to your child response. By answering basically you allow your child to let you know if he/she got the complete answer they were looking for. If they ask you another question, you know you need to go to the next building block. Don’t forget to watch for body language too. Some children may not have the words to ask more questions. But you know your child and you will know when his body language shows that he isn’t clear or in completion with your answer. M- Motivate your child to continue to feel comfortable to ask more questions. Letting kids know that you are a safe person to come back to and that you will continue to answer their questions will keep them doing so. We all want to do what is best for our kids, and for most of us, their safety is priority one. Use these tips to approach sexuality education in your own home with confidence! penis enlagement review cheap penis enlargement pill pennis enlargement herb vimax penis enlargement video enlargement manhattan penis surgical penile enlargment vimax penis enlargement cream enlarement manhattan penis free penis enhancement tip
We've all heard that good old phrase: "Size doesn't matter" but we also happen to know -women and men alike- that many men do worry about "the" size. And as times change, investigations don't only show that different nationalities have different average measurements but, also, that men actually can increase the size of their “best friend”. Dr. Eduardo A. Gomez de Diego directs the Andromedical Clinic in Madrid and the evidences that his device, the Andro-Penis®, delivers the result it promises makes it one of the most sold “for men only” items, though more than one woman buys it as a gift for her “special man” if she knows about his wish to feel more sexually confident. William P., a 33 year old engineer from Liverpool, explained why does this worry, sometimes, became a problem: “I was always pretty shy, and having a small penis didn't help to make things better. Somehow this created a lack in self-esteem during intercourse and that didn't help to improve my sexual relationship, exactly. A friend of mine said he'd tried the Andro-Penis and, though I doubted to begin with, the way he explained it and the medical studies I read about made me make up my mind. And it did work, you know.” The reason for this is that the Andro-Penis® works due to something called the “principle of traction” that stimulates new penile tissue to generate that results in an increase of width and length. A study offered by Colpi G.M., Martini P., Scroppo F.I., Mancini M., Castiglioni F. Andrology Service, San Paolo Hospital and the University of Milan, Italy shows that “In all subjects the elongation of penis was proportional to the device time of use. After 4 months the stretched penis augmentation was +1.8 cm (range +0.5-+3.1 cm).” According to other studies, based on 95% of the patients, “the minimum growth is of 1.5 cm and the average growth is 3 cm. (1 inch = 2,5 cm) Another benefit of the use of the device is that it corrects about 70% of existing deviation and curvature of the penis treated. As for nationalities the shortest average was measured in Greece, 12,14 cm, while the most generous size was found in France -16 cm. But, facts and number apart, women from all over the world assure that the size really does not matter, but the magic with how the penis is used is what does make a difference.