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The Prostate: Part I – BNP What is situated below a body of water, has four zones and is commonly associated with venial pleasures. No it is not some romantic European city, but rather a walnut sized male organ that serves important procreative functions. It also happens to be an organ that plagues men as we age. This organ or gland is the prostate. This is the first of two articles on the male prostate. This article will focus on a disease process that affects older men, something we refer to as benign prostatic hyperplasia (BPH). BPH is a non-cancerous growth in the size of the prostate gland that impairs the flow of urine out of the bladder. The second article will focus of prostate cancer. But first a little about the small yet important male organ. The gland is located just below the bladder. It usually measures one inch by one-and-a-half inches (approximately the size of a walnut). It surrounds the urethra (the tube that takes urine out of the bladder). It is responsible for producing a fluid important in male sexual function. In the past the prostate was described as having “lobes”, but today we refer to it as having concentric zones. These zones are important both on an anatomical as well as histological level. We can separate pathology along these zones as well. For instance most all cancers occur in the peripheral zone while the benign process of enlargement occurs almost exclusively in the transitional zone (which only occupies about 5% of the total prostate volume). The prostate gland is also made up of different cell types. Cancer cells develop from the epithelial cells, but it is the interaction with stromal cells that is important in the behavior of the cancer. BPH develops from an interaction between these cells as well, but it is complex and poorly understood. Testosterone and other hormones and their interactions with this gland are hot topics of research in understanding prostate disease. The prostate gland produces most of what is found in the male ejaculate. The average volume is about 3 mL. This is less than a teaspoon and only 1% of it is sperm. The majority of the semen volume is made of products of the seminal vesicles and the prostate. The male ejaculate is very rich in potassium, zinc, citric acid and fructose. Along with these substances it also contains prostaglandins. There are many other unusual substances found in the semen. Not all is know about their function or purpose. This important male organ is a complex mix of anatomical structures and cell types that make it possible for human reproduction. However beyond the reproductive years of men, this organ becomes one of burden rather than usefulness. We will discuss the finer points of BPH and how to best avoid it and if plagued with it, treatment options. BPH typically affects men from their fourth to fifth decade of life and beyond. Several hormones come into play that have a drastic effect on the transitional zone (the zone that is most central and surrounding the urethra). Namely a metabolite of the male androgen Testosterone called Dihydrotestosterone (DHT) plays a big part on the enlargement of cells of the prostate and the encroachment on the urethra. There are several signs and symptoms that correlate with BPH and they are: slow urinary flow, the urge to urinate all the time, nighttime urination, enlargement and distension of the bladder with continuous urine leakage (incontinence) and urinary obstruction. Autopsies suggest that more than 90% of men older than 70 years have BPH. The average age for symptomatic development is about 65 years for white Americans and about 60 years for African-American men. Ways to prevent the effects of DHT on the prostate gland and the ensuing enlargement are via medications that block the enzyme 5-alpha-reductase, which converts Testosterone to DHT. Proscar is such a drug commercially available through a pharmaceutical company. Proscar works on blocking the effects of androgens on the epithelial cells and can actually shrink the size of the prostate making some of the symptoms of BPH resolve. Alternatively two FDA approved drugs that aid in symptoms of BPH (but act differently than Proscar) are Hytrin and Cardura. Both Hytrin and Cardura are drugs in the alpha1-blocker class. Originally researched as a centrally acting blood pressure reducer for patient with hypertension, it was discovered that this drug would actually relax the prostate tissue surrounding the urethra making symptoms of BPH resolve. Side effects generally include low blood pressure, dizziness, and nasal stuffiness. While neither of these two drugs will “cure” or reverse the process, they certainly do provide symptom relief for the patient plagued with BPH. Another way to treat this disease and a more natural approach is the use of herbs know for their anti-androgenic effects on the prostate. These include the well-studied Saw Palmetto herbal extract that blocks 5-alpha-reductase in the same manner as the prescription drug. Saw Palmetto taken in a standardized dose of 160mg twice daily has shown increased urine flow, with minimal side effects. Saw Palmetto is an herb indigenous to the Lowcountry of Georgia and South Carolina. Pygeum Africanum is shown to do the same yet it is not as effective and there is a fair degree of stomach symptoms. Pygeum is derived from an African evergreen tree. Stinging Nettles (Radix urticae) is another herb used widely in Europe for prostate health that has been shown to lower the residual urine volume in men with enlarged prostates. These phytotherapeutics (plant derived medicines), used and described by the Egyptians as far back as the 15 Century B.C., have a common compounds called phytosterols. The most effective phytosterol is beta sito sterol for BPH. None of the medications or herbs has been shown to prevent prostate cancer. These prescription medications and herbs are for the treatment, reduction in size or prevention of the benign process of enlargement of the prostate. Prostate cancer prevention and treatment is by other means and the subject of the next article. Besides the herbal and drug therapies there are a few surgical therapies worth mentioning. These include the most common transurethral resection of the prostate or TURP. This is where under the care of an urologist the constricted urethra within the prostate gland is “reamed out” thus mechanically or surgically widened the opening. A variant of this is the transurethral incision of the prostate (TUIP) where an incision rather than resection of the tissue is performed. A suitable procedure for patients with prostates 100 mL in volume. This involves an abdominal operation and removal of the whole prostate. Of course symptoms mentioned above for TURP are of greater frequency with this more radical procedure. There is also thermotherapy (a type of microwave treatment) that alleviates irritative symptoms, but not much is available in long-term results in the medical literature. And finally stent placement is an option. This can be used in selected cases of patients with a poor general condition and in the non-operative candidate. Symptoms of BPH include: Obstructive symptoms: Hesitancy in initiating voiding (trouble getting started) Weak urinary stream, prolonged voiding Post-voiding dribbling (mild incontinence) Sensation of incomplete emptying Nocturia (night time urination) Overflow incontinence Acute urinary retention (very painful condition) Irritative symptoms: Dysuria (discomfort in urination) Frequency Urgency Scoring BPH: The American Urological Association Symptom Index (AUASI) and International Prostate Symptom Score (IPSS) are now considered the gold standard measurement tools for the assessment of BPH symptoms and response to treatment. Both questionnaires can be used by a physician in a clinical practice to quantify the subjective symptoms of BPH and monitor therapies. Part II in this series will cover annual examination of the prostate, blood testing, prostate cancer. It will also cover prevention and treatment of prostate cancer. Reference: http://www.prostatehealth.com Lowe, FC. Et al, Phytotherapy in treatment of benign prostatic hyperplasia: a critical review. Urology 48:12-19, 1996 Dreikorn, K. et al, Stellenwert von Phytotherapeutica dei der Behandulng der benighnen Prostatahyperplasia. Urologe (A)34:119-129, 1995 Fitzpatrick, J.M. et al, Phytotherapeutic Agents in Management of Symptomatic Benign Prostatic Hyperplasia. Urological Clinics of North America. 22:407-412, 1995 Wilt T, Ishani A, Mac Donald R.. Serenoa repens for benign prostatic hyperplasia. The Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD001423. DOI: 10.1002/14651858.CD001423. [Research by Sagalowski and Wilson, 1998] © 2005 vimax permanent penis enlargement enlagement manhattan penis best enargement exercise penis pro fitness health solution pnis enlargement surgery photo penis enargement surgeries penis enhancement patch vig rx side effects

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Among a number of problems related with the sexual health of men and of course his partner, we find Premature Ejaculation as the most common sexual problem , this is a pathology characterized by a lack of voluntary control over ejaculation. Masters and Johnson stated that a man suffers from premature ejaculation if he ejaculates before his partner achieves orgasm in more than fifty percent of his sexual encounters. Other sex researchers have defined premature ejaculation as occurring if the man ejaculates within two minutes of penetration; however, a survey by Alfred Kinsey, (yes the inquisitive scientist of the movie the recently showed in theaters) made in the 1950s demonstrated that three quarters of men ejaculated within two minutes of penetration in over half of their sexual encounters. Today, most sex therapists understand premature ejaculation as occurring when a lack of ejaculatory control interferes with sexual or emotional well-being in one or both partners. An estimated thirty percent of men suffer from premature ejaculation on a consistent basis. Premature Ejaculation is believed to be a psychological problem and does not represent any known organic disease involving the male reproductive tract or any known lesions in the brain or nervous system. In short, PE is not a physiological problem or disease, though it manifests physiologically by considering the organ systems directly affected by PE, that include the male reproductive tract (ie, penis, prostate, seminal vesicles, testicles, and their appendages), the portions of the central and peripheral nervous system controlling the male reproductive tract, and the reproductive organ systems of the sexual partner (for the purpose of this discussion, the partner is assumed to be female) that may not be stimulated sufficiently to achieve orgasm. If the PE occurs so early that it happens before commencement of sexual intercourse and the couple is attempting pregnancy, then pregnancy is impossible to achieve unless artificial insemination is used. Perhaps the most affected organ system is the psyche of the partners. Both partners are likely to be dissatisfied emotionally and physically by this problem. Frequency: In the US: The prevalence rate of PE in American males is estimated to range from 30-70%. Internationally: Estimates for European countries and India mirror the prevalence in the United States. The prevalence in other parts of Asia, Africa, Australia, and elsewhere is unknown. Mortality/Morbidity: No known direct morbidity or mortality results from PE. Race: No reproducible data exist on major differences between racial groups with respect to the incidence or prevalence of PE. Sex: PE is a condition that only affects males. Age: PE can occur at virtually any age in an adult man's life. It is most common in younger men (aged 18-30 y), but it also may occur in conjunction with secondary impotence in men aged 45-65 years. If you or someone near you suffers from Premature Ejaculation problems you should know that this is a curable condition. You can learn more at this site: http://www.askingplanet.com penis enlargement supplement penis enargement product permanent pennis enlargement surgical pennis enlargement free natural penis enlarement natural pnis enlargement penis enlarement traction device pnis enlargement before and after picture vimax buy penis enlargement pills

The kegel exercise was discovered by Dr Kegel. The kegel is a pelvic floor exercise. The kegel or the pelvic muscle exercise is done to strengthen the muscles that support the urethra, bladder, uterus and rectum. To find the muscle, try while urinating to stop and start the flow of urine. Why it is important to develop your PC muscle It is extremely important to build up the strength of your PC muscle, as it is not only the PC muscle that is accountable for the health of your pelvic region, but the PC muscle when fully developed can significantly improve your sexual performance. How do I do the kegel? So from now on every time when you go to the toilet, try stop urinating and it in for as long as possible. Then let go and begin urinating again. Repeat this exercise no less than 5 times. Kegeling provides many benefits: Stronger Erections from kegels - Kegels give Longer Erections due to blood hold capacity - Larger head size are a result of kegels - Kegels help increase enjaculatorty Distance - Kegels enhanced Sexual enjoyment for both partners - Kegels can prevent prolapses of pelvic organs - Kegels can help prevent leaking urine when you sneeze or cough - Kegels help reduce premature ejaculation Kegels can be done anytime of the day and can be done absolutely anywhere. No one can tell that you are doing them as the kegel is an internal muscle and can be done at school, work or even in the car to work. Free Penis Enlargement Exercise penis enhancement pic vimax enlargement forum free matter penis size vigrx penis enlargement pill plus vig rx sex vigrx com enlargment penile penile pump magna rx patch best enlargement exercise pnis vimax buy penis enlargement pills

Increasing the volume of your ejaculate will directly affect the following aspects of your sexuality: Increase the strength of your orgasms: When you take such herbal supplements as amino acids or other natural sexual aids, your body can produce more ejaculate fluid, which increases the strength of your orgasms. Also, strengthening your pc muscle can greatly increase the force with which the ejaculate leaves your penis, making orgasms very intense. Having a larger amount of ejaculate pass through the penis during an orgasm can prolong coitus (orgasm experience). The pumping sensation of an orgasm, of the semen and ejaculate fluids being pushed out through the ejaculatory ducts. Improve your sperm count, and overall virility: In order to fertilize an egg a large amount of sperm is required, many hundreds of millions. While the average man can produce this many sperm multiples times per day, there are external factors that can adversely affect the sperm count. Things such as smoking, drug use, poor diet, lack of exercise, and even wearing tight clothing in the groin area can all decrease the sperm count. Increasing the volume of your sperm increases your fertility by increasing the number of sperm that are produced during each ejaculation. If you are trying to have children, the number of sperm you ejaculate is quite important, as is their condition. The pc exercise and amino acids such as L-Arginine and L-Lysine also help the health of your sperm, which increases your fertility and the chances of pregnancy (should you be seeking it). Help your partner enjoy sex more: When you ejaculate, your penis pumps semen and ejaculate, which many men and women find pleasurable. When you increase the amount of your ejaculate the pleasurable pumping feeling lasts longer, and also increases your pleasure. During intercourse extended pumping and orgasm pleasure improves the experience for both partners. How do I do it? Increasing the volume of your semen is done mainly through two things, taking herbal supplements such as amino acids, and the pc exercise. Suggested amino acids and herbal supplements are: L-Arginine (taken with L-Lysine, to prevent occasional skin problems) L-Lysine Veromax (combines the above amino acids, as well as L-Alanine, ginseng, saw palmetto berry, and biloba leaf) The pc exercise has been proven to help increase the amount of ejaculate produced during orgasm. By following natural enlargement guides and doing the pc exercise daily, you can experience improved orgasms as well as increased volume. side effects magna rx free penis enlarement natural penis enargement best penis enlargement penis enlarement pic before and after do penis enlargement pill really work penis enlagement pills buy penis elargement pills vimax buy penis enlargement pills

Although erectile dysfunction is hardly the most pleasant experience for a man, it is better to admit having it in order to identify the causes and start treatment. Erectile dysfunction can be caused by many things – from excessive smoking and drinking to a serious medical condition. Erection starts with arousal, then the nervous system responds and sends more blood to the penis in order to get an erection. If somewhere in this chain there is an interruption, then erectile dysfunction occurs. The cause is often psychological. Stress, fatigue, depression, negative feelings between the partners, and fear of sexual failure are common reasons for temporary or longer erectile dysfunction. But the most frequent cause of erectile dysfunction is physical. Furthermore, it might be one of the first signs of a serious disease. The list of diseases that affect erections is long, and some of the medical conditions include damage to nerves, arteries and the cardio-vascular system in general, diabetes, kidney disease, alcoholism, sclerosis, neurological diseases, etc. Surgery (especially prostate and bladder surgery for cancer) can damage the nerves and arteries in the penile area. Injuries to other organs (back, prostate, bladder, etc.) can also have an effect. As a whole, it is estimated that in about 70 percent of the erectile dysfunction cases, the cause is a disease of some sort. Lifestyle (smoking, drinking, excessive weight, lack of physical activity) and side effects of drugs for other diseases also contribute to the causes of erectile dysfunction. Hormonal disorders (lack of testosterone) are another reason for erectile dysfunction. So if you or your partner frequently experiences erectile dysfunction, and this does not change when psychological causes are removed, it is time to see a doctor who could more precisely identify the causes and prescribe treatment.