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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. cheap penis enhancement natural penis enargement magna rx testimonials penis elargement pills review male penis enlargement pennis enlargement before and after picture penis enlagement information permanent penis enlargment

natural penis enlarement exercise

Piercing refers to the art of puncturing the body with a needle in order to wear jewelry in the holes. The most popular sites for body piercing are the ears, the nose, tongue, eyebrows, nipples, navel, labia and penis. Piercing is usually carried out without anesthesia in beauty or tattoo parlors. The actual act of piercing does not take more than a few minutes and is done with a needle or a piercing gun. The actual piercing is done after the skin has been cleaned and disinfected. Though piercing is gaining popularity, it carries with it its own sets of hazards, if not carried out in sterile conditions. Sometimes piercing also could also result in a badly formed earlobe as a result of weakening and tearing of the tissue, contact dermatitis, rupture of the urethra and an infection of the foreskin of the penis to name a few. To avoid falling prey to these infections is not to get pierced in the first place, and if one does, then to make sure that the person performing the piercing is doing it in sterile conditions and is trained professionally. Also make sure that the jewelry being used is of 14 or 18 carat gold, titanium, surgical steel or niobium as jewelry made of brass plate and nickel alloys can trigger a skin allergy. Piercing is an age old custom -- the Egyptians and the Romans did it. In Rome, slaves who were gladiators very often had to have their genitals pierced so they would always have to get their masters’ consent before indulging in sex.The Aztec and the Maya tribes as well as some of the American Indian tribes also pierced their lips as a ritual. Mayans, being a warrior tribe, pierced their septum as well to intimidate their enemies. During the dark ages the interest in piercing faded away to come back into full swing in England during the Elizabethan age where it was a great way for nobility to display their wealth and status by wearing an earring (a pearl drop or a stud).Women of that age too became more adventurous and the conservative form of dress gave way to dipping necklines as well as nipple piercing, which proved to be a great visual stimulus in the bedroom! In the 1960s hippies who traveled back from India brought the custom of nose piercing to the west. This has diversified into many different types of body piercings in today’s world. vimax free penis enlargement exercise real penis elargement penile enlargment pills review natural penis enlargment and lengthening free penis enlagement video free natural penis enargement free exercise tip for penis elargement penis enlargement traction device natural penis enlarement exercise

Erectile dysfunction (ED), which is generally called impotence, is the repeated inability of a man to get or maintain an erection of penis sufficiently rigid for sexual intercourse, ejaculation, or both. Today, ED has become a serious sexual health problem in men as it affects a person psychologically. Due to the personal nature of the disease, it is difficult to estimate how many men are affected by it. A person suffering from Erectile dysfunction rarely come forward to talk it openly with health personnel, but nowadays, it is discussed openly and more men are coming forward to treat it. The most common cause of Erectile dysfunction (ED) is damage to the tissues, nerves, arteries, muscles or fibrous tissue. Conditions such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis and cardiovascular disease account for around 70% of cases of ED. Erectile dysfunction is also a side effect of some common medications, including blood pressure drugs, antihistamiines, antidepressants and tranquilizers. According to health experts, psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause up to 20% of cases. Smoking has also been linked to ED. Being older is primarily associated with impotence in most men. Nevertheless, impotence is not inevitable with age. Clinical studies suggest that men of any age can be affected by this problem at some point of their sexual life. ED is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for ED. Various options for the treatment of ED are available today. Psychotherapy is prescribed by doctors for patients who are likely to benefit, but alternative treatment includes drugs, vacuum devices, and surgery. There has been a surge of interest among men on the wonder drug Sildenafil citrate or Viagra, which was approved by the U.S. Food and Drug Administration in 1998. Viagra belongs to a class of drugs called phosphodiesterase inhibitors, and it works by increasing blood flow to the penis. Once you take it, Viagra can work in as quickly as 30 minutes. Viagra works for 4 hours. As with all erectile dysfunction medications, Viagra should only be used under a doctor's supervision. The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. The most common side effects of Viagra are headache, facial flushing, and upset stomach. Less commonly, bluish vision, blurred vision, or sensitivity to light may briefly occur. With the increasing use of the Internet as a vehicle for buying goods at the ease of one’s home, one can easily buy Viagra or any other anti-ED drugs online. Buying Viagra online ensures anonymity of the buyer and the drug is delivered at your doorsteps confidentially. Moreover, there are numerous pharmaceutical companies offering generous discounts on price for those who buy Viagra online. So, if you are depressed due to ED and ashamed of discussing it to others, come out of the closet and get benefited by buying cheap Viagra online. penile enlargment information penis elargement tip cheap penis enargement pills top penis enlargement pills penis enargement operation enlargement free penis pill sample do penis enlargment pills work manual penis elargement exercise natural penis enlarement exercise

So what is extreme body modification, or hardcore body modification? There really is no answer for that, as it’s really up to each person. But assuming we’re dealing with an average Joe, most people consider hardcore body modification to be lots of facial piercings, tattoos on their heads or faces, and even the new craze of tongue splitting (yes, people split their tongues for complete aesthetic purposes). Now, if you walk to something that’s a little bit deeper in the body modification scene, that’s nothing! Hardcore body modification to them would be splitting the head of your penis, suspending yourself from a single hook in your chest, or doing what’s known as skin peeling (where long strips or shapes of skin are sliced off). If you go even deeper, the more hardcore body modifications would be amputation or nullification (from the removal of part of a finger, to an entire arm). The obvious question that most people would have after reading this is, “Why?” And the answer is simple. It’s because they wanted to! That’s it! That’s the beauty of each and every one of us having our own lives, we get to do what we want with it. For the same reason someone wouldn’t get a tattoo, another person would. These are basic civil liberties that every human has been with for thousands of years and will always have. So, the next time you want to know why, think why not! If you want to see photos of people sharing their experience is various hardcore body modifications, head on over to http://www.BodyMod.org, and have fun looking through the galleries. And if one day you decide to venture down this road, post a pic of it. We’d all like to see! penis enlargment photo manual pnis enlargement surgical pnis enlargement vigrx oil penis enlargement doctor vigrx penis pills truth about penis enlargement pill penile enlargment fact natural penis enlarement exercise

Natural penis enlargement exercises are the best way to make your penis thicker and bigger. Because natural penis enlargement exercises releases the blood flow towards penis and it helps a lot to increase penis size. Jelqing exercise, warm up, and some other exercises are part of the natural penis enlargement exercises programs. If you want a long term and permanent growth of your penis than natural penis enlargement exercises are very effective way to achieve you goal in few months of regular exercise. How penis enlargement exercise works? The fundamental thinking behind penile exercise is that presently your penis size is very limited. Because of this limited penis size your erections can only able to achieve the so much length that the capacity of your penis to fill up with blood. Corpora cavernosa is the name of two big chamber of the penis, and spongy tissue is the main content in that chamber. This chamber is filling up with blood during an erection time. Spongy tissues help to make the erection possible by soak up the blood flow into the penis. Penis exercise make this tissues more powerful so these tissues able to flow more blood towards penis and the result of this you can get bigger erections. Penis enlargement exercise techniques Jelqing is a daily work out routine of basic penis exercise. Jelq is a very deliberate, rhythmic and light external pull movement on penis. Doing such jelqing exercises helps to open up more spongy tissues area. Because of this exercises your penis is now able to fill up with more blood. There is a lot of jelq and other penis exercises in natural penis enlargement exercise program. First start with short, 10 to 20 minute workout and when you feel comfortable with these exercises than increase the time to 20-40 minutes per day. The main reason of these exercises is to enlarge penis size; so many penile exercise programs target the PC muscle. To improve ejaculation and orgasms, PC muscle should be toned and in shape. Penis enlargement exercises compared to other methods Compared to other penis enlargement methods, penis enlargement exercises found more effective. Weights only increase the length of penis while exercises help to increase your penis thickness and length. Penis enlargement pumps can also produce some result but the effect can not last for long term. Also penis enlargement pump has some draw back such as scarring, swelling and it makes people more dependable for every erection. So the only method that can produce good and long term effect on penis enlargement without any pain is natural penis enlargement exercises.