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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. penis enlargement before and after compare penis enargement pills penile enlargment pump penis enargement device penis elargement pic before and after penis girth enlargment does penis enlargement work penis enlargment doctor

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Sex is a taboo in many societies; people don’t discuss it overtly. However, this is an essential part of human life without which human existence on the earth is not possible. Satisfying each other’s sexual desires is an important obligation which must be fulfilled after marriage. There may be many psychological conditions under which a man can lose his capability of satisfying a woman. But most of the time it is the physical problem which restricts a man from sexually satisfying a woman. The sexual satisfaction of a woman does not depend upon the ejaculation of man. Sexual satisfaction of a woman depends upon the time period for which the man gives her motion of penis. Hard and erect penis is the demand of every woman in the world who lives a normal sexual life. Man can arouse her with intense foreplay. Foreplay can include kissing her on erogenous spot and licking her deeply with tongue. Foreplay is an effective way to prepare her for penetrative sex. Similarly, a woman can arouse her counterpart with the help of masturbation by hand or by sucking. The activities of foreplay can be different according to religion and social customs. There can be a time in marital life when a partner loses his or her libido; when this happens in a man he loses the capability of erection of penis. This problem is known as erectile dysfunction (ED). There is no age limit for erectile dysfunction to affect the body. It can occur in early young age or in mature part of the life. Erectile dysfunction is very embarrassing for a man; generally he never tells about his condition because of shame. The common myth, “erectile dysfunction occurs because of masturbation” also restricts him to discuss his problem with appropriate person. There is no scientific relation between erectile dysfunction and masturbation. Erectile dysfunction is the result of improper working of two chemicals- one is GMP, other is PDE5. GMP is a chemical whose secretion takes place in the body to stimulate erection of penis. Under its effect capillaries of penis fills with blood and a man gets hard erection. The counter chemical to GMP is phosphodiesterase type 5 (PDE5), which helps in bringing back penis in relaxed position. If there is excessive and early secretions of PDE5, the penis fall back quickly even during intercourse. Earlier, there was no remedy for erectile dysfunction, but medical science has found a set solution for helping people in this disease. This set contains tablets like Levitra, Viagra, Cialis, Kamagra, Soft Tab, Meltab etc. Levitra has two lines of action, firstly it stimulates GMP secretion and secondly it inhibits the working of PDE5. The first action of the Levitra helps in erection of penis quickly and second action doesn’t let the penis to fall back early. People using Levitra can sexually satisfy a woman of any age group because penis remains in erect position for up to 4 hours. There can be some mild side effects of Levitra like increased palpitation, stomach disorder, headache, dizziness and pain in erection of penis. These side effects disappear within in few days. People suffering from cardio-vascular diseases and old age people should not use Levitra. Levitra is an oral-prescription drug for which advice and prescription of doctor is essential. Levitra is available easily through online order so tonight fizz all her fire with the help of Levitra. penis elargement surgery best penis enlargement pills penis elargement product enhancement free penis pills sample penis enlargement picture best elargement exercise penis pnis enlargement before and after photo truth about penis enargement best pnis enlargement

Medical Tourism is a new and developing concept worldwide and one of the major surgeries for which patients opt for Medical Tourism is Cosmetic Surgery, and what better place to get this done than India. Advantages include low cost, no waiting lists and a high quality holiday. A new dimension of the medical field taking off in India is cosmetic surgery which utilises some of the latest techniques in corrective procedures. Some disfigurations corrected include hair restoration (hair implants, hair flaps, and scalp reductions), rhinoplasties (reshaping or recontouring of the nose), stalling of the aging process (face life, cosmetic eyelid surgery, brow lift, sub-metal lipectomy for double chin), demabrasions (sanding of the face,) otoplasty for protruding ears, chin and cheek enlargement, lip reductions, various types of breast surgery and reconstruction and liposuction. Non-invasive surgical procedures like streotactic radiosurgery and radiotherapy for brain tumours are practised successfully. A recent report by 'The Independent' last Sunday stated that over 10,000 Britons travel to India every year for tummy tucks, breast enlargements and facelifts with a recuperation beach holiday thrown in. A tummy tuck can cost up to 6,500 pounds in Britain but only 1,500 pounds abroad with a full holiday deal included. To receive an approximate idea of cost and other information regarding treatments and holidays, please contact us - click here for Cosmetic Surgery options in India penis girth enlargment penile enlargment surgery picture free natural penis enlargement penis elargement cream compare penis enlarement pills online vig rx free penis enlargment technique prosolution penis enlargement pill best pnis enlargement

Okay here's a subject that really gets my blood boiling. Bodybuilding is intended to be the creation of the perfect physique...right? That means that the chest, shoulders, legs, arms and back are suppose to be developed to their full potential while keeping the waist muscular but small. Some bodybuilders may have one genetically gifted part that has a tendency to be superior to another part. The normal goal is to emphasize the training of the weaker body part while curtailing training to the more responsive body part. This is done to obtain proportional muscle size. In achieving the perfect physique, the waist is meant to be small compared to upper body parts and the legs. The smaller the waist the more dramatic the surrounding muscles appear. The Back will look like a flared cobra's head when attached to a tiny waist. I remember the physiques of the past, Arnold, Bob Birdsong, Franco Columbo, Bob Paris and Frank Zane achieved this dynamic look. Darin Lannaghan, Bill Davey and Stan McQuay have produced this look in modern day bodybuilding though they may never be seen at the Arnold Classic Competition. So What's Changed? In mid 80's, Human Growth Hormone (HGH) and Insulin became popular drugs with professional bodybuilders. The net result, with these top level competitors, is the "Roid Gut". Now days, we have bodybuilders sporting a 40-46" waists. I am guessing, of course, since no competitor would dare share the mammoth size of their waistlines. If they did, I would bet they would shave the number down an inch or two. Unfortunately, the Roid Gut has a repulsive appearance contrary to the original intent of the sport. When Jay Cutler in his early years hit national prominence, his youthful physique still had the small waist. Today, Jay's waist is absolutely gross. Sure he may weighs 270+ lbs, but also he sports a waist line of a sumo wrestler. Most of the top bodybuilders, Ronnie Coleman, Dorian Yates and Craig Titus, all exhibit this similar phenomenon. These competitors are simply meeting the expectation of what the judges are condoning and encouraging by accepting this look at as the "champion" physique. I am writing this article to discourage the use of these drugs. They are sucking the lifeblood out of the Sport, destroying the potential aesthetics of the physique, and taking the bodybuilding back to the freak show era of the past. THIS SHOULD NOT BE! HGH, "Huge Gut Hormone?" Okay so what does HGH do to the body? In a normal person, HGH is produced by the body and causes the normal body growth process. The HGH drug was originally developed for children that exhibited stunted growth and were found to have a low production of this hormone. Doctors would administer HGH in small amounts to stimulate a normal growth pattern. In a few people, HGH production is overactive (from birth) it can also create person of gigantic proportions. Andre the Giant had this condition. Robert Wadlow was another and he grew to be 7'11". He had many health problems and died at a very early age. If HGH is administered to an adult, muscle growth restarts. HGH is very different than steroids. HGH causes production of new cells. Steroids cause only the enlargement of existing cells. The new cell growth seems to target only with the soft tissues and rarely skeletal system. Unfortunately, not only are the muscles cells multiplying but so are the internal muscles like the intestines and heart. Furthermore, organs, like the liver, kidneys and pancreas are growing too. When the growth of these internal muscles and organs occur in a fixed chest cavity, there is only one direction for this extra mass to go and that is out the abdominal area. Starting to get the picture? Insulin's Additive Affect Now what is insulin's affect on the body? Insulin is a super steroid that funnels the nutrients and sugar into muscle. When combined with hard workouts, recovery is very quick. Properly taken, it drives cell growth better than any other steroid. However if you screw up in taking insulin at the wrong time or dosage, you can throw yourself into insulin shock and die. Also long term use can make you a diabetic, a condition that shortens life. When Insulin is combined with HGH, the muscles are set to make significant gains. The downside of insulin is that it is also active in creating the storage of fat in the body in the event of starvation. These fat deposits are stored internally to body and not on the exterior muscles. This is wonderful for the bodybuilder's appearance but not for this health. These fat deposits called visceral fat are found around the internal organs of the liver, pancreas, heart and kidneys. Couple this additional weight with growth of the internal muscles and organs and you have enough extra mass to create a really protruding Roid Gut. "Side Bar" Story Let me tell you one story that comes to mind back in the very early 80's. Tim Belknap, then a great in the world of bodybuilding, announced that he was diabetic. I have no reason to doubt he was, but I am now convinced that Tim found the secret to using insulin to maximize his bodybuilding potential. During that era, Tim was by far the most vascular bodybuilder on the scene. I also notice, he had a semi-protruding waistline. At the time I felt sorry for Tim being handicapped with diabetes but admired that he had accomplish a world class physique under this condition. Now looking back, I am sure Tim was able to apply his insulin to his bodybuilding benefit. You be the Judge I am convinced that these "super heavy weight" competitors at 270+ lbs might really weigh 240 or so if you stripped the mass out of their guts. But then again they might only weigh 220 if they lost the additional muscularity as a result of these two drugs. Let's return to the aesthetic builds of a few years past. I hope that even if judges don't award the small waist competitor the winning trophy, you will agree, that creating a Roid Gut is neither attractive nor healthy! cheap pennis enlargement vimax penis enlargement pills penile enlargement technique pennis enlargement exercise com enlargement penile penile pump top rated penis enlagement pills home pnis enlargement pennis enlargement pills product best pnis enlargement

Another mystery about sleep is that no two persons need the same amount of sleep. Dr. Nathaniel Kleitman, Associate Professor of Physiology at the University of Chicago, who conducted years of extensive experiments at the University’s "Sleeping Laboratory" says that there is no more a normal duration of sleep than there is normal height and weight. A study of 25 subjects spread over thousands of nights showed that the average amount of sleep needed to feel well rested is seven-and-a-half hours, though individuals varied from six to nine hours. According to Dr. Demmis Williams, a noted authority on sleep, the amount of sleep needed for an individual’s well-being, is determined by what he feels he needs, not by what other people, including the doctor, think is reasonable. On the whole, women sleep from 45 minutes to one hour more than men. The amount of sleep required varies at different ages as follows: New Born: 18 to 20 hours Growing children: 10 to 12 hours Adults: 6 to 9 hours Aged persons: 5 to 7 hours The depth of ordinary restful sleep fluctuates throughout the sleep. In most adults, sleep deepens through the first hour, after which it lightens rather sharply and then more gradually until morning or until the usual time of wakening. IN growing children, however, sleep deepens a second time for a little while. According to Dr. Lindlahr, a famous naturopath, two hours before and two hours after midnight are the most valuable for sleep of all the twenty-four hours of the day. In these four hours, mental and physical vigour are at their lowest ebb and sleep is soundest and most natural. It is believed that three-quarters of our sleep consists of whatis called ‘slow wave sleep.’ The restorative processes occur during this time. The remaining quarter is taken by what is called ‘rapid eye movement (REM) sleep.’ It is also called paradosical or dreaming sleep and it comes in episodes of about 20 minutes duration about five times in a night. It involves dreaming, irregular heart rates, raised blood pressure and erection of the penis. It is in this phase of sleep that normal healthy young men may have wet dreams. Both forms of sleep are considered equally important, being normal sleeping rhythms.