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Whether a therapeutic technique is the best prostate cancer treatment for a patient depends on various factors. In selecting the treatment, a patient and his doctor should take into consideration the patient's age and expected life span, the stage and grade of the cancer, possible side effects and other health problems that the patient might have. One of the best prostate cancer treatment techniques, particularly for older men and those who suffer from other serious illnesses, is the expectant management or watchful waiting method. Watchful waiting involves the close monitoring of the cancer through prostate specific antigen testing. It does not involve active treatments like surgery and radiation therapy and is recommended mostly to those who have no symptoms. It is also used when the cancer is contained within one area of the prostate gland and is expected to grow very slowly. Another option available to prostate cancer patients is surgery. This can be radical retropubic prostatectomy, radical perineal prostatectomy, laparoscopic radical prostatectomy (LRP) or transurethral resection of the prostate (TURP). In retropubic prostatectomy, the surgeon makes an incision in the lower abdomen to remove the prostate gland. Lymph nodes around the prostate might also be removed depending on whether the cancer has spread to these parts. In perineal prostatectomy, the incision is made in the perineum or the skin between anus and scrotum. This procedure is use less often because the lymph nodes cannot be removed and there is a high probability that the nerves will be affected. LRP, on the other hand, involves the use of several smaller incisions and specialized instruments. This highly complex procedure is known for its high precision and control. In the hands of experienced surgeons, it becomes an advantageous option compared with retropubic and perineal prostatectomy. TURP, meanwhile, makes use of an instrument called a resectoscope which is passed through the end of the penis into the urethra at the level of the prostate. The electricity that passes through the instrument cuts or vaporizes the issue in the prostate. TURP is done to relieve symptoms and is also used for benign prostatic hyperplasia. Radiation therapy is the method in which high-energy rays or particles are used to kill cancer cells. This, like surgical procedures, is another example of a highly developed method of dealing with cancer. Radiation therapy is classified into two main types, the external beam radiation therapy (ERBT) and brachytherapy. In treating localized prostate cancer, a procedure called crysosurgery is sometimes used. It involves the freezing of the tissues using very cold gases. Aside from cryosurgery, hormone therapy and chemotherapy are also options that prostate cancer patients can explore. Hormone therapy does not cure cancer but is primarily used to lower levels of male hormones in a patient's body. Chemotherapy, meanwhile, is a procedure more commonly used in cases when the cancer has spread beyond the prostate gland. Choosing the best prostate cancer treatment depends on a lot of factors. What is considered appropriate for one patient might not be good for another, that's why options should be discussed in detail with doctors before proceeding to the treatment stage. penis enlagement picture free penis elargement technique penis enlarement testimonials pennis enlargement surgery photo herbal natural penis elargement safe penile enlargement free penis elargement pills penis elargement pic before and after cheap vig rx
LIFE AFTER BIRTH: THE FIRST 6 WEEKS Life after birth can be chaotic, especially if this is your first baby. Taking care of your newborn is hard work and won’t be much fun until he or she develops a personality. In case you didn’t know, a newborn doesn’t laugh or smile, it can’t play or even hold its own head up without a supporting hand. All it can do is eat, sleep, dirty diapers, pass gas, throw up and cry. Despite all of this, you will – believe it or not – love your little tot more than anything else in the world. Moreover, you will learn a lot about yourself and your partner as you both navigate through these initial days of parenthood. Sex (or lack thereof) You should know that sex is off-limits for at least 6 weeks after your partner gives birth. Don’t forget that she just delivered a fair-sized human through a very tiny birth canal and her body will need time to heal. Your gal’s doctor will ask to see her about six weeks after delivery for a full physical and emotional post-baby follow-up. At this visit, the doctor will check to see how her wounds are healing. If everything is good, your partner will get the green light for sex. However, this doesn’t mean that she will be as keen and eager to get back into the game. She’ll likely be tired from the whole pregnancy ordeal and from the added responsibilities of caring for a newborn. Help out as much as possible and be patient. Her interest in sex will return…just don’t push her too hard. Sleep (or lack thereof) The good news is that babies need a lot of sleep – about 15-16 hours a day. Unfortunately, newborns don’t have regular sleep patterns and don’t sleep for long hours at a time. This means that you won’t have regular sleep patterns either. Get used to napping throughout the day. And if that doesn’t work for you, then get used to sleep deprivation. You and your partner may feel like you are losing your minds as you quickly realize how cranky and dysfunctional you can be after several nights of disrupted sleep. Hang in there. After about 8 or 10 weeks, your baby will start to sleep through the night (approximately five consecutive hours) and your sleep-deprived, zombie-like state will be a thing of the past. You may with to alternate night shifts to maximize the amount of uninterrupted sleep each partner gets. There really is no need for both of you to get up every time the baby needs to be fed, coddled or changed. Caring for Your Tiny Tot After your shopping spree for nursery items, layettes and strollers, you may have thought that you were fully ready for your baby. While these purchases were necessary, they are only a small part of what you need to survive postnatal care. There will be many new and strange things for you and your partner to learn. The ins-and-outs of feeding, bathing, diapering and umbilical cord care are in no way intuitive. Don’t get scared or discouraged by your new-found incompetence. Chances are that your partner is also incompetent in this area. It’s okay to make mistakes; every new parent does. The good news is that the parental learning curve is steep. You and your partner will quickly develop the skills needed to care for your tot. To give you a helping hand, here is are a few pointers on baby care basics: Feeding The first step is to decide your method of feeding – breast milk or formula? There are many benefits of breastfeeding, including nutritional and emotional advantages. Breast milk is a complete food source that contains hormones and disease-fighting compounds that are absent in formula. Nursing also helps build a special bond between mother and baby. Studies show that babies thrive on the skin-to-skin contact, cuddling and holding that occurs during breastfeeding. However, there are a variety of reasons why many women do not nurse. They may not be able to produce enough milk or they may have to return to work soon after birth and are not available to nurse the baby throughout the day. Whatever the reason, your gal should not feel guilty or uncomfortable with deciding to bottle-feed. There are many excellent formulas available which are highly nutritious. Speak with your partner’s physician or pediatrician about recommended formulas. Regardless of your method of feeding, you should know that most newborns eat about 8 times a day (approximately every two to three hours). However, you shouldn’t try to set scheduled eating times during the first few weeks after birth. Let your baby eat whenever he or she seems hungry. Bathing Because your baby’s umbilical cord will need to heal, it is very important that you keep it dry to prevent infection. After about two weeks, the gross looking stump (i.e., remnants of the umbilical cord) will fall off and your baby will be left with a cute little belly button. In the meantime, take extra care not to wet the umbilical cord during bathing. The best way to do this is to give your tot sponge baths until the cord heals. To give a sponge bath, you will need a stable surface, a soft washcloth and lukewarm water. Make sure that you test the water temperature before applying the cloth to your baby to prevent scalding him or her. Your elbow or the inner part of your wrist is a good place to test water temperature. Your hand is not a good guide since it is not very sensitive enough to tell how hot or cold the water really is. Now you can begin wiping your baby gently with the moistened washcloth. Begin by wiping your baby’s eyes (from inside to outside), ears and under arms. Then you can move onto legs and genitalia. When washing the bottom, make sure you wipe from front to back to avoid bringing any feces near the genitals. If you have had your baby boy circumcised, then you will want to speak with your pediatrician about caring for the penis while it heals. The most important thing to remember when bathing your baby is to NEVER leave him or her along – not even for a second. Babies squirm around a lot, so you should always keep your eyes and one hand on your little one during bath time. The same rule applies when you are changing your baby’s diaper. Changing Diapers Don’t avoid this responsibility because it you have never changed a diaper before. Because babies pee and poop so often, you will spend a lot of time changing diapers. Take advantage of this precious time with junior. You may also have to develop silly and immature techniques to comfort your baby if he/she does not enjoy the diapering process. As ridiculous as you may feel, this is actually an important part of establishing a parent-tot bond. While it may be dirty work, diapering is not rocket science. For easy to follow instructions, make sure to read our article on How to Change a Diaper at www.thefunkystork.com. Caring for Yourself and Your Partner As flighty and silly as it might sound, self-care is important. Neither you nor your partner is doing your tot any good by neglecting yourselves. Try a shift-work system where you schedule an hour or two during the day where one parent will care for the baby alone. This way, the other parent can practice self-care – taking a long, warm bath, going for a run, doing yoga, reading or just going for coffee with a friend. You will find that self-care will also help maintain civility in your relationship with your partner. By making time to do something for yourself, you will find that you won’t feel as overwhelmed by your initiation to parenthood. And don’t forget that this rule also applies to your partner. In fact, she will likely need more time for self-care than you since she will also be recovering from both 40 weeks of pregnancy and hours of childbirth. Also be aware that your partner is particularly vulnerable to postpartum depression during the first weeks after birth. Postpartum depression, which is a more serious case of the baby blues, can begin as early as a few days after delivery. Experts don’t know the real cause of postpartum depression, but they suspect that it has something to do with changes hormonal levels. Stress, disturbed sleeping patterns and changes in daily routine can all contribute to postpartum depression. Signs and symptoms include restlessness, irritability, changes in appetite, sadness and anxiety. If your partner is experiencing any of these symptoms or if you sense that something isn’t right with the way your partner is behaving, you should consult your physician immediately. Untreated, postpartum depression can develop into postpartum psychosis, which is a serious mental illness that requires medical intervention. Both you and your partner should take her postnatal psychological state very seriously. On a lighter note, you and your partner make an extra effort to keep the romance in your relationship. While your baby will require a lot of your time and attention, he or she will also be taking a lot of naps. Nap-time may be the perfect (and only) time for your and your partner to romance each other. Snuggle, watch a movie, make dinner or enjoy a glass of wine together. Whatever you decide to do, take a minute to set the mood with candles and relaxing music. Another important factor to consider is how involved you want your parents or partner’s parents to be. Parental intervention can add some seriously unneeded stress to the situation and unnecessary strain on your relationship. That said, you shouldn’t reject offers to help. Being a new parent is not going to be easy and you will need all the help that you can get. Just remember to set limits and don’t be afraid to tell your relatives what you need (and don’t need). The last thing you want is to have one overbearing relatives overstepping their boundaries and overstaying their welcome. Now What? Things change after about 6 weeks of caring for your newborn. You and your partner will be different people, your relationship will be redefined and your tot will begin to act more like a baby than a squirmy alien. Life will get easier from here on out. Your tot will become a toddler and will begin roaming around the house. Make sure you are prepared for junior’s curiosity by baby-proofing your home early. best penis enlargement pills penis enlarement pills review pro acne solution do penis enlargement pills really work penis enlargement surgery photo blood erection vimax penis pills penis elargement exercise vigrx penis enlargment pill cheap vig rx
Since the dawn of modern technology, people have discovered so many solutions to every existent problem there is. These past few decades, one of the industries that have benefited from the wonders of medical science is the beauty industry. Evident in the emergence of various ways of beauty enhancement, more and more people today find ways of enhancing their physical beauty through the wonders of cosmetic surgeries or procedures. MODERN-DAY MIRACLES Statistics show that in 2004, 11.9 million Americans have undergone various cosmetic procedures to enhance their personality. Defined as a surgery designed to improve cosmetics or a person’s appearance, cosmetic surgery continues to gain popularity in different parts of the globe. If you are one of those who are planning to undergo any cosmetic surgery, make sure that you familiarize yourself first what are the different aesthetic or cosmetic procedures available today. One of the most common cosmetic producers being today is the abdominoplasty or the “tummy tuck.” The procedure involves reshaping and firming of the abdomen by removing the excess skin and fat. Usually, the navel is relocated while various incisions are made to minimize visible scarring. Aside from numbness and uncomfortable tightness, complications may lead infection and formation of fluid pockets. Women who would want to tighten their enlarged vaginal tunnel caused by giving birth usually prefer vaginoplasty, which is usually performed by urological surgeons. Blepharoplasty or “eyelid/eyelift surgery,” on the other hand, involves the reshaping of the eyelids or the application of permanent eyeliner. Here, the eyelids are cut along their full length while excess skin and fat are removed. Aside from being swollen and bruised, patients may also experience side effects such as blurred vision, overproduction of tears and drastic change in the shape of the eyes. “Boob job” or “breast enlargement” is also one of the most popular aesthetic procedures out there. Technically known as “augmentation mammaplasty,” this procedure involves saline or silicone gel implants through incision under armpits or the breast. Bruising, swelling, formation of hard scar tissue, deflation of the implant, and dislocated implants are the possible side effects of this procedure. Another boob job available is the breast reduction or reduction mammaplasty. Here, excess skin and fat are removed from the each breast through incisions. Aside from permanent scars, the patient can experience reduced nipple sensation. Buttock augmentation or “butt implants” has the same concept as breast augmentation only it is done in the buttocks. The use of silicone implants or fat grafting is used in this procedure. If you want to minimize the appearance of acne acne, pock, wrinkles, and other scars, you can undergo a chemical peel. Here, surface layers of skin are being while treated with chemicals such as phenol, trichloroacetic acid, glycolic acid, or salicylic acid. Although it is proven to be an effective way of washing out skin imperfections, it can also increase the risk of complications like scarring and infection. Other cosmetic surgeries and procedures include mastopexy or “breast lift” that aims to raise sagging breasts, labiaplasty or the surgical reduction and reshaping of the labia, rhinoplasty or “nose job” that reshapes the nose, otoplasty or “ear surgery” that reshapes ear, rhytidectomy or “face lift” that removes wrinkles and signs of aging from the face, liposuction that removes fat from the body, chin augmentation using silicone, cheek augmentation that uses collagen, fat, and other tissue filler injections, and mesotherapy which is a popular alternative to liposuction. best penis enargement pennis enlargement surgeon vimax pills pnis enlargement surgery cost penis enlarement pills manual penis enargement cheap pnis enlargement vimax prosolution penis enlargement pills cheap vig rx
Male circumcision is the surgical removal of the foreskin around the head of the penis. While this may seem a taboo practice, there is a large proportion of the population who has had it done. In the US alone, over 60% of the population ends up having circumcisions at some point in their life. While this figure seems high, it was once at a peak of 85% in the 70’s. So what is the foreskin for? Why do males have one? Well, it generally acts as a protection for wear and tear against the sensitive penis glans (head). It also protects the glans from any irritation for babies and it also contains erogenous tissue and lubrication which contributes to sexual arousal. So with all these benefits, why is it people remove it? Well the main cause is due to medical reasons. In birth, babies are born with naturally tight foreskins and over the years of puberty it is meant to loosen out so by the age of 18, it can be fully retractable. In some cases, the foreskin can remain too tight to pull back. The medical term for this is Phimosis. While there are other surgical operations to cure this including stretching the foreskin and reshaping of the prepuce to make it wide, sometimes circumcision is the only effective method. If not, it can prove near impossible to wash the glans, resulting in an infection called Balantis. This normally can be identified by red tender areas on the glans and can cause irritation, tenderness, impotence and swelling. Other conditions are that it can become so tight that it makes it painful and sometimes impossible to urinate or have sex. Yet there are actual benefits to have a circumcision. Men who have been circumcised tend to contract fewer urinary tract infections. It also offers some defense against sexual transmitted diseases as it’s easier to wash the bacteria away before it does any damage. While only very small, there is evidence that it can reduce the risk of penile cancer, which on its own is incredibly rare. It is also possible to have the foreskin reconstructed. While it may seem a bit odd to have the foreskin removed, and then reconstructed, some males who may have had it either removed at birth, or for medical reasons, want it back. There are surgical and non-surgical methods for doing this. The surgical method involves taking skin from either the penis or another part of your body, and grafting it onto the glans. Yet people rarely go for the surgical reconstruction, as it can prove to be painful and complications can occur. This is why people normally choose the non-surgical option. This involves stretching what is left of the foreskin with either weights or a traction device. This causes the foreskin to grow as its having to create new cells to fill in the gaps. However, in both cases it is impossible to completely restore the foreskin. There are nerve endings and blood vessels that contribute to sexual feelings which can never fully be replaced, although partial replacement is doable.