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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.
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There is a new restaurant in Beijing - a specialty penis restaurant. Their fare includes penises that once dangled proud and strong from yaks and oxen, seals and dogs, horses and donkeys. You name it, they have it!
I am mostly a vegetarian but I am planning a trip to Beijing soon and I am not taking my wife with me. She's an absolute vegan. When she was last here in China she was shocked when our companion stopped mid-track and slapped the trunk of a tree, picked out a dead insect that looked like a cricket and promptly dispatched it's edible portions into his mouth. He looked happy and said it was delicious but my wife! She was shocked. Later, he took us to a restaurant where stir-fried crickets were the specialty of the house. We couldn't say no as our companion was hosting two Germans, as well, who were willing to try anything. The restaurant floor was stacked inches deep with left overs of crickets, their shells and the like. If that was bad for my wife Beijing would be murder.
China Daily described the restaurant as being 'situated in an elegantly restored house beside Beijing's West Lake'. Penises or testicles are a part of every dish at restaurant. Of course, one has the option of choosing one's favourite - yes, penis!
Chinese cuisine, developed over thousands of years, considers not only taste and appearance but also the medicinal value of food. Traditional Chinese Medicine has long relied on animal body parts to heal and give health and vigour. Eating penises (penes) is believed to increase the yang essence or virility. It's believed to be good for both men and women. But, testicles! They're for men only, unless women are game for an extra dose of testosterone. However, testicles are believed to be good for the skin and women interested in adding that extra sheen can venture to try some.
For first-timers, the recommended dish is a huoguo or a hotpot, a dish filled with chicken stock and a sampling of six different penises. The restaurant boasts trained waitresses and also a nutritionist, ready to explain the medicinal value of different foods to ignorant or curious clients.
The restaurant 'showpieces', the imaginatively named "Head crowned with a Jade Bracelet" (from Xinjiang horses) and "Dragon in the Flame of Desire" (yak - steamed, fried and flambeed) priced at US$ 35 (RMB 280) and US$ 50 (RMB 400) respectively, don't come cheap in a country where some families survive on less than that for a month. But, gourmet penis dining is not for the ordinary folk.
But, if this sounds expensive, a portion of Canadian seal's penis (advance order booking necessary), at US$ 380 (RMB 3000) will leave you poor indeed!
Beijing, here I come!
(I hope my wife did not hear that!)
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40, "a little overweight", 2.5 kids, job from hell, ex-smoker and tonight’s the night. The wife is in the mood. The kids are asleep, the neighborhood is quiet for a change and it's a perfect night to make love. Familiar, but still nice after all these years you begin your love making ritual, your right as a man. She's not as small as she used to be, that aching feeling like a splinter in your mind that started after your first child. "Does she still feel me inside?"
I've been there, I've thought it too. Even more so after the second child. Here's a survey fact gathered from my web site www.Herbal-SexAphrodisiac-Libidus.com/ . Guys with their penis's ranging from 4" to 9", 98 percent surveyed thought the same thing! A 9" guy worried about pleasing his woman? Hard to believe? A woman’s vagina will return to almost her original size within a year after her first child. So what has changed in him?
Emotional content? Time and age? Penis size? The answer is all three. So let us as men, look directly into the gaping maw of the lion’s truth.
It would take a much, much longer article than this to help everyone who is reading this with their individual, emotional content. But, the mind follows the body and the body follows the mind. So let's analyze "Time and Age" and "Penis Size". In a positive direction, that, becoming harder and longer in your shorts, will do wonders for your emotional content.
Myth #1: Your penis cannot be made larger without surgery or a miracle.
Fact: I have gone from 7.5", semi thin penis, to a 9", thicker member in under 3 months.
Myth #2: Penis pumps make you larger and thicker.
Fact: Pumps swell you for about 1-5 minutes and have no long term benefits’. You can also burst capillaries and cause permanent damage. Keeping the penis swollen for long periods of time can increase your girth slightly over a few months, but it will not increase the hardness of your erection. Over time it will do the opposite.
Myth #3: Just taking a pill will give me more length.
Fact: Most of you have already learned by experience that this is false. The "Magic Pill" doesn't exist, but, it can be our best friend in making the powerful gains we really, really want, if you combine it with "Jelqing".
Ask any porn star...and I have...what is the best part of having sex on a constant basis. "The growth that comes from holding an erection for an hour or more, four to six days a week." Over time, this gives you permanent, increased, length and girth. Why? Did your brain already come up with the answer? Your penis is a muscle. It's time to start your own penis work out, starting today. It's time to go to the Jelqing gym!
Use these techniques at your own risk!
Never Jelq or exercise to the point of pain or excessive discomfort.
The little man. This is how we will think of our member from now on as we work out a fitness routine to start you on the road to more gain to the number one muscle. The penis is made of soft tissues much like the rest of the muscles in your body. To gain muscle you perform sets, from light to heavy, from minimum reps to increased reps. The penis can do curls and it can flex. Which sounds more like fun? Driving to the gym for an hour of sweating or a half an hour in the bathroom Jelqing?
The penis is composed of tissues. To lengthen it, you must massage it to make the tissue grow. If tissue growth can be achieved merely by swallowing pills, bodybuilders would not need to workout! Jelqing isn't complicated, but like any workout to get maximum gains, you want to focus on technique. You can have your new penis in 30 days or 3 months depending how closely you adhere to these techniques. Your doubts are understandable; this is virgin territory for most people. I have 1.5" more than I had when I started and you can too. If you only use these techniques for a week, you will feel better blood flow and stronger erections.
Preparation is a key component. The penis tissue must be made warm before exercises begin for maximum gain in a short time. An extra warm wash towel, wrapped around the shaft, for at least a minute is the best start. After being in a hot shower for 10 minutes also works well. Heat the tissue, start the blood flow, begin the stretch, then the Jelqing.
After the warming period is initiated, we will stretch the penis by placing your finger and thumb in an "OK" sign, behind the head of the penis. Use the head to stretch, were not trying to grow more skin, we are trying to lengthen the shaft. Basically we will point towards 12, 3, 6, and back to twelve on the clock. Hold each clock position to your own level of comfort for at least 15 seconds. Also include pointing the stretch straight out in front of you. So it is up, down, left, right and out. Ok, that's the warm up, pretty simple but very important.
The Jelq:
Done right, you can see gains very quickly. Your penis will have a different feel for most men the first time you perform the Jelqing technique. One of the best gains is the control over premature ejaculation.
Supplies: Wash towel, Soap or hand cream (I recommend the penis oil I sell at my site. "Of course you do" you’re thinking. The Penis Oil we make drives blood into the penis in seconds, clears unseen blood clots and increases erection strength even after ejaculation. Our penis oil is made for Jelqing and increasing gains in a short time. It is all I will use.)
Step One: After the warm up, with one hand, keep a circle with your first finger and thumb of your left hand around the base of the penis. Keeping the blood in the shaft while you are Jelqing. Squeeze just enough to keep a semi-erect penis.
Step two: Making the circle around the shaft starting at the base, with your thumb and first finger on the right hand, is how we drive the blood from the base of the penis to the head. This is not a race, develop a count and keep a rhythm. From the base to the head, count 1-2-3 for each Jelq. Keep the other hand, holding the base, in the same spot for every Jelq. Try to do at least 50-100 jelqs per session. We are not trying to cut off the blood flow into the penis. Every 25 "Jelqs" I switch hands and let blood flow normally back into the shaft.
Step Three: Vitamin intake. When a weightlifter goes to the gym, he keeps his muscles growing by helping them heal faster and get stronger with nutrient intake. New muscles need to eat, feed them right. I use a combination of herbs, and buy a one month supply which I take over a six week time period. The herbal combination stays in the blood stream for up to four days. I take two caplets one half hour before my exercise begins.
I don't stop there. I also use a high quality stretching device, which combined with the Jelqing, herbs and vitamins has given me gains at 40 yrs old, I only dreamed of at 25. See the rest of this article on our home page, click on the "Jelqing" button.
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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.
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In a previous article "The Joys Of Self Pleasure" I gave you tips on how to have a relaxing time with masturbation. Let me just say that I feel sex and masturbation are both a part of a healthy lifestyle. Having said that, I also believe that sex toys can be a great means of pleasure and can really enhance ones lovemaking. So today I want to tell you about one vibrator that gets used regularly in this household. This is a vibrator you can use when you are alone, or together with your partner during sex. Which by the way, is one of the reasons it gets used so often. I'm speaking of The Jack Rabbit. Nooo not the fury little critter we see at Easter, but a jelly-coated, multi colored, multi speed powerhouse of sexual pleasure.
The Jack Rabbit Vibrator was chosen as the best vibrator of 40 different vibrators on the Playboy TV's "Sexcetera". Charlotte was addicted to it on HBO's "Sex and the City", and it was selected as the best vibrator on a New York radio station when pitted against the Hitachi Magic Wand.
The Rabbit Vibrator is designed especially with the needs of women in mind. For this reason they stand out as one of the best and top selling sex toys for women, and purchased by women. Now, if you are wondering why someone who is happily married would have a Jack Rabbit Vibrator, you haven't had the pleasure of it's vibrations and gyrations yet. ;-)
The Rabbit Vibrator has three main parts. First a rotating or gyrating penis shaped shaft to give it a realistic feeling. Some Rabbit Vibrators have metal or plastic beads embedded in the shaft that vibrate or rotate. The beads rotate and vibrate massaging the vaginal muscles during orgasm. This really helps to enhance the feeling of an orgasm. And I mean REALLY Enhance! These beads or "pleasure pearls" as they are called are found only on a Rabbit Vibrator.
Then there are the "bunny ears". These "ears" flicker from the vibrations. They stimulate the clitoris while the shaft of the vibrator is inserted vaginally. This once again is perfect for women as it has been long proven that women experience easier and stronger orgasms if during penetration the clitoris is stimulated at the same time. The Jack Rabbit Vibrator does just that! And they do it very well!
Rabbit Vibrators have a turbo powered dual controller. An independent control for the 'rabbit ears', and one for the speed and swing of the vibrator shaft. This allows for a totally unique sexual experience for each woman, as sexual arousal is different for each of us. When all of these features work their magic together it is like the excitement of being on the largest roller coaster in the world. Can you just imagine all of that pleasure! WOW!
All I can tell you is how much I love my Jack Rabbit and if you haven't had the pleasure of the Rabbit's vibrations and gyrations yet and you're looking for a vibrator made especially for women, the Rabbit Vibrator is IT! The Rabbit Vibrator - A Girl's Best Friend!
Good Vibrations!
Marie Clare
Relationship Consultant & Author
