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Prostate brachytherapy (pronounced bray-kee-ther-uh-pee), the implantation of radioactive seeds into the prostate gland, is one of the standard methods of successfully treating prostate cancer. The tiny radioactive seeds are smaller than grains of rice. A prostate seed implant may be the only type of radiation therapy needed by a man with low-risk prostate cancer or it may be prescribed in addition to external beam radiation therapy in men with intermediate- and high- risk prostate cancer. The goal is to eradicate cancer cells while preserving healthy, surrounding tissue, such as the bladder, the urethra (the tube that connects the bladder to the penis), and the rectum. The advantages of prostate seed implants are significant. Fist, the procedure requires only minor surgery, usually causing fewer side effects than other treatments. Also, it is generally a same day, outpatient procedure. Men usually are able to return to work within several days, as long as they feel well enough. In addition, recent reports suggest that the procedure, when performed on properly selected men, is at least as effective as surgery to cure prostate cancer. Radiation exposure to other people is minimal, so restrictions do not apply unless the man is returning to a setting where a young child or pregnant woman is present. Treatment Planning Men undergo a pre-implant ultrasound study to determine where the radioactive seeds (and the needles to implant them) should be placed. A transrectal ultrasound, wherein an ultrasound probe is carefully positioned in the rectum to view the entire prostate, is performed. Images of the prostate are taken and are transferred to a special treatment planning computer, which evaluates the position of the prostate and generates a three-dimensional plan that dictates the precise placement of the seeds. Preparation for the Procedure Most candidates for prostate brachytherapy undergo blood tests, a chest x-ray and an EKG several days prior to the implant, in order to be approved for anesthesia. On the morning of the procedure, men receive an enema to help optimize the quality of the transrectal ultrasound images. In addition, blood thinners are discontinued several days prior to the procedure to help diminish the risk of bleeding. Day of the Procedure Typically, men who are scheduled to undergo seed placement arrive early in the morning. Next, the man is taken to the operating room for the procedure, where he undergoes either general or spinal anesthesia. Then, the radiation oncologist and the urologist work as a team to implant the seeds into the prostate, using transrectal ultrasound to guide the placement. The Implant Process Using the treatment plan and fluoroscopy (real-time x-ray), the radiation oncologist places the seeds within the prostate. The entire procedure usually takes less than one hour. After the seed placement, the urologist performs a cystoscopy (a procedure in which a slender, flexible, fiber optic scope is inserted from the penis into the bladder), to look for and remove any seeds that dislodged in the bladder or the urethra. Within the few next days, a CT scan is obtained to verify the placement of the seeds. Prostate Seed Implants: Recovery Because prostate implants do not involve major surgery, side effects are rarely severe. The most common side effects reported by men after prostate seed implants are: • Urinary frequency (60-70%) • Urinary burning (50%) • Urinary urgency (50%) • Erectile dysfunction (30%) • Blood in the urine (20-30%) • Increased bowel movements and bowel urgency (5%) • Fatigue (20%) • Pelvic pain (20%) • The need for temporary catheter placement (10-15%) • Urinary incontinence (less than 1%) In addition, up to 20 percent of men are found to have seed migration into their lungs. However, no detrimental effects have been reported. Infrequently, men have required trans-urethral resection, the “scraping” of the prostate gland via the penis, to relieve urinary obstruction after the seed placement. Follow-Up Men who undergo prostate brachytherapy report for follow-up visits four weeks after the procedure and every three months thereafter. A PSA blood test and a physical exam are performed to assess the status of the prostate. The good news is that prostate seed implants are usually successful at controlling prostate cancer within the gland. Such local control of disease correlates with rendering men free from prostate cancer. real penis enlargment penis elargement stretcher free pennis enlargement exercise medical pnis enlargement enlagement manhattan penis surgeon penis enargement tip penis enlargement doctor enargement free penis pills sample penis enlarement product
Whether it’s for impotence, endurance, libido, enlargement… male enhancers seem to provide the solution for all. With time and demand male enhancers have greatly grown into a multi million dollar industry. Yet, do the promises of “larger penis size”, “huge orgasms” or “hard rock erections” really get fulfilled? Sex is very important to men. Men are practically made to have greater sex drives and want sex more often than women. Thus, most men hold sex issues very personally. Whether it’s size or impotency, it all comes down to embarrassment a problem that needs to be solved without hurting yourself more. And that’s why the male enhancer market has grown so much. Now on the market you can find everything from chemical based formulas to all natural male enhancers. Even if your problem isn’t so bad like an erectile dysfunction, it’s still somewhat embarrassing to go to your doctor and confess. You want to face it like a man and find the solution yourself. So you go online to investigate. You sit tight and experience the world of male enhancers. All basically offer you the same thing… a bigger penis, more orgasms, become a porn star and more. Who doesn’t want to have all of this? Now the choice is which one to pick, and with all the news about side effects from other pills you maybe skeptical about getting more harm done than good. Fortunately the natural herbs come to save the day. In an article by Boris Boki the author mentions, “There is always a chance to enhance your sex live with the help of food. It is not a secret that many natural enhancement pills are based on well-known ancient aphrodisiac, mostly exotic, like Cayenne Fruit, Chinese Ginseng, Horny Goat, Ginkgo and others. They also contain vitamins (Vitamin B3, Vitamin E) and minerals like Zinc.” Thus a wide majority of male enhancer industries have formulated all natural penis pills without all the man-made chemicals and possibilities of dangerous side effects. Don’t go crazy now. You still got be on the safe side and read through all the ingredients before you buy any male enhancer that way you’re sure it’s 100% natural. Also make sure that company has some type of reasonable guarantee, you never know. Make sure that if just incase you start to feel any side effects you can get a refund. Male enhancers do really work, as long as they’re all natural. Always make a through investigation of any male enhancer you’re considering in buying, in this case you really don’t want to risk the side effects. Take some time so you can be sure to get the results you wanted. Have a better sex life, be more confident and do it all discreetly, safely and 100% natural. vimax homemade penis enlargement plastic surgery penis enlarement free exercise tip for penis enlargement free penis enhancement technique erection penis pill size vimax vigrx penis pills penis girth enlargement penis enargement tool penis enlarement product
Whether at work or under the cover, men are under constant pressure to perform. Unfortunately, both men and women can place too much importance on this, and search out the fastest, easiest answers. Fortunately there's an alternative. By arming ourselves with information on the newest natural options, we can choose the best treatment for our individual needs. Viagra's fishy replacement? By now if you've heard of Bob Dole you've heard of Viagra. But have you heard of Irukandji? This soft and toxic jellyfish may soon be giving Viagra, and men everywhere, a very hard time. A sting from Irukandji causes intense pain in the limbs, cramps, vomiting, difficulty breathing, anxiety, and sometimes cardiac and lung problems. However, it also causes prolonged erection. Currently, this is a lousy trade off. Realizing this, Australian researcher Lisa Gershwin is attempting to separate the erection-causing feature. But don't be tossing your little blue pills just yet. More Irukandji need to be studied before an impotency medication can be manufactured. X-rated chewing gum Those wanting to build stronger sperm now have more options than loose boxers and cool temperatures. A simple green African plant may boost the power of the troops down under. Call it a miracle. Call it the khat plant. Lab tests at London's King College have found that sperm treated with cathine, a chemical in khat, became fertile faster and stayed that way longer. Though so far the studies are only on mice and rabbits, early human tests suggest a similar result. But before you get too excited, it's worthwhile knowing that potency through khat's cathine is currently the domain of researchers. Why? Munching on khat has potentially dangerous side effects like delusions and elevated pulse and blood pressure. Due to this, the current focus is on finding the right cathine concentration, and making sure it's safe for more than mice. Just breathe Occasional impotence is common and often caused by anxiety. Long term failure to function, though, is another matter. According to the UK's Sexual Dysfunction Association: "Until about 20 years ago, erectile dysfunction was considered to be caused almost entirely by psychological factors but we now know that physical conditions are present in about 75% of male sufferers." So unless you're very young or very stressed, impotence is probably not in your head. However, it may be in your glans. The glans, or head of the penis, needs a strong and constant flow of blood to stay stiff. This requires effective circulation. In short, if your blood isn't moving neither will your penis. Speedier circulation can be gained through a healthy diet and aerobic exercise. Deep breathing is another way to circulate. By bringing more blood to the lungs, more blood goes to the heart. This is a sweat-free way to strengthen both blood flow and phallus. P.C. isn't just politically correct Finding and working the PC, or pubococcygeus muscle, is a sure way to satisfy you and your partner. If you've ever had to stop in mid-stream while urinating, you've already exercised it. This muscle has another use. Training it develops sexual power. Authors of The Multi-Orgasmic Man; Mantak Chia and Douglas Abrams Arava, state that training this muscle helps "strengthen your erections, intensify your orgasms, and separate your orgasms from ejaculation." To pump this muscle up, first locate it. Most men feel this muscle at their perineum, behind the testicles and ahead of the anus. Now inhale and focus on the prostate, perineum and anus. Next exhale and squeeze the muscle around your anus and prostate. Then release and relax. According to The Multi-Orgasmic Man, this exercise should be repeated 9 to 36 times. Performance plus Though it often takes center stage, the penis an overrated performer. Satisfying a woman also involves foreplay and sensitivity to her needs. No matter how potent you are, if these two things aren't also considered your partner will be looking at her watch rather than into your eyes. penis enhancement penis enlagement secret surgical penis enargement does penile enlargment work prosolution penis elargement pills compare penis enlargement pill penis enlagement pills enhancement manhattan penis surgeon penis enlarement product
As you may know, this type of orgasm was the only type Freud and other men of his time felt to be legitimate types of sexual pleasure for women to experience. Unfortunately for women, only about 20% can receive an orgasm through vaginal stimulation alone. The other 80% need something a little extra. Before we get into that, let me explain exactly what we mean by vaginal orgasm. A vaginal orgasm occurs solely because of stimulation of the vagina. That stimulation is usually in the form of the thrusting of the male penis during vaginal intercourse. The reason most women do not receive an orgasm just from penetration is that the vagina is not a highly sensitive area. This is actually a good thing. Remember that the vagina is not just used for sex but also for delivering babies. If the inside walls of the vagina were made up of concentrated nerve endings like we find in the nipple, the clitoris, or the penis, then childbirth would be even more difficult for women. In fact, only the first two inches of the vagina are sensitive at all. So why do some women have orgasms solely from vaginal stimulation? The answer is they probably aren't. Women who report vaginal orgasms benefit from their anatomy. In some women, the labia minora are formed in such a way that vaginal penetration actually causes the labia to rub against or gently pull on the clitoris. This, not vaginal stimulation, is leading to the orgasm in most cases. Technically, however, this would still be considered a vaginal orgasm because there is not direct stimulation of the clitoris. Another reason why some women report having vaginal orgasms is that the shape of the penis and their preferred position allow for stimulation of the G-spot. Because the G-spot is linked to increased pleasure and may also induce orgasms, this is another possibility worth considering. The bottom line here though is that vaginal orgasms are not common. Men and women need to realize that penetration is often not going to be enough to accomplish the goal.