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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. vimax penis enlargement fact vimax penis enlagement penis enhancement patch free exercise tip for penis enhancement penis enlargement review pennis girth enlargement penis enargement pills review penile enlargment result

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Everyone knows that smoking is very bad for your health. It is associated with lung and other cancers, heart disease and many other illnesses. But did you know that smoking is very, very bad for your health? More than contracting any other illness, smoking places you at higher risk of ending up impotent. Now that’s serious. Don’t you think it’s time to look towards stop smoking programs and kiss the butt habit goodbye? Knowing the terrible health hazards should be enough to make you sit up and research the plethora of stop smoking programs available to you. Cigarette smoke contains harmful effects of not only tobacco, but also nicotine. This stimulant acts on the brain and nervous system to create chemical changes. It is also highly addictive and this makes the habit hard to break. Further, cigarette smoke is estimated to contain in excess of 3,500 chemicals and while many of these are dormant, plenty of them are quite harmful. Cigarette packs carry a warning that smoking increases the risk of vascular, heart and lung diseases. This has been established by a number of studies and makes stop smoking programs a matter of life or death for every smoker. Newest research suggests that all the ill effects of smoking are not yet known – experts now claim that smoking has been linked to impotence as well. In studies carried out and published worldwide, it has been found that smoking can increase the risk of impotence upwards of 50% in the 30s and 40s age group. Studies in the UK and Canada are revealing the same information and European health ministers meetings are ringing with the facts and figures. Health officials in many countries advocate the use of stop smoking programs. Impotence, as known as erectile dysfunction, is the repetitive incapacity to have or maintain an erection. The group Action against Smoking and Health and the British Medical Association estimate that over 100,000 men in the UK alone are impotent directly due to smoking. The figures worldwide would be even higher. More and more people turning to stop smoking programs may find that it’s too late. There are many causes for impotence and the causes are all generally physical. While smoking is listed as one of the risk factors, drugs used in the treatment of diabetes, high cholesterol and high blood pressure can also be associated with impotence. Smoking is said to cause reduction in blood flow to the penis through atherosclerosis, that is, the reduction in blood flow to the arteries. Nicotine is typically held responsible. Further, this reduced blood flow during an erection causes erectile dysfunction, or impotence. In addition to acting as a direct cause, smoking aggravates the problem by compounding the other risk factors. If you have other risk factors indicated for impotence, such as diabetes, arthritis or high blood pressure, smoking worsens the situation by completing the process. If you do suffer from such an illness and are a smoker, stop smoking programs are absolutely essential. Research in the US suggests that 1 in every 10 men is impotent. Additionally, a study of close to 1300 men in Massachusetts claims that smoker were twice more likely to become impotent than people who do not smoke. To prevent the highly negative psychological impact of impotence from affecting your life, don’t you think it’s high time you seek help to quit now? Stop smoking programs of every sort are available and all you need to do is pick one. Isn’t your satisfaction worth the price of a cigarette? truth about penis enlagement pills magna rx free natural penis enlargment penis enlagement pic before and after penis enlagement surgeries penis enlargment excercises free penile enlargment video top pnis enlargement pills does penis enargement work

Prostate gland ailments are common among men of all ages. Inflammation of the prostate gland leads to various disorders in the urinary system of men. Prostate is a nut shaped sex gland in men. It lies beneath the urinary bladder. Any swelling or disorders in functioning of the gland cause many diseases. Enlargement of prostate gland is BPH or benign prostatic hyperplasia. This disease is common among more than fifty percent of men in the age group of forty-sixty. Incidence of the disease increases in men over the age of eighty. Prostate gland encircles the urethra and disrupts flow of urine from the bladder to the penis. Enlargement of the gland will stop normal flow of urine. The best way to avoid any prostate gland ailments is to consume large quantities of water. Reduce cholesterol levels through lower intake of fatty substances. Increase intake of essential fats present in mackerel, flaxseed, haddock, salmon, and cod. Consume more of vitamin C and zinc through natural dietary supplements. Benefits of Prostate Supplements If you develop prostate gland problems, you can take suitable prostate supplements, easily available at various medical stores. Some of them include Pumpkin seeds, Saw palmetto, Nettle leaves and roots, Alisma rhizome, Pygeum bark, Cornus fruit, Dioscorea root, Prepared rehmannia root, Cinnamon bark, and Poria Fruit. • Saw Palmetto is among the leading prostate supplements. This fat-soluble extract of the saw palmetto berry contains essential biological chemicals to check your prostate problems. Urologists in Italy, German, and France profess many successful prostate treatments using saw palmetto. • Pumpkin seed is rich in zinc. It nourishes and heals all prostate disorders as those in the urinary tract too. It increases urine flow and reduce problems of irritating bladder. • Consumption of nettle roots and leaves increases urine flow. It yields best results in combination with pygeum bark and saw palmetto. It is very rich in chlorophyll and contains many alkaloids. These alkaloids neutralize uric acid, the main cause for all prostate problems. The anti-inflammatory properties of nettle roots and leaves can help you from any symptoms of enlarged prostate. • Pygeum Bark decreases urination at night, increases, and regulates urinary flow during daytime. Many herbal remedies for prostate gland ailments use pygeum bark with saw palmetto. You can also use it as a preventive against any prostate ailments. • Alisma Rhizome helps improve bladder functioning. Cornus Fruit improves health of liver and kidneys thereby improving the health of your prostate gland. Prepared rehmannia root purifies blood and is a kidney stimulant. Better kidney functioning means lower incidence of any prostate ailments. • Dioscorea root is a nutritional supplement to treat your kidneys and lungs. It reduces incidence of frequent urination and other seminal fluids. Cinnamon bark increases body warmth and boosts digestion of fatty substances. Therefore, it improves functioning of kidneys and circulatory system of your body. Overall, all prostate supplements promote healthy functioning of bladder, kidney, and other prostate organs. These prevent enlargement and swelling of prostate gland. They improve and promote healthy flow of urine without any burning sensation or pain while urinating. Prevention is better than Cure Various preventive measures for reducing occurrence of any prostate problems are to have a balanced diet with higher consumption of fruits and vegetables. Reduce intake of fatty substances and increase intake of vitamins and minerals. Regular exercises can also do the trick. Additionally, consumption of green tea is very beneficial for all your prostate problems. For more information on this topic, you may visit http://www.BioRelief.com BioRelief.com provides detailed info and comprehensive reviews on the best prostate supplements available. penis enargement without pills penis enargement fact buy vig rx penis enargement cream enlargement forum free matter pnis size com enlargement penile penile pump natural penile enlargment does penis enargement work does penis enargement work

Stage 1 Age 0-8 The preadolescent breast consists of a small, elevated nipple with no significant underlying breast tissue. Stage 2 Age 8-14 (usually 11-12) Breast bud stage; elevation of the breast and nipple as a separate small mound; the areola (the area around the nipple) begins to enlarge, and milk ducts inside the breast begin to grow. This can often be an awkward time for a young girl as she starts getting used to the changes. Stage 3 Age 9-15 (usually 12-13) Enlargement and elevation of the breast and areola (less separation), the areola begins to darken in color, and the milk glands begin to grow. This is the stage that a girl may consider buying her first training bra. Stage 4 Age 10-16 (usually13-14) Projection of the areola and nipple to form a secondary mound. At this stage a young girl may need to start using a bra with cup sizes. Stage 5 Age 12-19 (usually 15) Mature adult breast, projection of the nipple. Now the breast growth is complete, however breast never stop growing, or changing. These stages are used as a guideline for breast development, but all girls develop at their own unique rate. For more information about bras, breast developments, and bra sizes, please visit http://www.myfirstbra.us. penis enlargement pills product penile enlargement before and after penis enlargment tool penile enlargment doctor penile enlargement forum natural pennis enlargement exercise medical penis elargement penis enlargement tool does penis enargement work

Zoonoses is the term applied to a grouping of diseases that are transferable from canine/feline to human. Basically, these diseases fall into three groupings based on their means of transmission. This also groups these, ideally, in the means of treatment and control. The three groupings of diseases are as follows -diseases spread through :1) urine or feces, 2) hair and skin contact, or 3) bites and scratches. Zoonoses - Spread through Urine or Feces Hookworms Hookworms enter the German Shepherd's body in the area that directly comes in contact with the feces-contanimated soil. Seen more commonly in the South, these parasites are unsuited to ideally live in human beings. Traditionally they die after crawling several inches underneath the surface layer of the skin. Inflammation usually occurs as a result of these parasites in humans and causes a condition called “creeping eruption” which may last several weeks or months depending on its severity. Leptospirosis German Shepherd's may come in contact with this disease through swimming, drinking, licking their fur, or by eating food contaminated with animal urine. Many animals may carry this, though rats are most often the culprit. This zoonoses symptom in humans include flu-like including chills, body aches, vomiting, fever and headache. Sometimes kidney damage may occur or the membranes covering the spinal cord or brain may become inflamed. This disease is not usually fatal though it does make its host miserable for weeks at a time. Roundworms If these parasites are swallowed by humans they migrate into the body tissues and may cause damage, including symptoms of fever and liver enlargement which can last up to a year in length including symptoms of fever and liver enlargement which can last up to a year in length. These parasites are most commonly found in small children (2-4 yrs. of age) who mistakenly swallow the eggs and become infected. Children playing in an area in which an animal has defecated in the past, who do not wash their hands after coming in contact with the eggs and inadvertently sticks their hands into their mouth are the most common receptors of roundworm. Only rarely fatal, the disease is traditionally mild though it may be long lasting. Tapeworms Tapeworms can easily be ingested by any German Shepherd who swallows a flea carrying the infected form when biting at or chewing their coat. Children may get it virtually the same way- minus the coat chewing. Tapeworm infestation in humans this way is actually quite rare when compared to infestation from eating undercooked pork or beef. Toxoplasmosis Rarely this may cause death in humans since most people develop a resistance to it during normal exposure. It can cause many types of birth deformities in children born to mothers who have been infected for the first time without having developed an immunity before becoming pregnant. Most commonly this is “picked up” through contact with infected cat feces or in contact with contaminated soil. Zoonoses - Prevention of Waste Transmitted Diseases There are a few basic precautions everyone should take to prevent transmission of any of the above mentioned diseases - zoonoses. First, clean up all pet droppings and wash your hands each time you any come in contact with contaminated soil. It is extremely important to teach children these steps. Also, if your German Shepherd has gone wading or swimming in any water which may have become contaminated with animal urine, bathe it at once when you return home. Zoonoses - Spread through Skin/Hair Contact Fleas Fleas prefer feeding on your German Shepherd though they will not turn up the chance of of making an occasional meal on humans as well. Ringworm Most commonly found in children (though anyone may be infected), this disease is caused by a skin/hair eating fungus which first appears on people as a round, red, scaly area. It grows outward in a circular formation and is the most common fungal disease currently reported. Rocky Mountain Spotted Fever Tick borne, this disease or Zoonose can cause symptoms such as fever, chills and headache though it is not usually fatal. Symptoms may last many weeks and it can be treated with antibiotics. Most commonly this disease is transmitted through the bite of an infected tick. Also, you may become infected while pulling a tick off your German Shepherd. It is best to wear gloves when removing ticks. Scabies The less commonly found version of mange (as opposed to the demodetic version), this may still cause intense itching, irritation and thickening of the skin. Animal mange may live in human skin though it cannot reproduce there. Humans have their own version of the scabies mite. Zoonoses - Prevention of Skin/Hair Contact Diseases Overall, proper nutritional care and health of your German Shepherd is the best defense against the chance of your dog harboring any of these diseases. Frequent grooming and herbal repellents are good choices in combating most of these diseases or Zoonoses before they become major. Stress, roaming and contact with other dogs are the three most common points of transmission among the previous diseases. Wash your hands after dog contact and minimize contact with any infected pet until the problem is cured. Zoonoses - Diseases Caused by Bites and Scratches Cat Scratch Fever Some people will develop a fever, enlarged lymph nodes and malaise near the area of a bite or scratch from a cat a few weeks after the occurrence. Though not fatal it can be very uncomfortable and can be followed by complications. Infected cat bites may become infected with an entirely different bacteria though the symptoms are similar. Probably best, is to thoroughly wash an area bitten or scratched by a cat and to clean it liberally on a frequent basis to prevent, hopefully, infection. Rabies Virtually 100% fatal once the clinical symptoms appear, this disease is carried by a virus transmitted through the saliva of an infected biting animal. Symptoms include frothing at the mouth, extreme behavioral/personality changes and convulsions which usually ends in the aggressive, staggering and bleary- eyed condition. If you happen upon an animal showing any of these disease symptoms, get away from it as quickly as possible and call your nearest animal control unit. If by chance you are bitten, try to follow it to where it lives (if it is a stray) so that the proper officials may capture it for testing. If you do kill it, do not injure the head as this will be needed for verification. Also, if you are bitten by an animal exhibiting any of the symptoms above, thoroughly wash out the wound as quickly as possible and contact your personal physician immediately. Overall, your chances of getting rabies are rare though you can never be over cautious. Zoonoses - Prevention of Bite and Scratch Transmitted Diseases Best advice, keep your dog in tip-top physical condition through exercise and proper nutrition to reduce its chances of picking up any diseases or parasites from less healthy animals. Also, try to minimize your pets contact with wild animals or sick pets.