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The Prostate: Part I – BNP What is situated below a body of water, has four zones and is commonly associated with venial pleasures. No it is not some romantic European city, but rather a walnut sized male organ that serves important procreative functions. It also happens to be an organ that plagues men as we age. This organ or gland is the prostate. This is the first of two articles on the male prostate. This article will focus on a disease process that affects older men, something we refer to as benign prostatic hyperplasia (BPH). BPH is a non-cancerous growth in the size of the prostate gland that impairs the flow of urine out of the bladder. The second article will focus of prostate cancer. But first a little about the small yet important male organ. The gland is located just below the bladder. It usually measures one inch by one-and-a-half inches (approximately the size of a walnut). It surrounds the urethra (the tube that takes urine out of the bladder). It is responsible for producing a fluid important in male sexual function. In the past the prostate was described as having “lobes”, but today we refer to it as having concentric zones. These zones are important both on an anatomical as well as histological level. We can separate pathology along these zones as well. For instance most all cancers occur in the peripheral zone while the benign process of enlargement occurs almost exclusively in the transitional zone (which only occupies about 5% of the total prostate volume). The prostate gland is also made up of different cell types. Cancer cells develop from the epithelial cells, but it is the interaction with stromal cells that is important in the behavior of the cancer. BPH develops from an interaction between these cells as well, but it is complex and poorly understood. Testosterone and other hormones and their interactions with this gland are hot topics of research in understanding prostate disease. The prostate gland produces most of what is found in the male ejaculate. The average volume is about 3 mL. This is less than a teaspoon and only 1% of it is sperm. The majority of the semen volume is made of products of the seminal vesicles and the prostate. The male ejaculate is very rich in potassium, zinc, citric acid and fructose. Along with these substances it also contains prostaglandins. There are many other unusual substances found in the semen. Not all is know about their function or purpose. This important male organ is a complex mix of anatomical structures and cell types that make it possible for human reproduction. However beyond the reproductive years of men, this organ becomes one of burden rather than usefulness. We will discuss the finer points of BPH and how to best avoid it and if plagued with it, treatment options. BPH typically affects men from their fourth to fifth decade of life and beyond. Several hormones come into play that have a drastic effect on the transitional zone (the zone that is most central and surrounding the urethra). Namely a metabolite of the male androgen Testosterone called Dihydrotestosterone (DHT) plays a big part on the enlargement of cells of the prostate and the encroachment on the urethra. There are several signs and symptoms that correlate with BPH and they are: slow urinary flow, the urge to urinate all the time, nighttime urination, enlargement and distension of the bladder with continuous urine leakage (incontinence) and urinary obstruction. Autopsies suggest that more than 90% of men older than 70 years have BPH. The average age for symptomatic development is about 65 years for white Americans and about 60 years for African-American men. Ways to prevent the effects of DHT on the prostate gland and the ensuing enlargement are via medications that block the enzyme 5-alpha-reductase, which converts Testosterone to DHT. Proscar is such a drug commercially available through a pharmaceutical company. Proscar works on blocking the effects of androgens on the epithelial cells and can actually shrink the size of the prostate making some of the symptoms of BPH resolve. Alternatively two FDA approved drugs that aid in symptoms of BPH (but act differently than Proscar) are Hytrin and Cardura. Both Hytrin and Cardura are drugs in the alpha1-blocker class. Originally researched as a centrally acting blood pressure reducer for patient with hypertension, it was discovered that this drug would actually relax the prostate tissue surrounding the urethra making symptoms of BPH resolve. Side effects generally include low blood pressure, dizziness, and nasal stuffiness. While neither of these two drugs will “cure” or reverse the process, they certainly do provide symptom relief for the patient plagued with BPH. Another way to treat this disease and a more natural approach is the use of herbs know for their anti-androgenic effects on the prostate. These include the well-studied Saw Palmetto herbal extract that blocks 5-alpha-reductase in the same manner as the prescription drug. Saw Palmetto taken in a standardized dose of 160mg twice daily has shown increased urine flow, with minimal side effects. Saw Palmetto is an herb indigenous to the Lowcountry of Georgia and South Carolina. Pygeum Africanum is shown to do the same yet it is not as effective and there is a fair degree of stomach symptoms. Pygeum is derived from an African evergreen tree. Stinging Nettles (Radix urticae) is another herb used widely in Europe for prostate health that has been shown to lower the residual urine volume in men with enlarged prostates. These phytotherapeutics (plant derived medicines), used and described by the Egyptians as far back as the 15 Century B.C., have a common compounds called phytosterols. The most effective phytosterol is beta sito sterol for BPH. None of the medications or herbs has been shown to prevent prostate cancer. These prescription medications and herbs are for the treatment, reduction in size or prevention of the benign process of enlargement of the prostate. Prostate cancer prevention and treatment is by other means and the subject of the next article. Besides the herbal and drug therapies there are a few surgical therapies worth mentioning. These include the most common transurethral resection of the prostate or TURP. This is where under the care of an urologist the constricted urethra within the prostate gland is “reamed out” thus mechanically or surgically widened the opening. A variant of this is the transurethral incision of the prostate (TUIP) where an incision rather than resection of the tissue is performed. A suitable procedure for patients with prostates 100 mL in volume. This involves an abdominal operation and removal of the whole prostate. Of course symptoms mentioned above for TURP are of greater frequency with this more radical procedure. There is also thermotherapy (a type of microwave treatment) that alleviates irritative symptoms, but not much is available in long-term results in the medical literature. And finally stent placement is an option. This can be used in selected cases of patients with a poor general condition and in the non-operative candidate. Symptoms of BPH include: Obstructive symptoms: Hesitancy in initiating voiding (trouble getting started) Weak urinary stream, prolonged voiding Post-voiding dribbling (mild incontinence) Sensation of incomplete emptying Nocturia (night time urination) Overflow incontinence Acute urinary retention (very painful condition) Irritative symptoms: Dysuria (discomfort in urination) Frequency Urgency Scoring BPH: The American Urological Association Symptom Index (AUASI) and International Prostate Symptom Score (IPSS) are now considered the gold standard measurement tools for the assessment of BPH symptoms and response to treatment. Both questionnaires can be used by a physician in a clinical practice to quantify the subjective symptoms of BPH and monitor therapies. Part II in this series will cover annual examination of the prostate, blood testing, prostate cancer. It will also cover prevention and treatment of prostate cancer. Reference: http://www.prostatehealth.com Lowe, FC. Et al, Phytotherapy in treatment of benign prostatic hyperplasia: a critical review. Urology 48:12-19, 1996 Dreikorn, K. et al, Stellenwert von Phytotherapeutica dei der Behandulng der benighnen Prostatahyperplasia. Urologe (A)34:119-129, 1995 Fitzpatrick, J.M. et al, Phytotherapeutic Agents in Management of Symptomatic Benign Prostatic Hyperplasia. Urological Clinics of North America. 22:407-412, 1995 Wilt T, Ishani A, Mac Donald R.. Serenoa repens for benign prostatic hyperplasia. The Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD001423. DOI: 10.1002/14651858.CD001423. [Research by Sagalowski and Wilson, 1998] © 2005 penis enlagement system penis enargement excersizes pennis enlargement fact penis enlagement product penis enlarement surgery picture compare pennis enlargement pills penile enlargement drug herbal natural pnis enlargement

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Viagra, the erectile dysfunction (ED) drug has become a craze for teenagers. Teenage boys regularly opt for ED drug for improvising their sexual performance and machismo. Most of the time, they get hold of the drug through online pharmacies without prescription. An increasing use of Viagra is noticed by teenagers at a party or local club. It’s surprising that Viagra, the older man's drug, has earned a place among hard-partying youth. It has gone recreational practically without anyone noticing. A huge number of younger men take it in the hopes of enhancing performance and endurance as far as sex is concerned. This growing trend in youth is becoming a cause of concern as it can cause severe damage to the health of its users. The worst part about this current trend is that teenage boys and 20-something guys are taking Viagra with club drugs such as Ecstasy. Although Ecstasy can boost energy and provide the desired high, it lessens a male's ability to have an erection alike alcohol which also does the same thing to a man's sexual abilities. With the usage of Viagra for a drug cocktail restores virility because the prescription drug's main biological action is to increase the nitric oxide production needed to encourage blood flow to the penis. The result is that a lot of young guys-and more than a few in their 30s, 40s and beyond-are suddenly more able to have sex when it is least advisable. Viagra works for four to six hours, which only extends the time to make unwise late-night decision, such as not using a condom which can often lead to sexual infections such as HIV (AIDS) and genital herpes. Another problem with Viagra use is that some men-usually older males-might unwittingly mix nitroglycerin heart medicine and the sexual function drug. This combination can create potential blood pressure irregularities. So it’s wiser to use the ED drug for treating ED only otherwise it can prove fatal for the health of its users. manual penis enargement exercise penis enargement before and after picture herbal natural pennis enlargement cheap pennis enlargement magna rx results penile enlargment technique vigrx side effects vimax penis enlargement surgery picture enargement manhattan penis surgeon

Genital warts, which appear as small flesh-colored clusters or bumps of tissue, are the most common sexually transmitted disease in the U.S. In fact surveys conclude that at least half the sexually active male and female population may contract genital HPV. “HPV stands for Human Papillomavirus. This indicates that warts are a virus, and can exist in the skin even if no warts are visible to the naked eye. That means that the virus is contagious even when there are no symptoms. So be careful, and be sure to check for STD’s regularly when you visit your doctor for check-ups. This way, you won’t accidentally spread a virus to a loved one. Genital warts are generally found around the genital areas. In women they are found in the vagina, cervix or anus and on men they are found in the penis and anus. Genital warts may be passed on through vaginal, oral, or anal sex and research reveals that a pregnant woman can pass HPV on to her infant during vaginal delivery. There are more than 100 types of HPV and 30 of these are transmitted through sexual activity and are classified as high or low risk. The high-risk variety reportedly causes cell changes that may result in cervical cancer in those infected with the virus if left untreated for a long period of time. Low-risk HPV can cause genital warts, but not cervical cancer. Often, those infected with low-risk HPV are unaware they are infected since low-risk HPV may not present symptoms. cheapest penile enlargment pills penis enlarement secret manual penis enlagement exercise penis enlarement supplement penile enlargement surgery photo vimax penis enlargement drug penis elargement stretcher free natural penis elargement enargement manhattan penis surgeon

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. penile enlargment before and after picture forum magna rx penis elargement before and after photo truth about penis enlargement pill penis enhancement video penis enlarement program pennis enlargement drug enlargement manhattan penile surgeon enargement manhattan penis surgeon

With sincere apologies to Dr. Suess I begin this article (I just couldn't help myself). But seriously now folks, fetishes are probably one of the most confused areas of sex around today. What exactly is a fetish? According to World Book psychiatrists see a fetish as an abnormal sexual attachment for a lifeless object. Attachment yes, abnormal? that's in the eye of the beholder. Fetishes are so widely varied that it would probably take an entire web site & then some to cover them all so we'll attempt to cover some of the more common ones here. Not being psychiatrists here we will not delve into what makes people become so vitally attached to these fetishes but hope that others would learn to accept these people & their fetishes without judgment. Like I always say, "Whatever makes your boat float". A Galaxy of Fetishes Fetishes can run the entire gamut, from the mundane to the bizarre. Basically a person who has such a fetish requires that object, or item, to be included in their sexual play to become aroused or have an orgasm. One very common fetish is men who will wear women's underwear, both during "normal" hours & then during their sexual play. Unlike the man who has a curiosity about women's underwear & will dabble with their use, a person who has an advanced fetish must have these items present to become sexually aroused. This should also not be confused with a transvestite, although many transvestites do have a women's clothing fetish. Possessing a fetish for these frilly items in no way makes any man less of a lover, or man for that fact. Other fetishes included in the clothing department are rubber, leather & vinyl. The person with a fetish of this type usually truly enjoys the feel (or look) of these particular items & derives great sexual stimulation from their use. Another very common fetish is the foot fetish. Shoe salesman jokes aside, a person with such a fetish will become highly aroused when confronted with what they would consider a "good looking pair of feet". We have even found clubs devoted to foot worship. Although most fetishes are not very specific we have heard of one person in this category who has taken the foot fetish to the infinite. He requires a female foot with a minimum of 1" long nails dressed in a Greek sandal. Hey if your going to do, do it all the way. In conjunction with the foot fetish are variations & off shoots. One such fetish is called Trampling. This involves a willing recipient to be walked on with bare feet or even a set of spiked heels! Kind of sounds like the Japanese massages you see in the movies! Another offshoot of the foot fetish is what is known as Shrimping. Shrimping is the act of licking between ones toes & nibbling on their toes. Personally I don't mind doing this myself & I never really considered myself as someone who had a fetish. Other variations of this foot fetish can include things such as spiked heels (we've seen photos of up to 12" ones) or any other type of specific foot covering. One fetish that has very much come "out of the closet" in today's society is what is called Body Modification. Simply put these people enjoy either, or both, the act of tattooing & body piercing. There was a time when these practices were more or less keep quite, but as we all know, this has become very popular & very public. Unless you have been living in a cave for the past several years, you have probably heard of or seen someone with VERY private parts of their bodies pierced including nipples, the penis, the vulva & yes we have even seen a woman with her clitoris pierced! Many say this piercing heightens the sensations of intercourse. We recently saw a TV show about a couple very much involved in this. His penis had several piercings & was adorned with several rings. When the interviewer asked the woman if it hurt her during intercourse she smiled & said, "it's the best sex I've ever had." Discussing any such fetish should be met by the partner with great compassion & understanding. A person willing to admit to a fetish of any nature to their lover requires them to basically bare their soul to them. Understanding that these fetishes are usually not harmful in any way must be kept in mind while discussing a lovers fetish. Even though many people use the term to describe things they like as a fetish, fetishes go much deeper. Some deep psychological needs must to be filled before the person can enjoy sex. Some of these fetishes are harmless and can be dealt with within the bounds of normal life, however some may represent deeper problems. A partner to someone with a fetish must judge for themselves if they can cope with such a fetish. As with anything else in an open sexual relationship either partner should have the right to refuse something that deeply bothers them.