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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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Lovemaking is never possible without consuming proper food. With the aid of researchers and scientists, various health food and food supplement companies have come up with food products for enhancing the sexual lives of millions. Made out of therapeutic herbs, foods for sexual enhancement are rich in vitamins and special proteins to give the ultimate vigor one needs to fulfill his or her sexual needs.
In this hectic world of running to-and-fro to make a living and meet all your responsibilities, your activities and work pressure squeeze out every last bit of strength you have. In the unpleasant urban environment, a normal diet is not enough to maintain one’s sexual strength and give the best to one’s partner. And mostly, we consume junk foods that offer little nutrition and lead to an unhealthy heart. That is the reason it has become necessary to consume foods that are rich enough to give one the sexual strength and make it up for what we lose on the streets every day and every minute.
Rich in carbohydrates, proteins, and all the valuable vitamins and minerals, foods for sexual enhancement are almost like ambrosia when it comes to the question of sex and giving your partner the best you have to offer on your part. Apart from other sexual advantages and increased sexual energy, these food supplements expand blood vessels, causing increased blood flow to specific areas of the body to help with penis enlargement, deliver better sex, avoid premature ejaculation, make erections last, and increase penis size.
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In case of a physical condition in which you need to take more than one medication for high blood pressure, and simultaneously erectile dysfunction is bothering your sexual life to the extend that you are thinking of getting some remedy, Levitra can help you in that situation. This is a good news for the patients of hypertension who are suffering from mild to severe degree of erectile dysfunction. According to a data published in The Journal of Sexual Medicine, Vardenafil HCl is effective in treating the erectile dysfunction in men under high blood pressure medications.
According to many registered physicians, male patients of hypertension were often concerned about taking anti-hypertensive drugs for fear of the sexual side effects like erectile dysfunction. Doctors are now treating hypertension and as well as prescribing Levitra to take care of penile erection. This reality is yet another testimony of the efficacy of this erectile dysfunction drug Levitra. It has already been proved that Levitra can help patients of diabetes to get an erection.
Levitra is a small potent pill for ED which can work under many physical constraints. The above study showed that success rates for Levitra were unaffected by the concomitant use of more than one antihypertensive medications including ACE inhibitors, calcium channel blockers, beta-blockers, and diuretics. During the study, patients using Levitra experienced no clinically noteworthy differences in ECG findings, supine systolic and diastolic blood pressure readings, or heart. The most common reported side effects during the study were headache and flushing.
Levitra is a product of Glaxosmithcline, a world class research based pharmaceuticals and healthcare company. It was launched as a sole competitor to the blockbuster ED pill Viagra. Soon research studies and common experience of the ED patients proved that Levitra has stronger effect with smaller dosage. Its affectivity is not tampered by food or alcohol. There are many instances when Levitra has worked in patients with history of failure with Viagra and Cialis.
If you are a patient of diabetes type 1 or 2, or have been suffering from hypertension, chances are more that you will be hit by any degree of erectile dysfunction. This is because erectile dysfunction is not a matter of penis. The whole mechanism behind an erection involves brain, heart, blood and hormones. If you have failed to get an erection with Viagra or Cialis, this is the time to pop up Levitra, the strongest pill for your ED treatment. Your sexual life is not put to an end. Buy Levitra and start all new sexual life with your partner and enjoy.
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1. Losing weight at a rapid rate (among people not being on a diet), gasses, discomfort, digestive disorders, anorexia, recurring diarrhoea, constipation – are the symptoms occurring most frequently in case of lung, stomach, kidney and large intestine cancer. If accompanied by a feeling of weakness, it can be a sign of blood loss or lack of proper elements building it.
2. Pain of unknown cause – long-lasting stomach-ache can be the symptom of large intestine cancer, lumbalgia can be the sign of kidney cancer, pain in the chest can result from lung cancer. Bone aches can be caused by metastasis.
3. Haemoptysis, long-lasting hoarseness (over 3 weeks), persistent cough or change of its character – can be caused by lung or larynx cancer.
4. Change in colour of moles and warts, ulceration and itching, ulceration of open wounds, burns and scalds can be the signs of skin cancer.
5. Excessive production of urine, backlog of urine, painful urinating, slow, time-consuming flow of urine, lumbago as well as backache can be the signs of prostate cancer.
6. Pain, vertigo, nausea, sight distortions (oversensitized sight, astigmatism), hearing impediment, upset balance and mental disorders can result from brain cancer.
7. Swallowing difficulties – can be a symptom of throat, larynx, oesophagus and stomach cancer.
8. Feeling of fullness in epigastrium, aches and digestive disorders – may be due to stomach cancer and other kinds of alimentary canal cancer, sometimes ovary cancer.
9. Blood in faeces, black faeces, alternating diarrhoea and constipation, mucus in faeces, narrow (pencil-like) faeces – are the symptoms of alimentary canal cancer, especially of large intestine and rectum.
10. Blood in urine (without the symptoms of urinary tracks inflammation), dysuria (compulsive urination, difficulties in urination) – can accompany the urinary tracks cancer.
11. Improper bleeding from the genital tracks, pink or dark-red vaginal discharges, hypogastrium and lower limbs ache can be the signs of vagina, uterine cervix and uterus cancer.
12. Marks on skin and mucosus membrane (lips, oral cavity, genitals): not healing ulceration, change in mark’s appearance, occurrence of new skin marks of some specific features (irregular distribution of pigment, vague line between the mark and healthy skin, quick growth of the marks, bleeding, dripping).
13. Breast tumour (by approximately 15% - 25% can be impalpable), ulceration, the retraction of nipple, asymmetrical nipples, change of size or the shape of a nipple, its swelling and the marks around it, enlargement of lymphatic glands in the armpit, extension of veins in the breast skin, ulceration of breast skin, shoulder swelling, flat efflorescene in case of the so called advanced inflammation nipple cancer – are often the symptoms of breast cancer.
14. Fever, tiredness, bones and joints ache, inclination to temporary anaemia and bleeding, impalpable tumour of abdominal cavity, as a result of spleen enlargement, that can be detected in gastro-bowel test.
15. Pain and pressure in the upper right part of stomach, tiredness, anorexia and at a further stage of rhe disease a palpable tumour in the upper right part of stomach, inclination to jaundice and bleeding can be the signs of liver cancer.
Copyright 2006 Radoslaw Pilarski
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Once you will learn how to find the G-spot with your lady partner, and with the use of appropriate sexual positions to stimulate it, you can give her mind blowing orgasms time after time.
But what is this G-spot, where it is located, and how will you know that you have really found it?
A German doctor (a gynecologist) Ernst Graftenburg is the discoverer, which is why it’s called the “G” spot. The G-spot is an area inside the vagina, on its front wall. Strangely enough, this area can be stimulated by constant pressure and it often ends up in an orgasm. It’s not difficult to locate, as it corresponds directly to the area where the urethra is closest to the top of the vaginal wall.
The G-spot does vary from woman to woman, so you will need to follow the directions below to locate it exactly.
Using well lubricated two fingers, insert them carefully inside your partner’s vagina, touching the top of the vaginal wall. You will feel somewhere a lattice-work of muscle tissue and in that tissue is the G-spot. Be very careful how you touch it; do not hurt your partner! Too little pressure and your partner will be meaningless, while too much pressure and she will cause an unpleasant pain.
Now that you have located it (you partner will gladly confirm to you that you have) see these three methods to use to pleasure your partner.
•A very good method to stimulate the G-spot is while performing cunnilingus. Insert two well lubricated fingers and apply a steady and firm (but not rough) pressure to the G-spot. You can be very sure that after 20 minutes of cunnilingus, and pressure to the G-spot, your partner will experience a steady and profound orgasm.
•The second natural way to stimulate the G-spot is by intercourse. The man will lie on his back and woman will mount on top, facing the man. The beauty of this position is that the man should do nothing at all, only have an erection. The woman move till she finds the G-spot herself, and she will apply just the correct pressure, using the man’s erect penis. Orgasm quickly follows.
•Another sure sexual position to stimulate the G-spot is a modified missionary, of sorts. In this position, the woman will lie on her back, and the man faces her, sitting on his thighs. The woman now places her feet on the man’s chest with her legs apart. At this point the man will penetrate the woman, but does not move or thrust. He will just lean back a bit, insuring his penis is firmly touching the vaginal wall. The woman can move if she wishes to adjust the pressure. As it in position, the man’s penis will be tilting upwards pressing directly against the G-spot. Not long after the woman will experience a strong orgasm, as the clitoris is also stimulated.
Stimulation of the G-spot one is accomplished by intense and constant localized pressure. Thrusting is not so effective as constant and strong pressure to the G-spot itself. Once learned, both partners will seek to return to its stimulation again and again.
