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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 enlargement before and after picture penis enlarement forum pennis enlargement pic herbal penile enlargment vimax penis enlargement forum penis elargement picture penis enhancement picture penis enlarement operation
Can You Get the Same Benefits from an Herbal Viagra Alternative That You Can From the Real Thing? It seems every day there is a new, touted herbal alternative to the male enhancement and impotence drug Viagra. The drug has ingrained itself so much in modern American culture that there are entire web pages devoted to Viagra jokes and millions of internet searches a year to buy Viagra online. But are there really safe supplements that act as natural alternatives to Viagra that work just as well, without the possible side effects that have scared some men off, and prompted them to seek herbal versions of the drug? While most herbal supplements that are said to match their medical couterparts in effectiveness are naturally met with a lot of skepticism by the medical community, I for one have witnessed first hand their effectiveness and life-changing abilities for men who suffer from impotence, low sex drive, inability to sustain erections, and general sexual and erectile dysfunction. My Second Hand Experience with an Herbal Viagra Alternative Supplement My significant other actually had a very positive experience with one such herbal alternative to Viagra, which I also noticed since I am his sexual partner. He described his experience with the supplement as having a heightened sensitivity in his penis, getting sexually excited much more easily, and more blood flow to his penis, making his erections last longer and get much harder. He also said that when taking the herbal supplement and subsequently participating in sexual intercourse, he had much more intense sexual peaks (orgasms), than he did when he did not take the supplement that day. Why Viagra's Safety Has Been Questioned in the Past Viagra was approved for sale by the FDA in 1998. Right from the start, American pharmacists dispensed over 215,000 Viagra prescriptions within the first month Viagra was released for public sale, launching a media blitz and the subsequent skyrocketing of Viagra manufacturer Pfizer's stock. The most notable and well publicized hazard of prescription Viagra has been the possibility of heart attack if your heart is not in the best condition, and if you are not physically fit or are at an age where heart attacks may become more probable. While most deaths occurred in elderly men, this scare has prompted many men to seek natural alternatives and herbal supplements that provide results either comparable to Viagra or identical to Viagra, without the necessity for a prescription, doctors visit, or high expense of necessary dosages. So, despite what your personal opinion may be on herbal supplements and natural equivalents to medically prescribed drugs, you can't deny the fact that there must be a reason for the rising popularity of herbal viagra alternatives. The reason is, it does work, and it does work very well for thousands of men. You just need to find the right one. free penis enlarement exercise cheap penis elargement best penis enlagement penis enlarement surgery does vimax work natural pnis enlargement pills penile enlargement pills review top rated penis enlagement pills pnis enlargement surgery photo
INSPIRATION AND PERSPIRATION! Ever thought of putting together a pinup calendar featuring hot guys enrolled at your college or university? Most people who think of creating a "Men of (Your) University" calendar assume that all they need to do is locate only 12 hunky college males and have them photographed. These tasks must be accomplished. But there's much more to publishing a calendar and many more than 12 college guys must be recruited. Besides recruiting, selecting, and training your student male models, there is production of the actual calendar, which includes photography, arranging graphic design and commercial printing. After the calendars are delivered, news media publicity must be arranged. Promotional events must be held. And, of course, your pinup calendar must be marketed! But, first, the best-looking campus guys at your university or college must be recruited. After a decade of publishing, recruiting of college men, the Campus Men Calendar operation has learned a great deal and refined its approach. So, here are the facts: GUYS WANT TO DO IT! There is a high demand to appear in pinup calendars of college men. Publishers should be able to choose from many college guys. Therefore, do not cater to, or try to convince any one college student to appear. Either they want to appear in your calendar or they do not! Students who need special handling often drag their feet and cause delays. Delays cost in potential sales. Therefore, students who expect you to cater to them, cost you sales. BEWARE OF GIRLFRIENDS! Beware of any college guy who involves his girlfriend into your operation. Why? Because girlfriends do not truly want their boyfriends to "model." Yes, they want their boyfriend to be "good looking" and for his looks to be "model quality," but they really do not want them going on photo shoots, meeting female models and certainly do not want the competition that is generated from having their boyfriend's body being advertised to other females by appearing in a calendar. When it comes time to choose the best calendar photograph, girlfriends can spell T-R-O-U-B-L-E. A revealing photograph may be threatening to a girlfriend. When it comes to their bodies, guys want to "show it off." Girlfriends want their men under wraps. If you hold a promotional event after the calendar is released, any controlling girlfriend will either want to attend the event or will encourage your model not to attend. Remember, you cannot replace a model once the calendar is printed. You will only be able to select from the batch of 12 who appear in the calendar. That means if five guys are unreliable, you only have seven to choose from. How many of those seven will be working at their job during your event? If you convince a bar owner to hold an event, but only have one model show up, you might be in big trouble and possibly owe the bar owner for their advertising costs. If no models show up at a retail store that carries your calendar, you just might loose that store as an outlet! In summary, chose independent-minded males. SEX STILL SELLS? The theme of the calendar drives which students should be recruited and selected. At Campus Men, we chose a theme that was developed after years of trial and error. Our theme was to present young, all-American college guys in sensual poses. Your photos should answer the question of: I wonder what that incredible-looking guy I saw on campus would look like in bed? If a publisher wants to sell calendars, it is foolish to feature college men wearing sweaters. Publish photographs of guys wearing suits, fully clothed or face shots only - and you will not be returning to the market with a calendar the second year. If you want to sell calendars, appeal to the sexual motivations of the viewer, whether through a cute smile, great face or body or skimpy clothing. Attempt to give the viewer a fantasy of what it is like to be intimate with the college student. You do not have to depict models fully nude with penis showing. Snug-fitting boxer briefs (or less) are just as exciting. Many guys will readily show their bare buttocks. By choosing students who are exhibitionists versus guys who are conservative, you give yourself valuable creative freedom when it comes time to photograph these college male models. Choose a male student who obsesses about which poses he will not pose for, versus choosing a young guy who is grateful for the opportunity you are offering, and you will undoubtedly find the production process more difficult. Remember, there are thousands of students enrolled at your university. Why choose the ones who do not care about your profitability? You will find that buyers will remark on the one or two provocative photos that appear in your finished calendar. "Skin" photos draw more e-mails and sell more copies. Campus Men learned this by accident. Gus Dakis posed for what our male model photographer calls a "miracle photograph" because the photo shoot was hastily put together due to bad weather. Gus and our photographer sped off to the photo shoot location and set up equipment as the rain still dripped from gutters around the pool house. Yet, once set up, there was still no sun, which was needed for the photograph. Gus stood in exact position under the showerhead and our photographer stood by with his camera, continuously measuring light readings. Just as they decided to wrap it up and go home without taking any photos, the sun fell below the clouds, engulfing the pool area in a beautiful, brilliant deep gold color. A half roll of film was snapped off before the sun fell beyond the horizon. Surprisingly, Gus' photograph, which was created in two and one-half minutes, became the most popular image in Campus Men that year and was responsible for many sales. Why? Because the photo depicted Gus in a pair of wet, white shorts that inadvertently became translucent because of the hectic pace of that day's photo shot. GO FOR A CAMPUS FEEL Design photographs with a collegiate or athletic feel to them, rather than "beach" themed photos. If people want to buy a beach theme calendar, they will buy the "Chippendales" calendar. Even the Chippendales calendar has changed to more "bedroom themes." Remember, buyers want YOUR calendar because it offers college guys. While college guys are seen on beaches only during Spring Break, one will usually find college guys on the school's quad, in a fraternity house, or playing sports. So, photograph your college men where buyers expect to see college guys. Plan imagery that brings college life to mind or portrays the college student as a sexy athlete. Remember, the successful theme of a calendars should be: "Here's what that athletic guy you passed on the quad looks like in bed." RECRUIT EXTENSIVELY Far more than 12 students must be recruited. Calendar production processes call for locating as many attractive males on your campus as possible. It is not usual to evaluate at least 125 college guys and as many as 500 during the entire process. If you want to organize a calendar, your goal should be to meet hundreds of hot college guys. A large number must be secured because the most important issue - other than quality of photographs - is timing of delivery. Delivering early in the sales season is very important. Calendars must be produced for delivery on June 1 of each year. This allows a seven-month selling season and allows featured college guys to talk up and sell calendars during the summer (when they have ample time to sell because they are not enrolled in classes; are usually home among family and friends). It also allows sales through national magazines, and allows the producers to reach incoming freshmen college guys visiting the campus during orientation sessions, held during June through August. This means the calendar also will be on store shelves in time for students who arrive back for the beginning of fall quarter and are seeking to decorate dorm or sorority room walls. Winter term is a poor time to recruit college guys because completing any activity takes more time due to cold weather. We cannot easily see what college guys look like because they cover themselves with clothing when outdoors. College guys generally stay indoors, become sedentary, gain weight, and do not have tans. If only 12 college guys are recruited, the operation can be delayed if even one student drops out or is dismissed. Recruit a large number of college guys because appearing in a calendar is not for everyone. We found that we had to screen all guys to select only those who are willing to pose nude or nearly nude. Why? Because college-oriented calendars are not the thing for timid or conservative young men. We have published many pinup calendars with varying degrees of provocativeness. Tame pinup calendars are nice. But, few buyers actually part with $15 to buy a boring male calendar. More risqué calendars have always been more popular in sales. WHAT TO LOOK FOR Here's what to look for in a college-guy model for a pinup calendar: • Outgoing, can sell calendars. Guys who like to talk to everyone and anyone • Muscular or defined body • Confident guys. Young men with self-esteem problems make problems for you. • Comfortable posing nude, uninhibited, the kind of guy who would skinny-dip for fun or go streaking at the drop of a hat Advertising did not bring in the "right" type of college guys. Many young men who are perfect for your calendar would never think of submitting their names to you. They must be invited. That is where student recruiters are valuable. Advertise for a team of students whose sole duty is to stop college guys on an informal basis. Advertising to locate recruiters can include classified ads, as well as fliers to sororities, career placement offices and dorms. Aim for at least three "hard core" recruiters, a Greek system recruiter and a minority representative. Recruiters need not be female. Guys can recruit and sometimes find it easier to approach other guys in gyms, classes and on the quad. Girls sometimes thinks asking a guy to pose is like asking him for a date. NUMBERS GAME About 60 percent of the college guys recruiters find will be acceptable. Of those students, 75 percent will accept an offer to appear. Therefore, to secure 22 acceptable college men, recruiters should locate 50 guys per calendar. Compensation to recruiters is a finder's fee paid for each "found" student who appears in the published calendar. Fees are payable only if the recruited student appears in the calendar. Do not pay a finder's fee if you do not select the college student to appear, if the college student declines your offer to appear, drops out before publication, or is dismissed for any reason. After a college guy applies to appear in a calendar (through a website), collect a bio or tape an interview with the individual. 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There are a variety of ailments related to the heart and providing information on all the types of cardio vascular disease could be quite a task. Yet a look at conditions that affect the heart and blood vessels can give you a broad view of cardiovascular disease. You hear many terms like coronary heart disease , atherosclerosis or some other term and are left wondering as to what exactly all these terms mean. Medical information could confuse you. Triglyceride is simpler when mentioned as fat in your body. It is essential that you read and stay informed on some basic terminology. You could watch a few programs related to the heart and its working before going to your doctor. The word give the meaning as well; ‘Cardio’ is related to the heart and ‘vascular’ is related to the blood vessels. Diseases of the heart are many. Some specific types are Coronary artery disease Arteries supply the heart muscle with blood. Obstructions in the artery is a condition called atherosclerosis, is a leading cause of coronary heart disease. Coronary artery disease causes angia (chest pain) and myocardial infarction (heart attack). Coronary heart disease Coronary heart disease is a more comprehensive term. It collectively refers to coronary artery disease and its disease that are a result of the coronary artery disease like angia and myocardial infarction. Women and heart attack is another important aspect with the onset of menopause. Cardiomyopathy This refers to all diseases of the heart muscle. It deals with loss of heart muscle (ischemic), enlargement of heart muscle (dilated) and thickening of the heart muscle (hypertrophic). Another type of cardiomyopathy is an enlarged heart without a known cause (idiopathic dilated cardiomyopathy). Valvular heart disease The heart consists of valves that direct the flow of blood into and out of the heart. Diseases of the heart valves are due to conditions like narrowing of heart valves (stenosis), leaking of a heart valve (regurgitation) and if the closing of the valve is not proper (prolapse). Heart valves can also be damaged by other conditions. Rheumatic fever, connective tissue disorders, medications or treatments for cancer and even infections (infectious endocarditis). Pericardial disease Pericardium is a sac that encases the heart. This can get inflamed (pericarditis), stiff (constrictive pericarditis) or accumulated with fluid ( pericardial effusion). These may occur together after a heart attack or may vary due to conditions. Congenital heart disease Congenital heart disease develops in the womb of the mother, before the birth of the baby. Narrowing of the aorta (coarctation), holes in the heart atrial or ventricular septal defect are some congenital diseases. Detection may be at the time of birth or later in life. Heart failure Heart failure may occur as a result of other cardiovascular conditions. It is a condition where the heart cannot pump enough blood to the organs and tissues in the body. Due to this other vital organs do not get enough blood; causing shortness of breath, fluid retention and fatigue. Congestive heart failure is used if the heart failure as led to a ‘fluid build up’ in the body. Blood Vessels These are essentially hollow tubes that carry blood to the organs and tissues. The types of blood vessels are Arteries, Veins, Capillaries and Lymphatic cells. Disorders related to blood vessels that affect the heart are Atherosclerosis, Arteriosclerosis, Hypertension, Stroke (ischemic and hemorrhagic), Aneurysm, Claudication with peripheral arterial disease, Vasculitis, Venous incompetence, Venous thrombosis, varicose veins and Lymph edema. Diagnosis Diagnosis is based on a series of tests. Simple procedures are listening (stethoscope) to your heart, measuring the heart rate and the blood pressure. • The systolic and diastolic blood pressures are measured and are around 120 and 80 respectively for a normal heart. • Blood test to check for high cholesterol levels • Other tests are CPR testing which gives the state of inflammation of arteries. • ECG and EKG tests are where the electrical activity of the heart is tested to assess blood flow and heart rhythm. It is also done under stress at times to find out related Cardiac Arrhythmia ailments. • X-Rays are used to look at the structures of the chest (lungs and heart) to evaluate proper functioning. • Head- up tilt test is used to evaluate the causes of fainting spells. • Ultrasound/Echocardiograms give pictures of the heart chambers and its valves. 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Gynecomastia affects an estimated 40 to 60 percent of men, as well as a number of adolescents. Many men avoid swimming or sporting activities because they have fat on their chests that makes it look like they have breasts. Gynecomastia is a condition in which firm breast tissue forms in males, causing an enlargement of the pectoral region to develop. Gynecomastia may affect one pectoral or both. Gynecomastia is usually discovered at the onset of puberty. There is no known cause of gynecomastia, although certain drugs and medical problems have been linked with male breast over development. If you are a man who is self-conscious about an over developed chest, breast-reduction surgery may be your solution. The size of the breasts is reduced by ultrasonic liposuction and excision to remove the excess glandular tissue. In extreme cases, excess skin may be removed. The result is a flatter, firmer, and better-contoured chest. Dr. Delgado specializes in gynecomastia throughout Oakland, Santa Rosa, and San Francisco, California. He comments, “Gynecomastia can greatly improve your quality of life. My patients are no longer self-conscious or embarrassed about taking their shirt off in public, or engaging in any activity that they used to avoid.” The surgery can take from 3 to 4 hours depending on the complexity of the procedure. Male breast reduction surgery is an outpatient procedure performed with general anesthesia. You will be able to rest following your surgery in the comfort of your own home. After gynecomastia surgery, patients usually experience slight bruising, swelling and tenderness. It is advised that you rest for the remainder of the day following your surgery, and limit your activity for a couple of days. You may return to work in 5 to 7 days while avoiding strenuous activities for two to three weeks.