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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 manual penis enargement penis enlagement procedure penis enlarement operation best penis enlargment pills free pnis enlargement vigrx enlargement free penis pills sample magna rx patch

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In recent years, Cosmetic surgery has become a very popular self-enhancement tool for both women and men. In the past, cosmetic surgery was viewed as an elective surgery that only the very rich could afford, however it has become a more widely used method of enhancing ones image in the last decade or so. By the sheer number of procedures that are performed annually it would lead us to believe that cosmetic surgery has become a very acceptable solution to solving “problem areas” for many people, and it has. Some of the most commonly performed plastic surgery techniques are listed here, along with links to more information on cosmetic surgery in general. Abdominoplasty ,or "tummy tuck" is a procedure that consists of reshaping and firming of the abdomen . Blepharoplasty ,or "eyelid surgery", is the Reshaping of the eyelids or the application of permanent eyeliner, including a procedure called Asian blepharoplasty, where the skin around the eyes is reshaped. It is sometimes done to remove the epicanthal fold and to create a crease in the eyelid. Augmentation Mammaplasty or "breast enlargement". Surgery for enlargement of the breasts. Mastopexy ,also called a "breast lift", A procedure in which sagging breasts are raised. Rhinoplasty, Also known as a "nose job". Surgery for reshaping of the nose. Rhytidectomy, commonly referred to as a face lift, offers the removal of wrinkles and the signs of aging from the face. Otoplasty also known as aesthetic ear surgery, is the procedure that reshapes and molds the protrusion of the ears. Lipectomy, Commonly referred to as liposuction. Abdominal liposuction enables the recontouring of the body by the permanent removal of fatty deposits. Chin augmentation Enhancement of the chin using an implant. Cheek augmentation Enhancement of the contours of the cheeks. It should be always be noted that any elective procedure such as cosmetic surgery does involve risks, just like any operation, and should therefore should be treated accordingly. This can be done by gathering as much information on the procedure as you possibly can. In addition to gathering information on the procedure, it is also very important to check a physician's credentials, looking for those physicians trained in cosmetic techniques, such as Board Certified Plastic Surgeons, Otolaryngologists , and Opthalmologists. penis elargement traction device penis enhancement pills product penis enlagement forum enlargment manhattan penis free natural penile enlargment penis enhancement testimonials natural pennis enlargement pills free pennis enlargement tip penis elargement system

Signs and Symptoms of Acne Rosacea There are certain contrasts between acne rosacea and acne vulgaris. As you probably know, acne vulgaris is the most common form of acne which seems to start with the onset of puberty and is characterized by the formation of whiteheads and blackheads. Acne rosacea, on the other hand, usually makes its first appearance between the ages of 30 and 50, is confined to the face -- mostly the nose, cheeks, chin, forehead and eyelids -- and is not associated with overactive oil glands. The lesions seen in acne rosacea consist of erythema, minute dilated blood vessels, papules and pustules. The color of the skin in the affected areas varies from bright to dull red, or it can even take on a purplish hue. At first the redness may last for just a few hours, but later as the condition progresses and recurrences continue, the color persists and can become permanent. The hypertrophy of the sebaceous glands, especially on the nose, leads to thickening of the skin, increased visibility of the expanded follicles and an enlargement of the nose, so often associated with acne rosacea. Although most commonly seen in women, men have the most severe cases and are the ones that usually develop the disfiguring bulbous nose, known as rhinophyma. Oddly, sometimes rhinophyma is the only sign of the condition. People suffering from acne rosacea come to realize what aggravates their particular outbreaks and avoid them, if possible. The most common stimulants are hot, spicy foods, hot beverages and alcohol. Exposure to the sun and to heat also seems to be aggravating factors. Acne rosacea is not life-threatening, but it certainly does severely alter a person's appearance. Complications Associated With Rosacea There are few complications associated with acne rosacea. Sometimes, eye irritations can occur due to inflammation of the eyelashes or outer surface of the eyes. The membrane covering the lens (cornea) can become inflamed leading to impaired vision, but this rarely happens. Treatment Options for Acne Rosacea Topical and Oral Medication. There is no proven cure for rosacea since the exact cause of the disease is not known. Successful treatment is based on controlling the acne-like symptoms with the same topical and systemic medications used in treating regular acne. The most effective treatment to date includes long term use of topical and oral antibiotics such as tetracycline which does seem to control the eruptions. The dosage of the antibiotic is slowly lowered to maintain control. In most cases, it can eventually be discontinued altogether without recurrence of the rosacea pimples. Of course, tetracycline should never be taken during pregnancy since the medication does affect the unborn child. Laser and Surgery. Laser treatment has been successful in eliminating the enlarged facial blood vessels. This is a treatment that causes very little discomfort. Also, surgery can be used to remove the excess tissue associated with rhinophyma. Other Treatment. The psychological and stress problems associated with acne rosacea should always be assessed and treated. penis enlagement cream vimax penis enlargement pills product free natural penis enhancement enlargement manhattan pennis surgeon herbal penis enlargement pill cheap penile enlargement pennis enlargement surgeon best penis enlagement pills penis elargement system

Sex provides the very much required excitement in our life. It is a factor which can strengthen or weaken a relationship between two sex partners. Erectile dysfunction is one of the reasons which have caused strained relationships. It is defined as man’s inability to get enough erection to have successful sexual intercourse. If this problem is encountered occasionally then there is nothing much to worry about. Whereas, if it is a regular problem identified as impotency, then it is a serious health concern. The probability of having erectile dysfunction increases with age. Although this problem can be seen at any age but as per data 5 to 25% of men get affected by it in the age group of 40 to 65 years. This can shoot up to 50% by the age of 70 years. Erectile dysfunction can be caused due to physical or psychological factors or both. The erection process involves a sequence of events within the body involving brain, spinal column, veins and arteries in the penis. Erection will not be possible if this process gets disrupted at any stage. Any kind of damage to nerves, arteries, smooth muscles due to diseases like diabetes, neurological disease, kidney disease etc can also result in erectile dysfunction. According to statistics, these kinds of diseases account for about 70 percent cases of erectile dysfunction. It can also be caused as a side effect of some surgery which damages nerves around penis or medication of common diseases like blood pressure. Around 20% cases of erectile dysfunction are due to psychological factors like stress, guilt, depression and anxiety. A variety of treatments are available to overcome impotency. One can choose from various alternatives like psychotherapy, drug therapy, vacuum devices, or surgery. The most widely accepted method is the drug therapy. These drugs used for curing erectile dysfunction can either be consumed orally or injected directly into the penis. Drugs like Generic Cialis and Generic Viagra including Kamagra are becoming immensely popular. If we take example of France, Cilalis has replaced Viagra in most of the France pharmacies. It is available in about 100 countries. You can buy generic Cialis from FDA approved medical stores or licensed online pharmacies. Generic Cialis is taken an hour before indulging into sexual activities to get the required sexual stimulation. It won’t be wrong to say that drugs like Generic Cialis have been instrumental in restoring self respect and excitement in many lives. penis enlargement tip free penis elargement penis enlarement operation vimax penis enlargement before and after natural pennis enlargement exercise vigrx store vigrx penis enlargement pills cheap penis elargement penis elargement system

Yes, some of the reputed lovers, in the past, novels and even today did manage to attract many women. They have their sexy secrets too, and some of these have been revealed in today’s knowledge-intensive world. But we found one thing common to all these men, whether smooth talkers, brute stalkers or crude maulers: they could not satisfy their women (or vice-versa)! What, Mark Anthony cannot satisfy Cleopatra, or lover T cannot satisfy lover K? Well yes, as far as we can tell, for, if you will care to follow us a little in our research, all these past lovers (and quite a few present ones, but we are unable to reveal their names for obvious reasons) ended up in tragedy! One reason was that their penile size was not at their optimum! That’s why these and many other romantic liaisons ended up as failures. You see, if they could satisfy their lovers, why did these lovers have to find others? Why did Cleopatra need so many men? Because, obviously, none of their penile sizes could satisfy her! But also, why must Casanova have so many women? Because, equally obviously, none of them could satisfy him! So, here’s Sexy Secret # 1 - YOU NEED YOUR OPTIMUM PENILE SIZE. What this means is that your penile size must suit the size of your lover’s needs and wants! And here’s where we can help you. You can find out for yourself, as did many of the patients that consulted sex doctors, that often, when they make love with their partners, they somehow could not do sufficient penetration to satisfy them. They often found that their lovers, after considerable foreplay and perhaps even the application of contorting love-making techniques, are still not satisfied! Secondly, Sexy Secret # 2 tells us that YOUR OPTIMUM PENILE SIZE WILL MEET YOUR LOVER’S NEEDS. Thus, if after making love with your Valentine, you find that your lover still wants more, then her physical, mental and emotional needs have obviously not been met by your love-making. All your romantic preparations, candlelight dinners, sweet love-talk, smooth love-play and athletic positioning somehow could not push into the limits of your lover’s body and psyche, where she really wants you to be. This brings us to Sexy Secret # 3 – YOUR OPTIMUM PENILE SIZE WILL MEET YOUR OWN NEEDS. In the above bedroom scenario, if you can’t reach deep into your woman’s body and psyche, the reason is that you need to have your own body and psyche ready to meet hers! Now, if your penile size is not at its optimum, then how can you reach the optimum of your woman? Let us help you to reach your optimum penile size! 　 Visit Penile Enlargement Blog For More Advice.