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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. penis enlagement technique truth about penis enlarement pills elargement forum free matter penis size real penis elargement does magna rx work enlargement manhattan pennis surgeon free pnis enlargement tip do pnis enlargement pills really work plastic surgery penis elargement

Chapter Seven Lilli Ann [Work and Play and Colleen] Many things were starting to happen after the tournament was over. It seemed my life had stopped for a moment in time. I had been working five to six days a week, mostly five. Met a guy, my age called Dan, at the karate studio one evening, he was just watching, and we got talking, and I helped him get a job at Lilli Ann. He was assigned to Mr. Green and would eventually be reassigned down stairs in the packing department. I was assigned in another department, which was one floor lower than his. He started falling in love with a Spanish gal, and wanted me to help him out by asking her why she was so down right rude to him. And so I did, it must have worked because they started dating, thereafter. Well Dan’s brother came into town, he was eighteen-years old, and again Dan and I were both twenty-one. The landlord would not allow two people in their apartment so I talked to my landlady and they ended up renting out the big room. I liked them both, but Dan was a little more level headed. His brother smoked pot night and day, Dan occasionally. About this time my mother said she was coming down to visit me after Christmas, which was not too far off. And so many things were happening. And as the weeks passed by I would often go downtown San Francisco after work and go to the double feature movies, they were older ones but very cheep, .75 cents during the day, before 6:00 PM, and afterwards walk around. I can remember a few times walking down a side street by a little café and Hell’s Angels were hanging out there. One time one of the Hell’s Angels, gave me a strange look but paid me little heed, and went back playing some kind of game. I had to walk around all the motorcycles for they hand them parked in the street, on the sidewalk, and every which way… and them seeing me trying to dodge the bikes to get around them, probably gave them a little groan, one that might have meant, ‘…don’t tip them over sunny.’ And I didn’t bump any. At work a few of the Spanish gals up in Mr. Green’s area were eyeballing me up, but I found out they were married and so I paid little attention to them afterwards. And a few Japanese girls, older women talked to me often, but I never got to dating any of them. Then one evening, after work, Colleen with her sparkling white Catholic seen me waiting for a ride by a street car stand, and asked where I was going, I said down by mission street, and offered to give me a ride. She was around thirty-three years old, whit a healthy looking body, and was hunting I presume—that is, looking for something. Colleen As she drove down Mission Street, she knew exactly where Lilli Ann was, I guess many people did, it was very famous for women’s exclusive clothing, they had dresses in Harpers Bazaar, some famous magazine, and advertised in London, Paris, New York, and here in San Francisco. I closed the window a bit in the car, the air was cool this morning, I told her, but I shouldn’t complain, it was nothing like Minnesota; for weather in December at 57 degrees is like heaven sent; I had heard them say on the radio, that it was going to get to 66 degrees before the end of the day. Not bad, in Minnesota we’d have about forty inches of snow by now, and most likely it would be about three to five below zero. January was the coldest month, in Minnesota usually, reaching many times ten degrees below zero or lower, and February had all the snow it seemed, sometimes twenty inches in one month; sometimes sixteen inches in one day. Some years we had ninety inches of snow. I was inclined to ask her for a date, even though she looked much older than I, but she said first, as I opened the door to get out, “Do you drink wine?” “Occasionally,” I said, for I used to drink some back home, but it was that cheep Ripple crap or Thunderbird, rotten gut stuff. But I didn’t want to tell her that. “The dry wine is even better than the sweet if you have the right bottle, and it’s aged some…” she added as I stood up next to the car, “I’ll pick you up after work, say 4:30 PM, does that sound good?” What could I say, the Cadillac girl was leading, and I had nothing better to do. I hadn’t gone to karate practice going on three weeks now. I think Yamaguchi was a little disappointed in me, surely not his black belt bunch though. “Ok,” I said as I started to turn around and walk inside of the three story building. Things were always happening so fast these days I hardly ever questioned anything. Dan had me meet a friend a week ago, some guy who was selling dope, pot or whatever, we talked and he offered me a job at twice the amount I was making, but I turned him down, I didn’t want to be his or any bodies body guard, end up dead with some heroin stuck in my ass, or down my throat. This was safer, work here at $.1.75 per hour, and just enjoy life; live longer. It was funny, when I stopped to talk to a young man, my age who wanted a quarter, and back in those far off days, they were all over San Francisco, --at any rate, I told him to go get a job, and he asked how much I made in a week, I said $70-dollars, and he laughed, saying: “I make more than that in a day, $75.” Oh well, I guess I still have values. I just couldn’t sit down on the street corner and beg; it wasn’t even a thought. Or should I say, it never occurred to me. ٭ The day went fast, Dan was flirting with his new Spanish girlfriend, who worked in the office at Lilli Ann; I think she was happy I set them up, but I was a little jealous now, I guess I would have like to date her, but I was always drinking, going to movies, and before karate, running around town. No real time I suppose. I think she was wondering why I didn’t smile as much as I did before when I met her halfway going up and down the stairs a few times a day. But I tried. My mother wrote and said he’d be in town now in January. Not too far off. It was 4:35 PM, I just slammed the heavy door behind me to Lilli Ann, and there on the street was that white Catholic, and Dan was not too far behind me, he’s seeing me go to the car, I told myself, not looking in back of me, I’ll hear about it tomorrow. “See yaw later Chick,” Dan said, I think it was to get Colleen’s attention; I turned around and smiled a bit and shook my head. “I did show up, didn’t I, I bet you thought I wouldn’t?” Said Colleen. “Not sure what I thought,” I admitted, and I seem to put on a dumb look. “I always like wine in the fall, --woops, soon to be winter in a week or two.” “Always --” I said-, opening up her car door, and getting in. “Always my new friend, now let’s go to the Bay and look at the Golden Gate.” I nodded my head yes, for I even liked walking along the bank and dock area, by the railroad tracks also. As we got to a certain spot, evening was starting to set in, the once white clouds were turning light-gray, and I opened up the window a little. I loved to grab the moment, absorb what was happening. San Francisco was so very much different than my conservative St. Paul, and it seemed like I was starting to own it a little. There in front of me was the beautiful Golden Gate Bridge, I would never forget it. I had walked across it, seen it a dozen times, and I just never got tired of it; but one thing, I only walked across it once, it is far…longer than one imagines. It was a settling evening. The cars with their horns, the people at work, I was starting to calm down. The night was creeping in. On one hand I was hoping it would never end, and on the other hand, it was a fast pace city for me, it could slow down a bit. “Are you thirsty Chick,” said Colleen. “Oh yes, very much…” I took the bottle from her and drank right out of the top. She pulled out two glasses, then hesitated, and put them back in her back seat saying, “We really don’t need them I see.” I guess I might have seemed a little uncouth, but it was me. For awhile we talked about the earth quake everyone was talking about; how the evangelist’s were saying San Francisco was going to be sunk to the bottom of the ocean. Many people were taking long vacations to get out of town. It was supposed to be on a certain week end coming up (or within the month of January). They talked about it at the bar, at Lilli Ann, every where. She smile, said, “Of course,” as she took a drink. I think she was thinking about her youth; --for whom at twenty-one runs around looking for a glass when you got a bottle. We sat just drinking, and looking at the Bay and the bridge, silent for awhile, some people don’t like too long of a period of silence, but it can be golden, --she lit a cigarette, and so did I, and we took turns drinking. She told a few dirty jokes, and I pretended to think they were funny, and when she laughed I laughed, not because they were funny, but because she was. She commented, “You’ll have to let me know when they have the fabric sales down at Lilli Ann, I want to buy as much as I can.” I didn’t quite understand what she was talking about then, but I did find out later on that they had sales about every four months, and employees could buy fabrics not usable. I would however purchase some for her, during our short time romance. “Let’s go eat,” she commented. “Where…” I said. “I’ll pick up something at a store or restaurant.” “That’s perfect,” I replied, as I put the cork back into the bottle, there was not much left to the wine. Colleen stopped in front of a fancy restaurant, --went inside and ordered some burgers made up for us. “Dolores Street right,” she asked, and I gave her the address, “They’ll taste better relaxing at your apartment.” She said. I explained she was welcome but I only had a small room, and my friend, whom was Dan, she remembered the person who had said, “By Chick”, lived in the other room next to me, --I explained we shared bathrooms. “So she rents out rooms,” she commented. “Yaw, why, you need one?” “Not quite yet, but could be soon, or in a month or so,” she ended her replied with. As she stopped in front of the mansion I lived in, my hunger had changed from food to lust, or so it seemed, the burgers did not seem at all appealing; none the less, we went directly to my room. As we entered the room she looked about, “Quite cute, and yes, you were not kidding, it is small, but cozy, enough for a single man. I had a little dresser by the side of the bed where I kept an ashtray, and a light, along with a little radio. A closet in along side of the bed, a little to the right of the doorway you might say, a window behind me overlooking my bed, and the door to the bathroom on the right also, of the bed; --if I was laying on my back I’d be looking at the doorway in front of me She put the burgers on the small table, took a last drink of the wine, gave it to me, there was one swallow left, I drank it, as she undressed, then she jumped under the covers. She had big breasts and a semi tight body for her age. She was not thin, nor fat, quite healthy looking. I got a hard-on immediately, and like a dog in heat, we pulled our lust together and she grabbed my item and directed it to her warmth. We made love for about 45-minutes, and I fell to my side a bit, rested, and pulled her over to me again, and stuck my penis back into her private area. She was very warm inside, and my body shook as I climaxed. “We should get some sleep Chick,” she said with a chuckle. It seemed she found what she wanted, but I felt a little out classed for some reason. She had a degree I had found out while sitting by the Bay over looking the Golden Gate and she worked as a legal assistant. I couldn’t sleep, so I looked at some of the roof tops of the houses out my window; San Francisco was very complicated for me, all its old and new mixed into a whole, and Colleen laying next to me. But I told myself to go to sleep, tomorrow was another day. As I rolled my body back under the covers, I could not hear anymore car horns, the radio was quiet, Dan and his brother must have fallen asleep, and his girlfriend gone home. The wind was making a bit of noise on the window sill, but that was tranquilizing, if anything. Chapter Eight The Christmas Party Well, Dan was dating the Spanish lady, and Colleen was coming over picking me up on regular bases now. She even got to know the Colonel a little, and Dan and his brother Jack. I think she was eyeing up the little bedroom by Dan’s big room. In-between our dating that is. During this period in San Francisco I was working, and I wasn’t seeing Goesi much, going to the movies as I usually did, and we had a Christmas party coming up in a few days. Mom had written and I expected her to be flying into San Francisco, in two weeks. From here she’d stay a week then fly down to see my brother in Montclair, Southern California. The weather got a little colder also, but why argue it was still in the 50’s during the day, and low 40’s at night. Some rain but not much. I now was running the dogs for the Colonel; I had a hell of a time taking the “Beast,” out. I called him that because he was up to my waste when on all fours, and had teeth almost like a saber tiger; he looked more like a wolf than a dog. He ran like a horse, and I had a choke chain on him; --thank god I could run with him, I think he liked that. And people jumped every which way when they seen us coming: --and a few times he got away from me whereas the panicked started all around me, people jumping far away from the on coming beast, I didn’t blame them. The Confrontation I knew when I left San Francisco, I’d miss the dogs. Matter-of-fact, one night a neighbor came over and was hollering at the Colonel, and threatened her about the dogs, I was in the hallway upstairs listening, had a few beers in me, I came down slowly, and she told the guy to go because I was the one running the dogs, which the guy noticed, and that with my karate, and temper it might not work out too good if he sticks around;” adding, she said, “I think he heard you hollering at me.” “So what, let him come…” and then out of the blue I was five feet from him on the outside stairway, he was two steps down, and the Colonel was against the beam of the door way. “You better take care of them dogs and shut them up before…” “Before I kick you ass, that that…” I leaped toward the man with my hands in the air as to block the man if he thrust the knife at me, and landed on the second to last step, about two feet in front of him, and in a circular motion, threw several blocks to off set his focus, he jumped back, pulled out a two inch knife, he was terrified. “You better not come closer,” he said. I started laughing. “And you mister, better shut your mouth, go home and never, I mean never come around here again, and if I find out you’ve cause any trouble for my landlady, I’ll find you and stick that knife up your ass…….get out of her NOW!!” He moved as fast as he could. Yes, I had my wild moments, as most people have. Said the Colonel, “I hope he doesn’t cause trouble for me, but I sure liked the way you handled him,” and she had a smile half a mile wide. cheap pennis enlargement pills penis enlargment excersizes vigrx penis enlargement pill penis enlarement before and after penis enlargement surgeries free exercise tip for pnis enlargement natural penis enlargment and lengthening safe penis enlargement plastic surgery penis elargement

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Women and Orgasm At least 70% of women don’t reach an orgasmic climax through intercourse alone, so remember to pay lots of loving attention to her most sensitive genital spot - the clitoris. Female Ejaculation During stimulation of the ‘G-spot’, a small area on the upper inside of the vaginal wall about 1 ½ to 2 inches back from the vaginal opening, some women ejaculate through the urethra. One to two ounces of clear, odourless fluid are expelled in a glorious gush. Baby Making At birth a woman’s ovaries contain up to 2 million immature eggs. After the onset of menstruation 1 egg matures every month and is released into the vagina just waiting for those millions of sperm to come fertilize it! Sperm can survive in the vagina for 3 to 5 days. Anal sex and pregnancy Because sperm can’t travel internally from the rectum to the vagina, technically it’s not possible to become pregnant through anal sex. But beware, after intercourse semen can leak from the anus and drip down to the vagina resulting in ‘splash’ conception. Of those who use anal sex for birth control, every year 8% end up pregnant! Bodacious Breasts Small, large, round, pointy, no matter what their shape, men just seem to love women’s breasts. Mammaries are as diverse as the women they sit so prettily on, but here’s some general guidelines: • It’s perfectly normal for a woman to have breasts that are different sizes, just as her hands and feet differ slightly in size. • When a woman is aroused her breasts swell by up to 25% and her nipples may become very hard. • Many women have hair around their nipples. • About 10 percent of women have inverted nipples. • Breasts are mostly fatty tissue which isn’t very sensitive to caresses and kisses. However, because the nipple itself and the area surrounding it (the areola) are full of nerve endings they’re very sensitive to touch. • Men also have many sensitive nerve endings in their nipples and can become very excited by nipple kisses, sucks and twirls. “Doing It” How Often? According to surveys by condom company Durex, the worldwide average for making love is 106 times per year. Canadians fit right in with the ‘norm’, hitting the sheets at an annual rate of 105 times or about twice a week. That puts us behind the French - 141, Americans - 138, Russians - 131, Australians, Brits and Germans - all at 112, and the South Africans and Poles - 109. But ahead of Mexico - 102, Italy - 92, Spain - 82, Thailand - 80 and Hong Kong - 57. Every day lovemaking occurs about 120 million times around the world, resulting in 910,000 pregnancies. Saturday night is the favourite time for Canadians to have sex and most North Americans do it at 10:34 pm. How Long? What Canadians lack in frequency we make up in stamina. With an average lovemaking time of 22.7 minutes we place second behind the Americans who carry on for 28.1 minutes. Of that time thrusting intercourse lasts between 6 to 10 minutes.For most Canadian couples foreplay lasts an average of 12 minutes All By Yourself 95% of men masturbate, compared to 70% of women. First Time Sex When? Young Canadians start having sex slightly earlier than most. While the global average at which sexually active 16-21 year olds first had sex is 15.9 years, Canadians jumped in at an even 15 years. First Time Satisfaction While we might be starting younger we may be enjoying it less. 37% of young Canadians indicate that first time sex was more disappointing than they expected while only 19% indicated it was much better than they’d hoped. First Time Protection 74% of young Canadian lovers used some form of contraception the first time they had sex. While 58% used condoms and 16% used other methods a much too large 26% didn’t use any type of protection! Was it Good for You? On the whole young Canadians are fairly generous lovers, with 64% of women and 65% of men putting their partner’s sexual satisfaction before their own. Sexual Fears Not surprisingly the top two fears related to sexual activity for young Canadians are fear of unwanted pregnancy - 21% and fear of contracting HIV or other STDs - 44%. But despite these concerns more than one third say that fear of HIV has not changed their sex life. Sexual Problems Sexual Dysfunction More than 40 percent of women and 30 percent of men suffer from some type of sexual difficulty such as no interest in sex, inability to achieve orgasm, painful intercourse, or premature ejaculation. Premature Ejaculation About 25% of men come before they want to, or before their partners want them to. For men under 40 premature ejaculation is the most common sexual problem. The good news is that by strengthening their genital muscles with Kegel exercises and by practicing building up to a climax through masturbation and then stopping to rest and building up again and stopping to rest and building up again and so on… most men can learn to last much longer!