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Prostate brachytherapy (pronounced bray-kee-ther-uh-pee), the implantation of radioactive seeds into the prostate gland, is one of the standard methods of successfully treating prostate cancer. The tiny radioactive seeds are smaller than grains of rice. A prostate seed implant may be the only type of radiation therapy needed by a man with low-risk prostate cancer or it may be prescribed in addition to external beam radiation therapy in men with intermediate- and high- risk prostate cancer. The goal is to eradicate cancer cells while preserving healthy, surrounding tissue, such as the bladder, the urethra (the tube that connects the bladder to the penis), and the rectum. The advantages of prostate seed implants are significant. Fist, the procedure requires only minor surgery, usually causing fewer side effects than other treatments. Also, it is generally a same day, outpatient procedure. Men usually are able to return to work within several days, as long as they feel well enough. In addition, recent reports suggest that the procedure, when performed on properly selected men, is at least as effective as surgery to cure prostate cancer. Radiation exposure to other people is minimal, so restrictions do not apply unless the man is returning to a setting where a young child or pregnant woman is present. Treatment Planning Men undergo a pre-implant ultrasound study to determine where the radioactive seeds (and the needles to implant them) should be placed. A transrectal ultrasound, wherein an ultrasound probe is carefully positioned in the rectum to view the entire prostate, is performed. Images of the prostate are taken and are transferred to a special treatment planning computer, which evaluates the position of the prostate and generates a three-dimensional plan that dictates the precise placement of the seeds. Preparation for the Procedure Most candidates for prostate brachytherapy undergo blood tests, a chest x-ray and an EKG several days prior to the implant, in order to be approved for anesthesia. On the morning of the procedure, men receive an enema to help optimize the quality of the transrectal ultrasound images. In addition, blood thinners are discontinued several days prior to the procedure to help diminish the risk of bleeding. Day of the Procedure Typically, men who are scheduled to undergo seed placement arrive early in the morning. Next, the man is taken to the operating room for the procedure, where he undergoes either general or spinal anesthesia. Then, the radiation oncologist and the urologist work as a team to implant the seeds into the prostate, using transrectal ultrasound to guide the placement. The Implant Process Using the treatment plan and fluoroscopy (real-time x-ray), the radiation oncologist places the seeds within the prostate. The entire procedure usually takes less than one hour. After the seed placement, the urologist performs a cystoscopy (a procedure in which a slender, flexible, fiber optic scope is inserted from the penis into the bladder), to look for and remove any seeds that dislodged in the bladder or the urethra. Within the few next days, a CT scan is obtained to verify the placement of the seeds. Prostate Seed Implants: Recovery Because prostate implants do not involve major surgery, side effects are rarely severe. The most common side effects reported by men after prostate seed implants are: • Urinary frequency (60-70%) • Urinary burning (50%) • Urinary urgency (50%) • Erectile dysfunction (30%) • Blood in the urine (20-30%) • Increased bowel movements and bowel urgency (5%) • Fatigue (20%) • Pelvic pain (20%) • The need for temporary catheter placement (10-15%) • Urinary incontinence (less than 1%) In addition, up to 20 percent of men are found to have seed migration into their lungs. However, no detrimental effects have been reported. Infrequently, men have required trans-urethral resection, the “scraping” of the prostate gland via the penis, to relieve urinary obstruction after the seed placement. Follow-Up Men who undergo prostate brachytherapy report for follow-up visits four weeks after the procedure and every three months thereafter. A PSA blood test and a physical exam are performed to assess the status of the prostate. The good news is that prostate seed implants are usually successful at controlling prostate cancer within the gland. Such local control of disease correlates with rendering men free from prostate cancer. vimax penis enlargement before and after photo penile enlargement surgery penis elargement product pennis enlargement surgery pennis enlargement forum free pennis enlargement tip free exercise tip for pennis enlargement penile enlargement review vimax penis enlargement secret
Impotence falls into two broad categories, impotence caused by a physical condition and that caused by a psychological condition. Sometimes impotence due to a physical condition may be worsened by a psychological component. The treatment of impotence should always include treatment of the underlying cause as well. Impotence may be treated with counseling, drugs, surgery, mechanical aids, or some combination of these. Psychological impotence lends itself best to counseling, though anyone with impotence can benefit from counseling on coping mechanisms and available treatment options. As far as drugs go, some drugs may cause impotence and replacing or removing them from an individual’s treatment plan may take care of the problem. If testosterone deficiency is the cause, replacement therapy can be started. Some drugs such as Viagra and Cialis, can be taken by mouth and act by relaxing smooth muscle in blood vessels, allowing them to carry more blood to the penis. Other drugs that also relax smooth muscle in blood vessels can be injected into the side of the penis with a tiny needle, or inserted into the tip of the male urethra in pellet form using a special applicator. Surgical treatment options for impotence include different types of penile implants, surgery to slow down the flow of blood out of the penis, and surgery to improve the flow of blood into the penis. In some people, the use of a vacuum device or a penile splint may help the penis stay upright. There are several lifestyle changes that may both treat impotence and prevent it. These include quitting smoking, losing weight, being physically active, treating high blood pressure and high cholesterol, and reducing stress. Besides improving sex drive and the ability to enjoy sexual intercourse, such changes can also help improve other underlying medical conditions. cheap pennis enlargement pills does penile enlargment work penis enlagement without pills penis enargement result free penis enlarement technique top penis elargement pills truth about penis enlargement pills penis enlarement patch vimax penis enlargement secret
Your support reckons The medical science has broadly divided the reason contributing to erectile dysfunction into two parts: organic and psychological. The majority of ED patients display organic component but the fact is, in the most common cases of ED caused by organic faults are, to a great extent, influenced by psychological aspects. These psychological aspects could be loss of self-confidence, anxiety, conflict with the partner, depression in the relationship. The same aspects play an important role in psychological erectile dysfunction. The importance of high level of intimacy and love and the wife’s continuous support in treating ED, is undeniable. The foundation As you are the other half of a man suffering from ED, let me ask you…have you ever contemplated on the foundation of your conjugal relationship? Is it a good friendship? Mutual understanding and trust? Just a compromise? A family commitment? Or only sexual attraction? All of the above? Or only one of them? How important is sex in your relationship? Understanding your own self and analyzing what actually you want from your partner is very important for a strong foundation of a marital relationship. The more you are confused, the more are the chances of your being dissatisfied, frustrated and depressed with your life and as severely suffering sexual life. Ignoring this will aggravate the situation, while addressing this, can change things for better. Psychosomatic façade of ED Let me explain the male erectile response to explain the statement above. The male erection is a complex interplay of vascular and neurological actions initiated by the central nervous system that integrates the psychogenic stimuli. The stimuli is source of the urge are desire to have sex, this can be the desire of the person you love, perception etc. Sensory stimuli from the penis are important in continuing this process and help to maintain erection during sexual activity. Men are very sensitive about the support of the partner, be it social, physical and psychological, a slightest hint of disapproval can affect his performance. He may withdraw because of the fear that an unsatisfactory sexual session may ruin your overall relationship. So while undergoing a treatment for ED, the improvement depends upon how supportive and peaceful the relationship is. Let’s talk It’s important to have a clear communication between you two, let each other know what makes you happy, mentally, physically and spiritually. If you do not know what makes your partner happy, one of you may end up with the feeling “I give more than I receive”. This mental dissatisfaction in anyone in the couple affects mental and social relationship within the couple and hence the man may face erectile dysfunction while the woman feels she is no more attractive to her husband. The confidence, that you two know each other, love each other, strengthens the relationship from all the dimensions. The process of knowing each other is like wandering in an unexplored, deep forest. Both of you need to be confident, the confidence will flow from the urge to understand each other and experiencing and embracing your own sexual forte and desires along with your partner’s. Tell your partner what makes you happy sexually and try to understand his fantasies related to sex. This way, you both gain the confidence about each other, that you know what will make the other happy. Love and be loved The prism of love has many colours; empathy, patience, perseverance, compromise that can fight any social, physical and psychological challenges in a relationship. Love is the main spice of life that can take your sexual pleasure to a height where there is no need of Viagra or other temporary measures of fighting ED. You communicate openly and honestly to your partner and let him know that you love him. This understanding will be enough for him to fight all the physical hindrances and he will take you to a never-ending love ride.