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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. manual penis elargement penis enlargement fact penis enlagement review herbal natural penis enlargement enlargement manhattan pnis best penile enlargment surgery buy penis enlarement pills penis enlagement result

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The caves at Trois Freres in France hold some fascinating images. This is a brief discussion around those paintings. What was their significance? Cave paintings hold a powerful fascination. They are one of our most direct ways of touching our ancestors. Those men and women who lived by primitive means would have been more aware of the world around them than we are. The nature of their lives would have caused them to be more in touch with seasons and the patterns of life. Life and death depended upon their knowledge of food supplies and seasonal variations Was this the reason for the cave paintings? Deep into the Trois Freres ( Three Brothers ) Caves in France the visitor can see vague ancient images of figures and animals. One of these figures in particular has attracted international attention. Many believe it to be one of the first depictions of a shaman. When I first saw the images from these caves in France I was stunned by their graphic nature. The pictures of cattle and other beasts that surround the central figure high up on the cave roof are vague now but skilfully drawn. The central figure is about 2 and ½ feet or 70 cm tall. His appearance is strange, part animal part human. On his head are deer's antlers, probably reindeer, his mask has owl eyes below this there appears to be a long beard. His hands are hidden inside lion or bear paws. The back is shaped like that of an animal, is he wearing an animal sin? The tail is that of a fox covering his erect penis. My copy of the Animal Master is at www.mask-and-more-masks.com/The-Shaman-of-Trois-Freres.html Around this figure there are many comments and speculations as to its true nature. It is general accepted that he is a figure in a mask and animal disguise. That he has some spiritual / magical significance to the animals surrounding him makes sense. It is also widely thought that he is a shaman. Below the shaman there is a plethora of animals drawn over the top of each other. Almost like a sketch pad. I know at times I draw in this manner. I try forms and shapes sometimes they flow from the pencil at other times it seems much harder to achieve the effect that I want. As I scribble the page becomes full of overlapping images too busy to cope with. Ideas and notation. A place to be returned to in the future for a captured image to be reworked. But that's me and perhaps many other modern day artists. What of the artist in the dark of those caves? These images created, was it 14,000 years ago, or longer? Who really knows? Can we assume that these artist of the paleolithic period were not of the same mind set as now? Art for us is a process of recording, expression, a reflection of our inner nature and sometimes of the divine. What were these artist expressing or communicating? Lets accept one thing before I continue in this vein. It would seem that some natural talent was used by the artist in these times as the quality of painting and use of line shows to us. Often the figures were enhanced by colour sprayed through a tube, the paint blown from the mouth. Were these artists part of the magical process or were they paid in some way? Did they come from within the tribe or from elsewhere? Was it the Shaman who created the art for his own rituals? Most of these questions are impossible to answer. What is possible is to use the knowledge that we have of tribal peoples and their traditions. The shaman or healer or priest / holy man / woman is a figure still in existence today in some cultures. In fact the shamanic knowledge is being handed on to certain members of Western cultures. Shamanic practices have been well documented by anthropologists over the last 150 years. The shamanic practices through out the world have several features in common. The shaman is a link to the spirit world. By going into a trance the shaman enters the other world and communicates with the spirits of animals or ancestors. These spirit guides help the shaman to resolve problems for individuals or whole groups. The spirit world is divided into three sections Middle Earth where we live The Underworld land of spirits and the dead The Upperworld the place of Gods and Guardians To reach a state of trance the shaman has several methods, dance, meditation and drugs being the main ones. When he enters the other world the shaman seeks his spirit guide to help him resolve his quest. In these early times as in more recent recorded events the shaman would communicate with the spirits of the animals who, would be or had been killed. Keeping a balance to the order of nature was necessary. At times of shortage he would communicate with the spirits to help him bring food to his people. At times of drought he would sing for rain. This still does not answer the question as to why these pictures are there hidden deep in a dark cave away from prying eyes. As the shaman enters trance he begins the journey into the underworld the cave could well represent that journey. The pictures on the walls are the images seen on the journey. This could simply be a way of recording a spirit journey. A way to hold the images. It could even be used as a teaching device for new initiates. Perhaps this is why there so many overlapping animals. Can you imagine the impact of such paintings on the uninitiated visiting the cave. In the dim light the images would have been clearer and brighter than today. The shaman could well have been dressed as the picture. The drum would be beating. Incense could well be burning. Certainly a great setting in which to induce hallucinatory experiences, or if you prefer, induce the beginning of a journey into the spirit world. There are many other depictions of what have been called Animal Masters in caves around Europe and Asia. They link with the antlered and horned figures of Nordic mythology and Pan in Greek mythology. Whatever the true explaination is you can allow your imagination to run over the possibilities and no doubt add to my speculation. Biblography Van James Spirit and Art: Paleo-shamanic Iconography See www.theosophical.org/questmagazine/janfeb04/james George Frazer The golden Bough Nevill Drury The Shaman and The Magician Michael Harner The Way of the Shaman ©Ian Bracegirdle 2005 http://www.mask-and-more-masks.com You may use this article freely on condition that you include this copyright line and URL and that people who subsequently use this article follow the same conditions. 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If you notice any changes in your dog's normal urinary function then you must get him to the vet as soon as possible to be investigated. Your dog's kidneys are responsible for filtering the blood, while retaining useful chemicals, and ridding your the body of harmful and toxic chemicals. Waste material is then passed down the ureters to the bladder where it is stored. When the dog's bladder is full, the dog passes the urine through the urethra and out of the body. If your dog is straining to urinate then this may caused by any number of multiple issues. It may be caused by infection, mineral sediment in the urine, or bladder stones that may be lodged in your dog's urethra. Not only are urinary disorders life threatening to your dog, they are also very painful. If there is increased amount of urination or even decreased trips to the bathroom then your dog may also have a metabolic illness such as diabetes. Urination Strain Infections of your dog's bladder and urethra may cause inflammation and an increased need to urinate, even when the bladder is empty. Male dogs may experience the same need when the prostate gland is either enlarged or infected, or the penis inflamed. The urine is sometimes clouded and will have slight discoloration from blood. Vaginal infections can cause females to strain in the same much the same fashion. Urination straining is more serious and much more painful if the cause is due to stones. Stones originate from the buildup of minerals from the bladder. Male dogs have a very narrow urethra, and these stones sometimes get stuck inside, causing severe pain and straining when urinating. What to do: It is imperative that you get your dog to the vet as soon as possible. If the straining is so bad that he cannot urinate, then his life could literally be cut short within a few days of not being able to urinate. It is recommended that you get a urine sample to the vet. If the problem is a result of a urinary infection, then antibiotics will be prescribed as well as urinary acidifiers. For severe blockage, the vet may use a urinary catheter in order to relieve pressure and pain. X-rays will be used to determine if bladder stones exist, and if there are indeed stones inside, then you will be notified to make a heavy change in your dog's diet to prevent them from forming again in the future. penis enlargement pic penis enlargement pills product best enlargement exercise penile vimax penis enlargement excercises plus review vigrx do penis enlargement pills work manual penis elargement penis enlagement forum penis elargement result

Is this an all too familiar scenario? Hot and heavy loving with hungry kisses and tender caresses that promise orgasmic bliss for both you and your eager partner when all of a sudden you're one thrust past the edge, the dam bursts and it's over. You're finished, "spent" and ready for sleep. She's still waiting for more, perhaps wistfully contemplating a purchase of that acrylic vibrating dildo her friend has been raving about. Well, you're not alone in this too-quick-for-her-climax intercourse. The "average" man makes about 50 thrusts before he ejaculates. For most women it takes approximately 10 minutes of active intercourse to reach orgasm. Even the most optimistic lover can see these numbers just don't add up! But don't roll over and nod off yet, there are some simple things you can do to bring your partner and you much closer together. These male/female discrepancies in timing are part physiological and part habit. Physically men's and women's arousal rates vary widely, but for the most part women become fully turned on much more slowly than men. So a great way to make sure you're both happy with your love life is to include lots of foreplay. Help her reach orgasm with your fingers, tongue, and lips before you even start to have intercourse. Secondly, most men's experience with sex starts out as rather furtive masturbation, a quick release in the bathroom or under the bedcovers before someone can see what's going on. Then onto early sexual experiences with a girlfriend in back seats of cars or in a basement rec room, again in a hurry, before she changes her mind or her parents come along to change it for her. Now when you have the time and space for long lovemaking good old John Thomas is still back in the "I've gotta come now" days, and he's not going to slow down just because you tell him to. That's like asking a guy who's trained as a sprint champ to bring home a gold in the 5000 meter instead. He may well be able to make the shift but he's going to need coaching. You can train him with your mind, your muscles and your breath or a combination of all three. It's not entirely up to you either, your loving partner can assist, after all it's for her benefit as well! The first step is to become aware of your own levels of arousal. Experiment, take your time and give yourself a very real self-loving exploration, not just a quick masturbatory release. Notice how your penis moves through distinct changes before orgasm and ejaculation, he's not just soft and then hard and spewing. There are four defined stages of erection: lengthening and filling; swelling; full erection; rigid erection. The fourth stage, rigid erection, characterized by a penis that's very stiff (a boner) and very hot, signifies ejaculation is close at hand. Through attentive self-arousal and the playful hands of your sweetheart you can learn how to stay for longer periods of time in the exciting, but less explosive, third stage of firm erection. When you feel yourself moving into the hard, hot level stop stimulation, relax and pay attention to your breathing. Breathe slowly and deeply. The Power of Breath Conscious breathing is a key for extended lovemaking. Rapid breathing excites and arouses you. Slow, controlled breathing, way down into your belly, calms you and helps delay ejaculation. Focusing on your breath takes your attention away from your genitals. Synchronizing your breathing rhythm with your partner's strengthens your connection with each other. Adding sound to your breathing can also help you ride the edge of pleasure. As you exhale send out a deep lion roar. Feel the sound come from your scrotum, up through your belly and lungs and out your mouth as a powerful release of the orgasmic tension building inside you. You can use some of the following "muscle techniques" to postpone ejaculation as well. PC (pubococcygeous) Muscle Contraction This is simply squeezing your pelvic floor muscles, around the scrotum, penis and anus as you feel ejaculation approaching. An easy way to practice this is to interrupt your urine stream when you are going to the bathroom. Perineum Pressure Pressing on the perineum, a spot midway between your scrotum and your anus, will help to stop ejaculation because this spot reaches through to the prostate gland. It is the prostate that contracts and expands during orgasm and then expels the ejaculation fluid. Ask your partner to apply this loving pressure for you. Testes Tug When a man nears orgasm his scrotum rises up closer to his body. You can delay ejaculation by gently pulling your testes down and away from your body. Your partner can also do this for you. Penis Tip Squeeze Squeezing your penis just below the head or glans can help to stop oncoming ejaculation. It necessitates withdrawing completely from your partner during intercourse, but is an excellent way to begin practice on your own with masturbation. Passion Pump This technique, which combines squeezing the PC muscles, rolling your eyes upward, touching your tongue to the roof of your mouth, and visualizing your sexual energy flowing up through your body while you practice controlled deep breathing is one of the most effective ways of delaying ejaculation. It's a Taoist sexual kung fu technique that has the added benefit of helping you circulate your sexual energy through your body rather than having it remain hot and heavy in your genital region. Special Tip It is easier to delay ejaculation by focusing on moving your sex energy through your body rather than focusing on not ejaculating. Stopping movement, relaxing a little and breathing deeply and slowly will all aid with this practice. The Importance of the Prostate Gland When you practice delaying ejaculation it is very important to massage the prostate gland, so that it doesn't become sore. You can do this by pressing on the perineum. The prostate can be felt as a bumpy walnut shape beneath your fingers. Especially delightful is massaging in circular motions, first clockwise and then counterclockwise, with a piece of folded silk on the perineum spot. Thrusting Technique A superb thrusting technique that brings great pleasure to a woman and helps a man to last is a combination of deep and shallow thrusts. By shallow thrusts we mean your penis only enters 11/2 to 2 inches inside your partner. These first couple of inches are the most sensitive part of a woman's vagina. Deep thrusts mean your penis enters as fully as you can. In this technique you combine a series of nine fairly quick shallow thrusts with one slow deep one. The shallow thrusts stimulate your partner's most sensitive vaginal tissues and at the same time create a vacuum effect that makes her ache for the deep thrust to come. And because most of your thrusts are shallow ones, exciting only the first few inches of your penis, you're able to rock on for much longer! Mind over Muscle Practicing squeezing your PC muscles will enable you to gradually become so familiar with your genitals, that you will be able to discern each separate muscle group and contract/relax them at will. At first you will tighten your genitals and everything will contract at once. Later you will be able to contract your anal muscles without moving your penis or scrotum, or pull up your scrotum while your anus and penis remain relaxed, or bob your penis up and down while nothing else moves. Eventually just a thought will relax everything, especially your smooth genital muscles, sending your hot sexual energy shooting through your body, not out the end of your penis, but instead into your partner through eye contact, intercourse, or touching. Smooth muscles are internal muscles over which you normally have no conscious control. You may not have been aware that you have smooth muscles. They're muscles like your heart muscle, the muscles that push your food through your digestive tract and the muscles that push the sperm and semen out the end of your penis. Becoming aware of your smooth muscles and eventually gaining enough mastery to be able to consciously keep them relaxed will enable blood to flow into the penis, maintaining an erection almost indefinitely - certainly long enough to satisfy the most demanding partner, through and through. Gaining control over the smooth muscles in your genitals is the key to maintaining your peak sexual arousal for long periods of time -- even long enough to experience whole body orgasms, rather than simply genital orgasms. In a whole body orgasm your entire body becomes an exquisite erogenous zone, much like your genitals always are. You can actually reach orgasm when your lover is rubbing your chest, or sucking on your toes and fingers, or nibbling your ears and throat. The magical key to opening the doorway into multiple whole body orgasms is relaxation of your smooth muscles, no matter how aroused, excited, or turned on you are. Train your mind to think of something other than ejaculation. Thinking "I don't want to ejaculate" is still thinking about ejaculation. You must have something else to focus your attention. We don't recommend reciting sports stats or in any way diverting your attention from lovemaking. It is essential that you be fully present from moment to moment. But instead of thinking about ejaculation, or worrying about ejaculating too quickly, we suggest you think about pleasing your partner. Learn to take pleasure for yourself in the pleasing of your partner. Notice how she reacts when your tongue is exploring around her clitoris, but also notice how her clitoris feels on your tongue. Notice how she enjoys when you suck on her nipples, but also notice how her breasts feel pressed against your face. Notice how she moans when you gently run your fingers up the inside of her thighs, but also notice how her skin feels so soft and warm against your fingers. With your attention fully engaged in this way - on your partner, your breath, your genital muscles -- you are going to last a long time. As your lovemaking goes on, and on, and on... perhaps for hours, the energy within you and between you and your lover will accumulate to such an intense level that you may spontaneously experience the opening of your higher "spiritual" centres. With this opening comes an experience of ecstasy, bliss, joy, and wonder. This is where mastery of ejaculation can lead you and your satisfied partner. does pnis enlargement work penis enhancement information penis enhancement video best penis enargement surgery natural penis enlargment and lengthening buy penis enlarement pills enlargement penis pills vimax real pnis enlargement penis elargement result

Nearly every person feels at least a little bit insecure about certain aspects of himself or herself; it could be looks, height, skin color, and many other things. For many men, their penis size is one thing they wish they could change. There are theories about how this feeling of discontent probably started when they began comparing what they had with what other boys in the locker room had. Maybe some men blame an unsatisfactory sex life on what they think is an inadequate penis. Whatever the reason, many men believe that they fall short of the normal penis size and this affects how they think and feel about themselves in a lot of ways. The prevalent mindset is that bigger is better, and many women feel this way about their bodies, too. How many women have had breast implants done on them because they feel they will look more womanly and more attractive? For men, the perception is that the size of the penis is an indicator of masculinity -- if it’s bigger, he is more macho and someone who should command more respect. It doesn’t help that well-endowed men in porn movies are portrayed as having normal penis size. Also, no matter how much women deny that penis size is unimportant in lovemaking, men will still believe that they will be better lovers if they have big dicks. That’s why it is very important for men to know and understand the facts about normal penis size and to accept the fact that they are indeed normal. According to studies such as the Kinsey report, normal penis size in its flaccid state ranges from 2.5 to 4.5 inches and four to eight inches in the erect state. Interestingly, some penises grow to be much larger when erect, while others barely increase in size. Evidently, how big or small a flaccid penis is does not indicate how large it will be during erection. Another interesting factor that might influence how men see their penises is the viewing angle or perspective. Looking down at it might make it seem smaller than it actually is. That’s why when you compare the size of your dick with those of the other guys in the locker room, yours will usually seem to come up shorter. Insecurity about penis size is also prevalent among teenagers. This is understandable since a lot of adolescents feel the need to be looked up to or at least stand out. Getting laughed at for having a small dick during high school can be a humiliating experience. However, it is worth remembering that the body is still growing at that stage. Some men may reach normal penis size at an earlier age, while others are late bloomers and may attain their maximum growth at a later period. The average man usually has a normal penis size. However, wanting to look and feel better is not at all unusual. If you’re a man who wants to increase your penis size, there are several ways you can go about it. You can try various penis enlargement products that are out on the market, such as penis pumps, traction devices, penis enlargement surgery or phalloplasty, and dietary supplements. It would be wise to seek the advice of experts before you go for any major procedures. For some men, getting psychosexual advice from a psychologist or psychiatrist has helped resolve negative feelings about themselves. Wanting to look good and feel great is entirely normal, but obsessing over it is not. Accepting what nature endowed you with and knowing how to use it is key to self-acceptance -– you may be “normal,” but you are then in no way just “average.”