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A Radical Prostatectomy is a major operation which entails the removal of the prostate gland, a section of urethra which runs through the prostate, the seminal vesicles, and tying-off the vas deferens, along, generally with a margin of other tissue surrounding the gland. The bladder has to be 'purse-stringed' back down in order to reattach the urethra, and an 'anastomosis' is created at that point. The surgery generally destroys one of the sphincter muscles which control urinary retention, and incontinence is a common side effect, along with the impotence created by the removal of the erectile nerves, and possible injury to any remaining nerves, as well as penile arteries and other musculature. It takes a fairly long recovery period before any normalcies return. Because the prostate is what produces the semen, losing ejaculatory capabilities is a given for this surgery, and possibly the TransUrethral Resection of the Prostate (TURP), or TransUrethral Needle Ablation of the Prostate (TUNA) procedures as well. Those are done by going in throught the end of the penis, and are far less impacting, and much more minor procedures than the radical operation. The general understanding is that the term "radical" is employed when cancer is present. In rare cases, open prostatectomy is conducted for BPH, the benign enlargement of the prostate that interferes with urnination. It is my understanding that open proastatectomy for BPH is only done when the prostate has grown to an abnormally large size and TURP would be dangerous. penis enlargement information penis enargement pic before and after penis enlarement surgery manual penile enlargement exercise truth about pennis enlargement pills truth about penis enlagement herbal penis enargement pills compare pnis enlargement pills

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Every man considers male libido or male sexual desire to be an important thing. Male sexual desire changes from one person to another and in most cases it changes in one individual according to the circumstances. A man’s mental well-being depends directly on his sexual libido. When a man is having difficulty with sexual libido, he feels depressed and afraid of rejection. A man measures his masculinity by his libido. It is seen that today many people are suffering from low male libido. Low male libido can have different reasons, both emotional and physical. Some of the emotional reasons that result in low male libido include depression, lack of self-esteem, or boredom. While the physical reasons which result in the decrease of male libido include – physical stress, aging (testosterone levels reduce at about 2% every year after age 30), too much use of certain drugs, such as certain prescription medications and alcohol. Low male libido can also be caused due to chronic illnesses such as cardiovascular disease, diabetes, neurological disease or any problem that affect blood flow to the penis. Some of the natural supplements, which help to increase potency and libido, include vitamin E, zinc, vitamin C, arginine, vitamin E, zinc, vitamin A, vitamin C, flax seed oil, octacosanol, Beta-carotene, vitamin B6, and vitamin B complex. All these nutrients are important to boost the sperm count, improve sperm motility, enhance prostate gland function, increase male hormone production by the body or create a healthier nervous system. These days many companies are offering products that are designed to increase male libido. However, many of these libido enhancers have little to no scientific efficacy and are of substandard quality. Hence it is highly recommended to choose a male libido enhancer formulated by a scientist with impeccable credentials. Many people also take testosterone therapy as a treatment for decreased libido. Testosterone therapy helps to improve testosterone levels and restore one’s sex drive. prosolution penis enlargment pills vimax pillss inch free pnis enlargement exercise penile enlargement system manual penis elargement exercise free penis enlargment pills medical penis enlagement pennis enlargement operation pennis enlargement supplement

Human herpes virus is of eight types of which the two types are Herpes simplex virus 1 (HHV 1) & Herpes simplex virus 2 (HHV 2) Herpes labialis or cold sores involving the lips, and gingivostomatitis or the inflammation of the gums and oral cavity, oropharyngeal, cutaneous, and ocular lesions in the form of keratoconjunctivitis are produced by the (HSV-1) while (HSV-2) is known to cause genital herpes. Herpes simplex virus (HSV) in Males and Females. In males, balanoposthitis or inflammation of the glans penis is common whereas in females, vulvovaginitis is seen. However, each of viral types is capable of producing any of the manifestations. Effects of Herpes Simplex Virus 1 (HSV 1). HSV-1 mostly remains dormant within the trigeminal ganglion and has an affinity for the mucocutaneous junctions. Any drop in the immunity of the individual leads to recurrent herpes labialis. The eyes may get infected in the form of herpetic keratoconjunctivitis and the nailbed can get affected as herpetic whitlow. Effects of Herpes Simplex Virus 2 (HSV 2) The HSV-2 herpes virus is more virulent and tends to remain dormant in the sacral ganglia. It can also produce aseptic meningitis and neuralgias along the genitocrural, sciatic and obturator nerves due to radiculomyelopathy. The pain radiates from the hip downwards and forwards to the upper thighs and groins. In very severe cases and in immunocompromised individuals, the infection can produce encephalitis or hepatitis and eventually the patient can succumb to these pathologies. Other Effects of Herpes Simplex Virus This virus has been linked to cervical cancers too. In people indulging in anal sex, the anorectal region is also involved. The virus can be transmitted to the infant during delivery if the mother is having outbreaks at that time. Hence, in such cases, the caesarian section is usually adopted to prevent the spread of the infection from the mother to her baby. Herpes genital (HG) is a very common cause of genital ulceration. The vesicles [fluid filled eruptions] are inside the epidermis of the skin. Reticular degeneration of the epidermal cells with acantholysis can be seen on histopathological examination. The herpes viruses are known to produce cellular changes that cause infiltration of typical multinucleate giant cells within the lesions. Signs and symptoms of herpes simplex virus Primary genital herpes (PGH) The first attack of herpes genitalis is pretty violent, following which the virus remains dormant within the neuronal cells of the dorsal root ganglion and then gives rise to recurrent lesions but milder in intensity as compared to the primary attack. Primary genital herpes or PGH infection may have an incubation period of upto a fortnight after exposure to the virus through unprotected sexual intercourse with an infected partner. The manifestations are usually symptoms such as painful, itching, or burning vesicular i.e. fluid filled eruptions which may coalesce and then break open to form circumscribed ulcers. There may be concomitant fever with headache, malaise, lymphadenopathy, and dysuria. Remisssion takes place within a month and the lesions subside. Recurrent genital herpes (RGH) In the case of Recurrent genital herpes or RGH, constitutional signs and symptoms are seldom seen and the intensity and duration of progress is lesser than the primary attack. The vesicular eruptions are usually preceded by burning or tingling in the affected areas; however, the area involved is again lesser as compared to the primary lesions. On an average, a person can have outbreaks almost every two months but the remission time is about a week. The factors that tend to trigger the relapses are found to be stress, exertion, heat, hormonal fluctuations, other infections which tend to drop the immunity, etc. In our next article we are going to throw some light on the remedies and treatment of Herpes Simplex Virus. herbal penile enlargment pills penis enlarement fact medical penile enlargement best enhancement exercise penis penile enlargement pic penis enhancement system pnis enlargement herb vimax permanent penis enlargement pennis enlargement supplement

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 natural penis enargement technique penis enlargement excersizes vimax best penis enlargement pnis enlargement review penis enhancement surgeries vimax penis enlargement vigrx results penile enlargment pills pennis enlargement supplement

Serenoa repens known as saw palmetto has become enormous popular in the United States and it is the fifth top-selling herbal medicine on the market, according to a survey by Whole Foods magazine. In Europe, medical doctors for years have prescribed Saw Palmetto and other phytomedicines to treat mild to moderate cases of BPH. Today in Germany alone, the sale of BPH products total 90 percent of sales which are using Saw Palmetto as their number one source. So many people ask if there is another alternative way. Let's look what G.Popa et al. have found in their clinical research in April 2005. Results of a Placebo-controlled Double-blind Study This re-evaluation of a double-blind placebo-controlled therapeutic study of the combined sabal-urtica preparation PRO 160/120 investigates the changes in the irritative symptoms of benign prostatic hyperplasia (BPH) under the test substance in comparison with placebo.It was found that,over the study period of 24 weeks,the micturition symptoms frequency and urgency were statistically significantly improved under the well-tolerated PRO 160/120 in comparison with placebo. The patient's quality of life was also significantly better under PRO 160/120 in comparison with placebo. So G.Popa, who is a urologist, and his team comes to the conclusion that the often distressing symptoms of BPH can be effectively ameliorated already after only a few weeks of treatment with the sabal-urtica preparation PRO 160/120. In particular those patients with the stigmatizing symptoms urinary urgency and frequency benefit from such treatment. Maybe this could be a relief for people suffering from BPH. More than 50% of men older than fifty are affected by an enlargement of the prostate gland. Cause of that fact alone anyone could realize how important this topic is for mankind.