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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 enlargement forum free matter pennis size penile enlargment surgery picture penis enlarement surgeon compare penis enlarement pills pnis enlargement traction device forum magna rx manual penis enhancement pennis enlargement pump

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Whoever sends junk emails has got me completely wrong. They seem to think I’m a seedy, hypochondriac bloke with a lot of problems down below. Not only am I cursed with a miniscule member, it’s about as reliable as the old A40 Mum used to drive. Apparently, my girlfriends are sniggering among themselves about my shrunken, faulty manhood. And my long suffering wife (I have one of those as well as the girlfriends) is concerned I may not be able to get her pregnant. Nevertheless, my alter ego’s appetite is insatiable. I’m in the market for a sexy Russian girl who can’t spell but has breasts the size of bowling balls. When not performing disappointingly in the bedroom, I’m swallowing dodgy prescription drugs with names that sound only partially familiar like Aspromix and Pethadinerole. My other obsession is cheap, immitation watches. While the real me usually deletes these messages without opening them, I’ve taken a look at one just now - in the interests of journalism. Apparently, if I buy one particular outlet’s Viagra, I’ll be able to open a beer bottle with my penis. That could be handy. Finding the bottle opener’s always tricky. It gets lost among the tangle of spatulas and serving spoons in the middle drawer. The advertisement says I may even be invited to become a porn star. Well, I guess it’d be more lively than cleaning up the cat litter box. Most of the time I delete junk mail messages on automatic pilot. Their lurid subject headings are easy enough to detect among precious emails from readers. Often the highlight of my week, readers’ emails mean a lot. I try to reply to them all (except unspeakably abusive ones). The other day as I was deleting Viagra advertisements, I had a horrible sinking feeling. Without meaning to I wiped an email titled Velcro. No doubt it was a reader’s response to a comment I made about Velcro being one of the best inventions of the 20th Century. They were probably telling me off, saying advances in medicine and science were far more important. They’re right, of course. Velcro isn’t that great. It didn’t even supplant zips the way people said it would. When I asked my husband why men still prefer zips on their trousers, he said Velcro would be too noisy in public toilets - and somewhat mood shattering in other circumstances. Nevertheless, some inventions have been undervalued for their simple elegance and versatility. Take dental floss, for instance. According to that Bible of the Internet, Google, it was invented by a New Orleans dentist who recommended passing a piece of silk between teeth in the early 1800’s. He shouldn’t take too much credit, though. It wasn’t long before Taranaki people were using their mothers’ sewing cotton to remove chunks of mutton wedged between their molars. Nylon dental floss was created during World War Two. Americans use enough of it every year to stretch from Earth to the Moon and back four times. I buy almost that much for our household. Dental floss is great for all sorts of things around here – hanging Christmas decorations and paintings, training grape vines, oh and occasionally for teeth. I’ve used it to string broken necklaces and earrings together. Floss is excellent for cutting through dough and cheesecake. It can successfully repair tents and backpacks or reattach umbrella sections back to their spines. I’m not the only one to explore its potential. In 1994 a prison inmate in Virginia used braided floss to scale a wall and escape. Another seriously undervalued item is the plastic clothes peg. I’ve yet to discover a better way to seal a half eaten bag of chips. Rubber bands are clumsy by comparison, and those plasticised bits of wire laughingly called “ties” never hold. Half the stuff in our kitchen cupboards and freezer is held together with clothes pegs – from cereal and frozen peas to rice and some strange brown powder that seems to be a maternity ward for moths. Pegs are essential for holding music on its stand when our daughter goes busking with her violin at Christmas. Some people use them to hold curtains together, squeeze the last out of the toothpaste tube or to hold the end of matches so their fingers don’t get burnt. I look forward to hearing from readers about their favourite undervalued inventions – and hope the person whose message was deleted forgives me. It’s so easy these days to mistake Velcro for Viagra. real penis enlargement side effects magna rx penis enargement before and after penis enlagement herb homemade pennis enlargement penis enlarement tip penis enlargement procedure truth about penis enhancement plastic surgery penis enargement

Flowers are the Natural beauties sent as a Gift by Nature to the World. They add fragrance, briiliance and beauty to the surroundings. The History of the Flowers in this Earth must go to the day when the Plants emerged in the World. Scientific research have shown that the Plants are in this World for the past more than 425 Million years and they have developed from their primituve form of Spores. The seeds for the Plants came in the primitve form as spores the small copies of themselves that can grow in other places. The Plants began to develop protection for the spores and thus came the seeds and there came into being the assured way of propagation and systematic reproduction by following regular Life cycles. The Flowers must have appeared during this stage and the earliest fossil proof of actual Flowers appears only 130 million years ago. But we do not have clear proof of how and when the Flowers developed for the first time as the fossil desposits do not give enough proof in this direction. The father of the theory of Evolution Charles Darwin himself is persplexed over this issue and calls this an abominal Mystery. It is generally assumed that the function of Flowers, from the start, was to involve other Animals in the reproduction process. Pollen should be taken to other places and for this the assistance of other living beings are necessary and it may not be possible without giving any other benefit. The Plants in some Islands developed sudden, fully developed appearance of Flowers and used them to develop a highly specialized relationship with some specific Animals and Birds. This type of specialized relationship with another Animal bearing pollen from one plant to another has resulted in both the plant(s) and their partners developing a high degree of specialization. Likewise, the next stage of the Flower the Fruits are used in plant reproduction that comes from the enlargement of parts of the Flower itself and is a tool which depends upon animals wishing to eat it, and thus scattering the seeds it contains. The hard proof as to the existence of Flowers about 130 million years ago, is available though circumstantial evidence we know that they did exist up to 250 million years ago. Flowers are genetically just an adaptation of normal Leaf and stem components on Plants, and the most primitive Flowers are thought to have both Male and Female parts on the same flower and to be dominated by the Female part. In later stages of evolution, Flowers grew more advanced, some, with a much more specific number and design, and with either specific sexes per Flower or plant. We see that Flower evolution continues even today; that the Modern Flowers have been influenced by humans to such a degree that many of them cannot be pollinated in Nature. herbal pennis enlargement pills do pennis enlargement pills work magna rx review penis elargement testimonials truth about penis enlagement pills penile enlargment without pills penis enlagement before and after photo penis enhancement before and after picture plastic surgery penis enargement

The liver metabolizes alcohol into acetaldehyde and it is this that can damage the liver, heart and brain. The liver needs to work overtime to eliminate alcohol from the body when alcohol is excessively drunk, this causes fatty degeneration. The liver enlarges due to unprocessed dietary fatty acids because the liver enzymes are too busy metabolize the alcohol. As the liver metabolizes the alcohol, large amount of damaging free radicals are produced within the liver cells. This combined with the enlargement of the liver and the fatty globules deposits eventually turns the liver yellow. If high consumption of alcohol continues then cirrhosis of the liver will occur. If you are worried about alcohol related illnesses then the first step is to stop drinking. To help with the alcohol withdrawal symptoms of upset stomach, headaches, shakes, anxiety, panic attacks and insomnia it is best to keep to a whole food diet with plenty of fruit, vegetables and wheat germ. Try to consume lots of mineral water, at least a litre a day. Cut out all junk food, caffeine beverages such as coffee, sugar and dairy products. Milk thistle extract has been shown in trials to protect the liver and it is even been suggested that it may even help the liver to regenerate cells. In the case of cirrhosis of the liver, improvement in liver function has been reported when milk thistle extract is taken. It has also been reported that the Chinese root kudzu can decrease alcohol cravings. The following supplements may help if you are suffering from Alcohol related problems. Antioxidant complex Bone mineral complex Milk Thistle Multivitamin and multiminerals Vitamin B6 Vitamin C Zinc natural penis enlargement and lengthening medical penile enlargement penile enlargment pills product penile enlargment herb penis enlarement surgery photo vimax enlargement free penis pills sample home penile enlargement easy enhancement free penis surgery way plastic surgery penis enargement

Male impotence is such a nightmare that every man shudders to think of it. But still the fact is that sometime or the other in his life, every man has to confront with erectile dysfunction, or to say in a common man’s language, impotence, for some or the other reason. A man’s psychology plays a great role in the sexual relationship of a man. If he is depressed, stressed or tensed it will surely have an impact on his sexual relationship too. Often the anxiety about a man’s sexual performance makes him more stressed and therefore his performance degrades even further. Erectile dysfunction or ED-the inability to have or maintain an erection long enough to enjoy a satisfactory sexual intercourse, is afflicting nearly 30 million men in America alone and is a cause of great worry for them. The answer to all such performance problems lies in the little blue magic pill-Viagra. Viagra has been a boon to all such men who have erectile dysfunction for any reason or may be suffering from a minor to a major degree of male sexual dysfunction. Since the launch of Viagra there has been a great enthusiasm in the patients of erectile dysfunction whether suffering due to physical reasons or psychological reasons. Viagra revives that feeling of self-esteem and the feeling of manliness which seems to be lost if you are suffering from ED. Viagra works by increasing the flow of blood in the penile region of a man making it erect. The sexual lives of innumerable men have improved because they now have got Viagra. With Viagra around, you do not have to go to bed stressed, thinking about your low sexual performance. Viagra can proudly claim to be the first anti-impotence oral pill. The basic chemical composition is of sildenafil citrate. It is this chemical which treats the male sexual dysfunction, known as erectile dysfunction. Medically, erectile dysfunction is the inability to have an erection or the inability to have it long enough to enjoy the sexual intercourse satisfactorily. Many people have the misconception that Viagra would increase their libido or sexual desire for a great sex, but those people are greatly mistaken. Viagra can surely be called a sex pill, but for that matter it is not a libido enhancer drug at all. Viagra simply acts on the chemicals or enzymes present in our body due to which there is an enhanced flow of blood in the penis region making it grow harder and cause an erection. So people who are suffering from erectile dysfunction can highly benefit from this drug if they want to have a great sex life in spite of their male sexual dysfunction.