VIMAX Pills can enlarge your penis size up to 3-4 Inches in length and up to 25% in girth !penis enhancement photo penis elargement herb VIMAX Pills is a powerful natural herbal male enhancement formula that increases penis length and girth, sexual desire, sexual health and helps to achieve stronger erections. Combining the formulations of the type of herbs found in many parts of the world that have been proven to work for many years, you can now enjoy the full benefits of our product. Some of the same type of herbs found in Polynesia where the men of the Mangaian tribe have sex on the average of 3 times a night, every night. While this is not what you may wish, it is nice to know your sexual performance can improve substantially. After many years of medical Research and Development, our company is pleased to offer you a 100% Natural and Safe Product that can safely and permanently enlarge your penis size up to 3-4 Inches in length and up to 25% in girth. Discover what our "proven to work" formula can do for you by ordering today. Many men were skeptical at first but after they gave our pills a try their sex life and self esteem changed for the better.Our pills will improve your overall sexual health, make you feel younger and you will have more pleasurable orgasms. You can take one pill 2 times per day to keep the effects of VIMAX PILLS in your system and to promote virility enhancement. 100% Safe and Natural Herbal IngredientsEpunedum Sagitum or Horny Goat Weed - Known in China as Yin Yang Huo. Chinese top medical doctors report that horny goat weed boosts libido and improves erectile function. Used to restore sexual fire and allay fatigue. Saw Palmetto - Known to stimulate a low libido in males and to increase sexual energy. A compound in saw palmetto has aphrodisiac effects. Ginkgo - Medicinal use of ginkgo can be traced back 5,000 years in Chinese herbal medicine.The herb also increases blood flow to the genitals which improves sexual function. In one study 78% of a group of men with impotence reported significant improvement without side effects. Other Ingredients: Muira Puama (balsam), Velvet, Damiana (leaf), Cayenne (fruit), Oats (entire plant), Avena sativa, Ginseng (root), Panax Ginseng, Caltrop (fruit) Tribulus terrestris. free penis enlarement best pnis enlargement surgery VIMAX Pills helps you gain:
Do VIMAX Pills really work?We get many emails from our customers that say our pills helped them regain their sexual ego. It's up to you when to stop taking our pills since they are 100% safe and made from natural products. We had one customer write to us that he decided to stop the pills after he no longer felt embarrassed when making love. His penis used to be below average, 5 inches to be exact, now he is 7 inches and is fully satisfied. He wrote us saying that now his woman receives an orgasm 95% of the time they make love, before she could barely get excited. "I'm very grateful to Pillsexpert for bringing such miraculous changes to my life. Having gained 2.5 inches from the 4 months supply and became more passionate and sexually attractive I was even able to fix the relationship with my wife (we were on the verge of the divorce) by simply having great sex with her. I feel more confident now and …I'm just happy!!! You know how they say it: ”Miracles don't just happen, they are firstly very well prepared.” No doubt that your company put a lot of time and effort to start helping people. Thank you so much and good luck to you." Mark Andrew, FL penis enargement pills penis enlagement review Why are we #1 on the market?Consider the difference between a 7, 8 or 9 inch penis that is thicker and a penis that is 4 to 6 inches and narrower. With a larger penis you penetrate more sensitive areas of the woman. Your longer penis probes deeper searching those special nerve endings. The added width to your penis fills and presses her from side to side to give your partner the most exhilarating sensations. The results are permanent. You control the growth because once you reach your optimum size you could stop taking VIMAX PILLS. We say you could stop taking VIMAX PILLS because it is not necessary to be larger then 9 inches. Most women can only comfortably accommodate a 9 inch penis. Anything larger than that may be too large for most women. Nine inches or more then 9 inches, the choice is yours. Unlike other clones, Vimax Pills are made from only high end ingredients available to bring you best results possible. We run a serious business and treat as such, unlike other companies that appear out of nowhere and then disappear with your money without ever sending you a product you paid for. does vimax work pennis enlargement surgery picture Prices
Most of the orders placed before 1PM Eastern Standard Time are shipped the same day. |
||||||||||||
Male genital has three major functions. The first function is urinating, which is rather self-explanatory, for reproduction -- that is, to carry on the human species and the last one is for sexual pleasure. The only penis function that gets a lot of publicity is sex, or the pleasure that can be obtained from sexual encounters. An erect penis is known to provide pleasure to both sexes. Nevertheless, there are three significant factors that contribute to attaining pleasure during sexual encounters and these factors are: libido or lust, healthy blood inflow and outflow, and a nerve supply that functions perfectly. Undeniably, their penis is the most frequently utilized part of the genitalia. And when it comes to this issue, the word “big” seems to be what everyone is looking for. Since a lot of men now are getting more conscious regarding their members’ size, more and more men are willing to try penis enlarger treatments or methods. On the World Wide Web, thousands of companies are engaging in this business, which makes the issues even more sensational. Since there are so many methods available, it is harder and harder to choose the one that would give the best result. No wonder some men tend to shift from one method to another while finding that nothing seems to suit their tastes. There is, however, a company that understands what men are looking for – a bigger and better penis. SizeGenetics is one of the best program available. Its program is different from other methods available in the market. It combines an enlargement traction device and a free penis exercises program to make sure you get that long and thick penis you and maybe your partner desire. It is the first and only program to blend all aspects of penis enlargement making it the most complex and effective penis enlargement program ever developed. The combination of these powerful tools has been thoroughly tested to guarantee you the best achievements in the shortest time possible. The easy to use traction device does not cause any pain and fits all penis sizes. It can be worn for many hours, but the ideal period is 2-8 hours each day. The effectiveness of the traction device is determined by the number of hours you had it on and not by the gap between usages. The traction device enables your penis tissues to increase the number of cells through stretching. This leads to permanent a size increase of 2-4 inches, increase in girth between 1 and 3 inches, 70% chances of penile disparity improvement and it does not impair orgasmic and erectile functions. Through Penis-Health program, you can access the penis enlargement exercises program that have been developed to work both on their own and together with the SizeGenetics device. This program consists of exercises and routines that only require a few minutes of your time everyday in order to obtain excellent results. easy enlagement free penis surgery way penis enargement patch penis enargement traction device penis enhancement penile enlargement system free penile enlargement enlargement forum free matter pnis size safe penis enlargment
Viagra is used to treat male sexual function problems Erectile dysfunction. Viagra is know to -Increase Sex Drive, Boost Sexual performance, Fuller & Harder Erections, Increase Stamina & Endurance, Quicker Recharges. Viagra is normally taken by mouth as needed 45min before sexual activity. Usually half a 100mg pill once daily as needed. Sildenafil works along with sexual stimulation to help achieve an erection. Headache, flushing, stomach upset, nasal stuffiness, diarrhea and dizziness might occur as Viagra side effects. If these effects of Viagra persist or worsen, notify your doctor promptly. Before using this drug, tell your doctor your medical history, including any allergies (especially drug allergies), any penis conditions such as fibrosis/scarring, history of painful/prolonged erection, sickle cell anemia, blood system cancers (such as leukemia or), eye problems (retina diseases). Kidney or liver disease, bleeding disorders or active stomach ulcers, heart diseases, stroke or severe high or low blood pressure. Limit alcohol intake, as it may aggravate side effects of this drug. To avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. The elderly may be more sensitive to the side effects of this drug, therefore caution is advised in this age group. Tell your doctor of all non prescription and prescription medication you may use, especially any nitrate medications (any "nitric oxide donor" medicines), erythromycin, high blood pressure medicines. Viagra is normally stored at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture. For more click Viagra. male penis enhancement herbal penis enlargement pills penile enlargment herb penis elargement tool online vigrx pennis enlargement before and after get vig rx enlagement penis pill vimax top rated penis enargement pills
Ayurveda is perhaps the oldest system of health care in the world and originates from the Indian subcontinent. Ayurveda is based on scientific principles of diagnosis and treatment. It differs from conventional medicine in the basic principles of investigation and assigning causes to processes rather than specific areas of physiology. Ayurveda has been a vogue since 5000 years ago. Our Vedas have been repeated references to the efficacy of Ayurveda as a science of healthy life. The western world is now realizing the value of Ayurveda in treating Chronic diseases like Arthritis, Paralysis, Stroke, Neurological disorders etc. Even WHO has given high rating for Ayurveda system. It differs from conventional medicine in the basic principles of investigation and assigning causes to processes rather than specific areas of physiology. The increasing awareness of herbal medicines in Western markets such as USA, UK, Canada and Japan and the technological advancements in biotech industry were two major reasons which compelled us to offer a platform like this. The key to the success of www.AyurvedicCure.com is the quality of the ingredients they use, the way in which formulae are based on ancient Ayurvedic traditions, a careful manufacturing process and an ongoing research program for testing and evaluating new and old products. Here are some Important Herbs and their Uses: Ashvagandha ( Withania Somnifera), ( Winter Cherry): Traditionally, Ashwagandha has been used in many ways--as a sedative, a diuretic, a rejuvenating tonic, an anti-inflammatory agent, and as an "adaptogen" (endurance enhancer). Many Western herbalists refer to this herb as "Ayurvedic ginseng" because of its reputation for increasing energy, strength, and stamina, and for its ability to relieve stress. It is especially beneficial in stress related disorders such as arthritis, hypertension, diabetes, general debility, etc. It has also shown impressive results when used as stimulants for the immune system. http://www.ayurvediccure.com/ashwagandha.htm Amla ( Emblica officinalis), ( Indian Goosebery): Amla contains the highest amount of Vitamin C (Ascorbic acid), Phyllembin, Phyllemblic acid, Gallic acid, Ellagic acid in natural form and Cytokin like substance identified as Zeatin, Zriboside, Z nucleotide, Tannins 30%. It is one of the strongest rejuvenatives in Indian pharmacopoeia. It contains 30 times the amount of Vitamin C found in oranges. Its antibacterial, carminative, hypoglycemic, stomachic, Hypotensive and astringent action prevents infection, helps in healing of ulcers, treatment of jaundice, dyspepsia and cough and controls hyperacidity. Alma is a good Cardio Tonic and its mild stimulant action on heart helps to control blood pressure. The use of Indian Gooseberry enhances the antidiabetic action of Karela. Phyllanthus Emblica is a very good hair tonic. http://www.ayurvediccure.com/amla.htm Brahmi (Bacopa Monniera): Aside from increasing intellectual and cognitive function, Brahmi induces a sense of calm and peace in its users. It is unique in its ability to invigorate mental processes whilst reducing the effects of stress and nervous anxiety. This makes Brahmi extremely applicable in highly stressful work or study environments where clarity of thought is as important as being able to work under pressure. Many people have the intelligence to perform to strict standards, but lack the composure and self-confidence to reach them. Additionally, Brahmi helps soothe the restlessness and distraction that nervousness causes. Brahmi is ideal for students and workers faced with this problem. http://www.ayurvediccure.com/brahmi.htm , Shallaki ( Boswellia Serrata): Today its major use is as an anti-inflammatory agent for the treatment of rheumatoid arthritis, juvenile rheumatoid arthritis, low back pain, myositis, fibrositis, and osteoarthritis. Experimental and clinical usage of boswella indicates it has none of the side effects on blood pressure, heart rate of the gastric irritation and ulcers associated with many anti-inflammatory and antiarthritic drugs. It is now an approved herbal medicine in India for use against osteoarthritis, rheumatoid arthritis, soft tissue rheumatism, low back pain, myositis and fibrositis. In the United States,physicians are giving boswella high marks for effectiveness. Dr. E. W. McDonagh, a Kansas City physician, has reported success among some 350 patients suffering from a variety of advanced muscular and skeletal conditions for which other treatments had failed to help. http://www.ayurvediccure.com/shallaki.htm , Karela ( Bitter Gourd), ( Bitter Melon), ( Momordica charantia) : Bitter Melon, also known as Karela, Momordica Charantia or Bitter Gourd is a herb that helps regulate blood sugar levels and keeps body functions operating normally. It contains Gurmarin, a polypeptide considered to be similar to bovine insulin, which has been shown in experimental studies to achieve a positive sugar regulating effect by suppressing the neural response to sweet taste stimuli. Karela's principle constituents are lectins, charantin and momordicine. The fruits have long been used in India as a folk remedy for diabetes mellitus. Lectins from the bitter gourd have shown significant antilipolytic and lipogenic activities. http://www.ayurvediccure.com/bittergourd.htm Shilajit (Asphaltum) : This is Shilajit, one of Ayurvedas most potent and unique rejuvenatives. The ancient medical literature attributes many health benefits to Shilajit known as "conqueror of mountains and destroyer of weakness." It has been said that there is hardly any curable disease which cannot be assisted with the aid of Shilajit. Shilajit has been used historically for general physical strengthening, anti-aging, blood sugar stabilization, libido, injury healing, urinary tract rejuvenation, enhanced brain functioning potency, bone healing, kidney rejuvenation, immune system Strengthening, arthritis, hypertension, obesity and many other application for numerous conditions. http://www.ayurvediccure.com/shilajit.htm Garlic ( Lasuna), ( Allium sativum): The platelet and hypolipidemic activities of Lasuna ensures smooth coronary function. Garlic is regarded as one of the most effective remedies to lower blood pressure. The pressure and tension are reduced because it has the power to ease the spasm of the small arteries. It also slows the pulse and modifies the heart rhythm, besides relieving the symptoms of dizziness, shortness of breath and the formation of gas within the digestive track. It has an antiseptic effect and is an excellent remedy for infectious diseases and inflammations of the stomach and intestine. Human population studies show that eating garlic regularly reduces the risk of esophageal, stomach, and colon cancer. This is partly due to garlic's ability to reduce the formation of carcinogenic compounds. http://www.ayurvediccure.com/garlic.htm Triphala: Triphala, a cornerstone of ayurvedic medicine, is a composite herbal preparation containing equal proportions of the fruits of three myrobalans, Emblica officinalis, Terminalia chebula and Terminalia bellirica. When consumed for a long period, it helps reduce excess weight. It promotes good colon health and acts as a laxative without causing cramps or irritation. It gently stimulates the intestinal walls and restores tone to the colon, thus helping in the elimination process, providing a colon cleansing effect. When consumed for a long period, it helps reduce excess weight. It promotes good colon health and acts as a laxative without causing cramps or irritation. It gently stimulates the intestinal walls and restores tone to the colon, thus helping in the elimination process, providing a colon cleansing effect. http://www.ayurvediccure.com/triphala.htm Guggulu: ( Bedellium), ( COMMIPHORA MUKUL): Studies show that a 14-27% of LDL cholesterol and 22-30% of triglycerides levels were reduced when guggul was given to men and women with high cholesterol for 12 weeks with no change in diet or exercise. Research with laboratory animals suggests guggul may help enhance thyroid function. Since the thyroid gland produces hormones that are needed to regulate metabolism, it can help in weight loss. Studies show guggul may change thyroid hormone metabolism, increase levels of circulating T3, or triiodothyroxine, a thyroxine metabolite known to raise overall metabolism, which in turn increases fat burning. Since guggul supports atherosclerosis (hardening of the arteries), which may impede blood flow to and from the penis, guggul may possibly be the treatment for impotence many men are looking for. http://www.ayurvediccure.com/guggul.htm Tulsi ( Holy Basil), ( Tulasi): Tulsi has antioxidant properties, and helps boost the body's ability to fight off damaging free radicals, which have been linked to disease and aging. It is an adaptogen that helps the body fight the effects of ongoing stress and also balances the mind, nerves and emotions. Tulsi maintains the health of the throat chest and lungs. In fact, it helps protect the entire respiratory tract. It is an anti-inflammatory. A herb that promotes optimum respiratory support. Tulasi has antimicrobial, anti-inflammatory, expectorant properties and is useful in respiratory tract infections. It helps during respiratory stress. http://www.ayurvediccure.com/tulasi.htm Neem (AZADIRACHTA INDICA): Neem effectively kills the bacteria that cause Acne and studies prove that Neem will reduce inflammation, even the inflammation produced by Acne. In the case of eczema clinical studies demonstrate that even the application of weaker Neem leaf extracts effectively cured acute conditions of eczema, what to speak of the fresh cold pressed oil with its high concentration of active ingredients.Modern clinical studies have identified a number of compounds in the Neem tree that effectively regulate immune system functions. Whether drinking a simple cup of tea out of the leaves or taking extracts of the Neem leaf, Neem significantly and consistently reduced insulin requirements for nonkeytonic, insulin fast, and insulin sensitive forms of Diabetes.The pain, inflammation, and swelling of the joints in arthritis can be greatly reduced by different compounds in Neem http://www.ayurvediccure.com/neem.htm Arjuna (TERMINALIA ARJUNA): Arjun improves cardiac muscle function and pumpingactions of the heart. Scientific studies have shown Arjun to be very effectivewhen used regularly over a period of time for the treatment of angina, coronary artery disease, heart failure, edema, and possibly hypercholesterolemia. Studies have also shown Arjun to have positive effects in the treatment of gonorrhea. Externally, this herb has been used to treat acne, blemishes, wounds, dysentery, and diarrhea. http://www.ayurvediccure.com/arjuna.htm manual pennis enlargement exercise penis enlagement pic enlargement manhattan penis permanent penis enlagement free penis enhancement tip guide to penis enlarement does vimax work compare penile enlargement pills top rated penis enargement pills
Before we get into discussing Cialis and other erectile dysfunction medications. Lets discuss what erectile dysfunction (ED) is. When a man can't get an erection to have sex or can't keep an erection long enough to finish having sex, it's called erectile dysfunction. Complete erectile dysfunction is known as impotence. Erectile dysfunction can occur at any age, but is more common in men age 65 and order. There are many way to treat erectile dysfunction. These treatments include Oral medications (ie. Viagra (Sildenafil), Cialis (Tadalafil), and Levitra (Vardenafil). As well as injection therapy, muse intra-urethral therapy, hormone replacement therapy, surgical implants, vacuum pump, vascular surgery, and psychological counseling. One of the most popular treatments available is oral medication. The big three available for treating erectile dysfunction are Viagra (Sildenafil), Cialis (Tadalafil) and Levitra (Vardenafil). The first to be approved by the FDA was Viagra, in 1998. Levitra and Cialis soon followed and were approved in 2003. Since their inception, millions of prescriptions have been written for these (ED) medications. Viagra, Levitra, and Cialis are chemically known as phosphodiesterase Type 5 (PDE5) inhibitors. These three medications perform in a similar fashion. They do not cause an immediate erection, but they due allow an erection to occur when there is sexual stimulation. This erection occurs when the chemical inhibitors block the chemical in the penis that normally causes an erection to subside. This increases the amount of blood to the penis, which causes the penis to become erect and stay erect. Viagra has shown to be an effective treatment for ED, with approximately 70% of Viagra patients reporting a positive response. Although Levitra and Cialis have only been on the market since 2003, they are also showing success rates like those of Viagra. While these medications have many of the same characteristics, they also have differences. The variables are dosage, duration of effectiveness and possible side effects. For example, Viagra and Levitra both start working after about 30 minutes. With Viagra, the effects last for about 4 hours. On the other hand, the effects of Levitra last for around 5 hours. Cialis is supposed to be the fastest acting of the three, with effects taking place within 15 minutes and lasting for up to 36 hours. Individuals who test all three medications often come to different conclusions about which drug works better for them. At the present there has been no study comparing these three medications. And since Viagra, Cialis, and Levitra work in the same way, it’s very probable that if you have failed with one, you will most likely fail with the other. Although Viagra, Levitra and Cialis have been beneficial for many men, some men should not use these drugs, due to interactions with other drug prescriptions and other health conditions. Men who have suffered a heart attack, stroke, or life-threatening heart rhythm in the last six months should not use these medications. As these drugs can cause dangerous reactions with other drugs, they should not be taken with nitrate medications, alpha-blocking medications, or with the drug Amyl nitrate. There are also possible side effects when using Viagra, Levitra, or Cialis, including rash, headaches, facial flushing, nasal congestion, painful erection, chest pain, indigestion and visual disturbances. Before taking any medication, always consult your physician about possible side effects and any possible health and drug interactions. buy penis enlargement pill pnis enlargement before and after prosolution best penile enlargement pills penile enlargement forum penile enlargement information do penis enhancement pills work vimax penis enlargement stretcher top rated penis enargement pills
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