PROSTATITIS TREATMENT: SURGERY PROS AND CONS
How can a man evaluate the benefits and risks of surgery? Many in the medical field are still not certain as to what the advantages of an operation on the prostate are. There is a lot of information, including medical studies, available to guide the patient. But every patient is unique, and doctors can offer no universal advice as to which direction to follow. An overwhelming number of urologists have expressed concern for their patients, who must endure much grief from a gland that causes more distress than just about any other structure in the body. Out of this concern, they may recommend surgery, as many urologists share the opinion that an operation on the prostate is one of the few types of surgery that can bring about dramatic improvement in the quality of a patients life.
Dr. John Weinberg, a researcher at Dartmouth Medical School, looked at the practice styles of urologists in Maine who treated BPH patients. He found that many of the doctors recommended surgery in the belief that it would prevent more serious problems and increase the patient's longevity and quality of life. In fact, the men who had surgery had a slightly decreased life expectancy. The real value of prostate surgery related to the improvement in the quality of the patient's life.
Most patients expect too much from an operation on their prostate gland. Doctors should inform the patient that the objective of the surgery is to reestablish correct functional emptying of the bladder. Even under the best circumstancesthe utmost in patient cooperation and the finest surgery and carethe patient may continue to have moderate symptoms for a while. Nocturia, for example, is not going to disappear right awayit will take time to break the habit of frequent nightly trips to the bathroom.
Potential dangers do accompany surgery. I'll review these slight (but real) dangers in detail below. Most urologists agree that the dangers associated with surgery for PI I are grossly exaggerated.
A more legitimate fear concerns the possibility of developing retrograde ejaculation after surgery for BPH. In a healthy male with an erect penis, the bladder neck tightens and forces semen to flow through the penis at ejaculation. Prostate surgery often upsets the bladder neck mechanism and causes retrograde ejaculation, in which the semen flows backward into the bladder and not forward through the penis (semen tends to take the path of least resistance). The sensation is the same, and the semen is released with the next passage of urine. Some men find dry orgasms disturbing. However, no medical danger is associated with retrograde ejaculation. There is a problem only if a man wants to father a child, in which case he can consult his doctor for a technique to resolve this difficulty.
If you do decide to have surgery, then you must select a urologist in whom you have complete confidence. After all, this procedure will have a major impact on your health and well-being. We are talking about the rest of your life.
Men's Health Erectile Dysfunction
MAINTAINING A GOOD SEXUAL RELATIONSHIP
As superfluous as it may appear, it is nonetheless important to mention at the outset of this discussion the fundamental significance of a clean and attractive body to successful sexual interaction. Sex appeal is most certainly not confined to the marriage bed; it exists between the partners at all times, and should be carefully nurtured. By attractiveness, facial and bodily handsomeness is not implied; rather, attractiveness means scrupulous cleanliness of body and clothing, and taking the greatest advantage possible of all the physical endowments that nature has seen fit to bestow on each of us. Not everyone can be beautiful, but there is no excuse for anyone's not being attractively neat and clean at all times.
A man who is overweight, chronically unshaven and slovenly dressed, and whose breath reeks of tobacco or alcohol, can hardly expect to be considered a desirable bed partnereven after a session with shower, toothbrush, and razor later in the evening because his wife's memories of his earlier unattractiveness will simply detract from the excitement of the experience. Similarly, a woman who neglects to make up her face, sits around home in bathrobe and curlers, allows herself to become significantly overweight or underweight, permits even faint urine, vaginal, or underarm odors to emanate, or does not often shave her legs and underarms is setting the stage for a loss of respect, admiration, and even love; sexual failure cannot then be far behind.
Certainly before joining each other in bed, whether or not sexual activities are anticipated, each spouse should see to it that he has at least a clean body, fresh breath, and neat, attractive nightclothes. To do otherwise is to deny to the marriage bed one of the basic ingredients for a happy sex life.
The sense of smell is almost as important in sexual stimulation as the sense of sight is. There is a physiological relationship between the tissues of the nose and of the sex organs, as was described earlier. Conditioning factors also are frequently present in the relationship between the sense of smell and sexuality. During courtship, for example, the faint scent of a girl's perfume or of a man's after-shave lotion may become associated with their love and subsequent sexual arousal. After marriage, the same pleasant scent may well serve to reestablish the excitement that developed in the atmosphere of courtship. Conditioning quite naturally involves many sensory elements other than smell. Almost any occurrence during the period of courtship that forms an association with love and passion can later be woven advantageously into the fabric of the couple's sexual interaction.
The qualities of courtesy, kindness, and sensitivity to the needs and desires of others are fundamental to all successful human relationships; most particularly are they vital to sexual associations. Bearing in mind the differences in individual needs and desires, it is incumbent upon each person to discover what, precisely, offers the greatest pleasure to his partner in the sexual relationship. Genuine efforts to incorporate these discoveries into one's technique of sexual approach must be made before one may expect complete emotional fulfillment. For example, some partners prefer the conversation during sexual activity to be quite earthy, even to the point that the expressions used would be vulgar under other circumstances. Another couple might be shocked by such utterances, preferring to speak to one another softly in tender and loving words.
Pace, as well as style, is also a matter of individual taste. However, it is ordinarily wisest to proceed slowly and gently, with the goal in mind of bringing gratification to the partner rather than hurrying to satisfy one's own needs. One should not hesitate, furthermore, even to sacrifice one's own present fulfillment altogether if it means giving greater pleasure to the spouse; not only is it a generous and loving thing to do, but it will assuredly pay handsome dividends later. The best, and certainly the least stressful, way for each partner to determine the specific amatory desires of the other is to open wide the doors of candid communication. Neither partner is clairvoyant, and an inadvertently offensive gesture or clumsiness might impede the present response, and inhibit response in similar circumstances at a future time.
Variations in sexual approach and in the settings can add considerable spice to marriage. Too often sexual acts become ritualized, stale, and unimaginative, engaged in only to provide relief to physical urgency. Couples who wish to preserve delight and vigor in their sexual interaction will work as consistently on this aspect of their marriage as on any other. A husband who impulsively sweeps his wife into his arms in the middle of a happy afternoon and carries her off to the bedroom and makes wild love to her, or the couple who occasionally has sexual intercourse while taking a shower, or the wife who surprises her husband by appearing in his study wearing nothing but a smile and two cold, very dry Martinisthese couples are not likely to find sex dull, even after years of marriage. The playing of soft music, using mirrors to observe closely the intimacies of the sex act, perusing sensuous literature and art: all these can help keep boredom out of the bedroom.128 Men and women both want variety in their sexual lives; and if this ideal is reached within their marriage, there is considerably less likelihood that either husband or wife will seek it elsewhere. Imagination and willingness to experiment, coupled with an air of confidence and consideration, will serve most marriages very well.
Men's Health Erectile Dysfunction