The Ajcc Tnm Staging System
A staging system is a standard way for the cancer care team to describe how far a cancer has spread. The most widely used staging system for prostate cancer is the AJCC TNM system, which was most recently updated in 2018.
The TNM system for prostate cancer is based on 5 key pieces of information:
- The extent of the main tumor *
- Whether the cancer has spread to nearby lymph nodes
- Whether the cancer has spread to other parts of the body
- The PSA level at the time of diagnosis
- The Grade Group , which is a measure of how likely the cancer is to grow and spread quickly. This is determined by the results of the prostate biopsy .
*There are 2 types of T categories for prostate cancer:
- The clinical T category is your doctors best estimate of the extent of your disease, based on the results of the physical exam and prostate biopsy, and any imaging tests you have had.
- If you have surgery to remove your prostate, your doctors can also determine the pathologic T category . The pathologic T is likely to be more accurate than the clinical T, as it is done after all of your prostate has been examined in the lab.
Numbers or letters after T, N, and M provide more details about each of these factors. Higher numbers mean the cancer is more advanced. Once the T, N, and M categories have been determined, this information is combined in a process called stage grouping to get the overall stage of the cancer.
Advanced Prostate Cancer Symptoms
Men with advanced prostate cancer may experience additional symptoms. Thats because the cancer has spread from the prostate to other parts of the body, such as the bones or lymph nodes.
A wide range of treatment options are available for managing advanced cancer. These treatments kill cancer cells, but they may also help patients manage pain.
Signs of metastatic prostate cancer may include:
- Swelling in legs or pelvic area
- Numbness or pain in the hips, legs or feet
- Bone pain that persists or leads to fractures
The First Thing You Need To Decide Is What Type Of Vibrator You Want
There are endless types of vibrators, from those that mimic masturbation to vibrators to use with a partner to those that vibrate along to music. The key to choosing your vibrator is what kind of stimulation you enjoy and want.
The five main types are internal, external, combo, anal, and penis-focused. What you like may determine the shape and style and the keyword to look for when shopping!
|How do you like being stimulated?||Type|
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See Your Doctor If You Have Symptoms
If you cant urinate at all, you should get medical help right away. Sometimes this problem happens suddenly to men after they take certain cold or allergy medicines.
You should see your doctor if you have one or more of these symptoms:
- a weak urine stream
- unable to empty your bladder completely
- urinating eight or more times a day
- urine that has an unusual color or smell
- waking often to urinate when you sleep
Your Cancer Care Team
People with cancer should be cared for by a multidisciplinary team . This is a team of specialists who work together to provide the best care and treatment.
The team often consists of specialist cancer surgeons, oncologists , radiologists, pathologists, radiographers and specialist nurses.
Other members may include physiotherapists, dietitians and occupational therapists. You may also have access to clinical psychology support.
When deciding what treatment is best for you, your doctors will consider:
- the type and size of the cancer
- what grade it is
- whether the cancer has spread to other parts of your body
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How To Gently Stimulate Your G
If youre still a bit freaked out by exploring past your typical stroking-one-out, then start small. And by small, we mean by simply using your own fingers after your shower to find your area.
The easiest way to stimulate the male G-spot is to press gently on the skin between his balls and anus, known as the perineum . You can do this by yourself when masturbating, explains Singer.
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If youd like your girlfriend to help you take that initial plunge into the G-spot unknown, have her add her hands while youre having sex.
As Singer details, Your partner can massage this area during sex or apply rhythmic pressure with her fingers to add to your pleasure. Giving this spot extra attention right before you climax will add some mind-blowing intensity to your orgasm.
Prostate Cancer Stages And Other Ways To Assess Risk
After a man is diagnosed with prostate cancer, doctors will try to figure out if it has spread, and if so, how far. This process is called staging. The stage of a prostate cancer describes how much cancer is in the body. It helps determine how serious the cancer is and how best to treat it. Doctors also use a cancer’s stage when talking about survival statistics.
The stage is based on tests described in Tests to Diagnose and Stage Prostate Cancer, including the blood PSA level and prostate biopsy results.
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Before Looking For The Prostate Internally
Dont read any further until youve got one word planted firmly in your mind: lube.
You need lots and lots of lube for any type of anal play. Unlike the vagina, the anus doesnt produce any lubrication on its own. And anal tissues are very sensitive they can easily be torn if you dont go slowly, go carefully, and use lots of lube.
There are brands of lube specifically designed for backdoor use, although most brands should be fine as long as youre reapplying it whenever necessary. Just remember that silicone-based lubes can damage silicone sex toys, and oil-based lubes can ruin condoms. Its also a good idea to stay away from numbing lubes or agents, because they make it difficult to sense the pain that signals you to stop before you do any damage.
Are There Any Risks And Side Effects To Prostate Massages
The anal mucosa and the anus itself are very sensitive,” Hong explains. Although the anus is built to stretch to a certain extent, it doesnt self-lubricate, meaning without proper precautions anal stimulation can cause pain and tearing . This means that its super important for everyone involved to prepare for giving and receiving a prostate massage . Its also worth mentioning that this might feel a bit uncomfortable at first. As SELF previously reported, making sure youre getting in sufficient amounts of foreplay is a big part of lowering the odds that youll deal with things like pain and tearing.
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What To Expect After The Enema Is Complete
Once the bag is emptied and the tube is removed, continue lying on your side until you feel the need to use the restroom. This typically takes a few minutes, but you should carefully get up and go to the toilet as soon as you feel the urge.
In some cases, your healthcare provider may instruct you to perform a retention enema. This requires you to hold the fluid for 30 minutes or more. This may help increase the odds of success.
If you dont have specific instructions, move to a toilet the moment you feel the need to relieve yourself. Stay near the bathroom for the next few hours. You may find yourself needing to use the restroom several times.
You may also want to hold off on lifting heavy objects for several hours. The increased pressure on your GI tract could cause accidents.
If you dont pass an impacted stool within the next few hours, or if you start to have significant related symptoms, contact your provider.
You should be able to return to normal activity within 24 hours.
How The Giver Should Prepare
If youre the one planning to do the fingering, there are some things youll need to do in preparation. The simple, but most important ones are to make sure your nails are trimmed and youre not wearing any jewellery, like rings. This is not just for your benefit but for theirs too.
The anus needs a little more care than fingering a vagina. This is because, although its perfectly safe to explore anal play, the lining of the anus is more delicate and susceptible to injury. Trimming nails and removing jewellery reduces the risk of internal scratches.
Also, check your fingers over to make sure you dont have any scratches or cuts, yourself. Even with proper prep, all sex involves a transfer of bacteria, and this is even more likely with anal play. Trust me, you really dont want to get anything nasty in an open wound.
Some people also like to create a barrier between their finger and their partners anus by using a condom or a small latex sheath called a finger cot. It is by no means necessary to do this, but it can be beneficial for a few reasons.
Firstly, if the giver does have a cut on their hand, this is a great way of protecting it from any nasties. Secondly, youre going to need a long-lasting lube for this sort of play as the anus doesnt self-lubricate like a vagina. The best lubricant to use is a thick water-based anal lube, but this can begin to absorb into your skin as you play, which leads to needing to stop to apply more lube.
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Okay Im Ready To Look For My P
Great, but there are a few things that you might want to do before engaging in any kind of butt play.
We also just want to take a moment to remind you ladies that were about to talk about doing butt stuff, which can be an uncomfortable topic for a lot of people. It only gets weirder from here, so keep that in mind!
First, you want to make sure the area is clean as possible. You are least likely to come in contact with any feces if youve already gone to the bathroom that day .
So, take a shower or better yet, a warm bath, because that can relax the muscles in the rectum as well.
If youre doing this alone, also check on your fingers. You want your nails to be short and not at all sharp because the skin inside the anus is very delicate. Wash your hands to make sure youre not introducing any germs to the anus.
And, check for any cuts on your fingers. Even after a nice soak in the tub there will be some germs in the rectum.
If you or your partner are still feeling a little squeamish, you can use latex gloves that health care providers use, or try finger cots . Both of these should be available at most drug stores.
You should also invest in some high-quality lube. Unlike the vagina, the anus does not lubricate itself when you get aroused and the skin is super-sensitive, so you really do need some help getting anything to slip in easily.
What Are The Types Of Prostate Surgery For Benign Prostatic Hyperplasia
Several minimally invasive surgeries may be used for benign prostatic hyperplasia. These include:
GreenLight laser: Photoselective vaporization of the prostate is a treatment that vaporizes prostate tissue to create a channel in the urethra for free urination. This is surgical treatment performed in the operating room under general anesthesia.
Plasma button electrovaporization: Prostate tissue is removed using low temperature plasma energy. Tissue is vaporized. This is an operating room-based therapy and requires an anesthetic.
Water vapor therapy : Water vapor is directly delivered to the prostate tissue. Over a 3-month period the tissue is destroyed and reabsorbed by the body. This is an office-based therapy and is performed under a local nerve block.
UroLift®: A mechanical approach that places implants to pin the lateral prostate lobes out of the way to reduce obstruction. This is an office-based procedure performed under a local nerve block.
Prostatic artery embolization: This approach uses catheters to deliver agents that block blood flow to the prostatic artery to reduce symptoms of BPH by shrinking tissue. This prostate procedure uses local anesthesia and doesnt require a hospital stay.
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Where Is The Prostate Gland
Lets begin the discussion by answering the question, where is the prostate located? The graph below shows you where the prostate gland is located. As you can see below, the prostate is located between the bladder and penis. The prostate releases a milky fluid that mixes with sperm and provides it with nourishment after ejaculation from the penis.
The urethra, the tube that empties urine from the bladder, runs through the prostate gland. When the prostate gland becomes enlarged, it presses on the urethra. This restricts the complete emptying of the bladder, thus resulting in weak urine flow. An enlarged prostate is the cause of frequent late night bathroom trips.
Approaches To Radical Prostatectomy Surgeons Can Use Different Approaches And Techniques Toremove The Prostate They Can Make A Large Incision To Reach The Prostate They Can Also Use Laparoscopic Orrobotic Techniques Which Are Done Through Smaller Incisions In The Pelvis Laparoscopicand Robotic Types Of Surgery Are Less Invasive Than An Open Radicalprostatectomy Men Often Have Shorter Recovery Times Less Blood Loss Lesspain And Shorter Hospital Stays With These Procedures Retropubic Radicalprostatectomy Is Done Through An Incision In The Lower Abdomen The Surgeoncan Also Remove Lymph Nodes From The Pelvis Through The Same Incision Incanada A Retropubic Radical Prostatectomy Is The Most Common Approach Toremoving The Prostate To Treat Cancer
Perineal radical prostatectomyis done through an incision in the area between the scrotum and the anus. This surgery usually doesnât take as long to do as aretropubic radical prostatectomy, but it may lead to more problems with gettingan erection . In addition, surgeons canât removepelvic lymph nodes through the same incision so they would have to do aseparate procedure through a small cut in the lower abdomen to remove them.
Laparoscopic radical prostatectomyuses a laparoscope and other surgical instruments passed through small cuts. A laparoscopicprostatectomy has some advantages over an open radical prostatectomy, includingless blood loss and pain, shorter hospital stays, faster recovery and less timewith a catheter.
Robotic radicalprostatectomy is a type of robotic surgery. The surgeon sits near theoperating table and uses remote controls to move robotic arms. The robotic armshave tiny video cameras and surgical instruments that remove tissue throughsmall cuts. The robotic arms can bend and turn like a human wrist. A roboticprostatectomy also has advantages over an open radical prostatectomy includingless blood loss and pain, shorter hospital stays, faster recovery and less timewith a catheter.
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Okay Exactly What And Where Is The Prostate
The prostate is a walnut-size gland nestled deep inside the male pelvis, and it helps produce semen and nourish it with important substances, Hong, M.D., a urologist in Phoenix, tells SELF. Cisgender women dont have prostates. But for the folks who do have them, the prostate is made up of tissue known as stroma, secretory glands that produce semen ingredients, and muscle fibers. Its located right in front of the bladderthe ducts in the prostate gland actually flow into the urethra, which is why prostate issues can affect urinary function. For example, if someone has an enlarged prostate , they might find that they have a more frequent urge to pee, among other symptoms, the Mayo Clinic explains.
What To Do If Youve Found The Right Area
Well, you just need to rub! What you like will come down to your own personal preferences, so youll need to do some experiments and find the things that you enjoy the most. Some people prefer a gentle stroking, others might like a circular motion, and some look for something with a little more pressure and tension. If you need any ideas, it could be worth checking out any kind of massage guide and trying out some of the techniques on the area.
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External Prostate Massage Technique
This external prostate massage technique allows you to stimulate his prostate externally instead of through his rectum. Use this technique to add stimulation during foreplay or intercourse.
Its fairly well known that massaging your husbands prostate during oral sex or intercourse can intensify his orgasm. Sexual researchers have compared his prostate to a womans g-spot. Most people also assume the only way to massage his prostate is through his anus and rectum. Massaging his prostate through his anus is the most direct form of stimulation, but were not going that route. Theres another, much safer and cleaner way to massage your husbands prostate and escalate his orgasm!
Unlock whats holding you back, open the floodgates to arousal, & learn how to go over the edge!
Touching Your Prostate With Your Finger
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