#64months

[shannendorithie]

Happy 18 my love! ❤️ #64months

[erictan-dmci]

RSVP Event 1BR 31sqm as Low as 13k++/mo for 64months (Feb Reservation) 1BR 38sqm as Low as 14k++/mo 2BR 57sqm as Low as 19k++/mo 3BR 84sqm as Low as 28k++/mo Preselling Project Development is near Gateway Cubao. The Orabella located at P. Tuazon Blvd cor 21st street, Cubao QC. For Details and Reservation on this event Call/SMS/Viber/WhatsApp +639493674026 / +639062889347

[cancersfakianakis1]

Use of 5-alpha-reductase inhibitors as alternatives to luteinizing-hormone releasing hormone (LHRH) analogues or anti-androgens for prostate downsizing prior to brachytherapy

Publication date: Available online 10 October 2017 Source:Practical Radiation Oncology Author(s): Hee Joon Bae, Omar Mian, Dhananjay Vaidya, Theodore L. DeWeese, Daniel Y. Song IntroductionProstate hypertrophy, median lobe hypertrophy (MLH) and pubic arch interference (PAI) are relative contraindications to brachytherapy due to potential morbidity and technical considerations. GnRH analogues or non-steroidal anti-androgens are currently utilized to achieve prostatic downsizing prior to brachytherapy. However, such agents have been associated with effects on body habitus, metabolism, and quality of life. In contrast, 5-alpha reductase inhibitors (5-ARI) are far less frequently associated with these morbidities.Materials and MethodsPatients with large gland size, MLH or PAI were offered 5-ARI therapy. Repeat TRUS was performed at 3–4months, followed by brachytherapy if resolution achieved. If downsizing was inadequate, then patients were offered continuation of 5-ARI for additional 3months, or GnRH agonist or antiandrogen therapy, or other curative treatment.ResultsOf 59 patients with follow-up available, 42 (71%) were deemed to have adequate downsizing; 37 (63%) after 3–4months of 5-ARI, and 5 (8%) after 7–8months. Seventeen patients (29%) received other treatments due to inadequate effect. Median volume reduction was 20%.Of 41 patients undergoing brachytherapy, 4 (9.7%) required temporary catheterization due to obstruction. Median follow-up after implantation was 25months (1–64months). Median time for return to IPSS ≤5 of baseline score was 7months (IQR 6–13months). All but 1 patient who received brachytherapy remain biochemically controlled.Discussion5-ARI monotherapy is an alternative for downsizing in patients with hypertrophy or PAI, with over 70% achieving adequate downsizing without use of GnRH analogues or antiandrogens. Patients who received brachytherapy experienced typical rates of post-implant urinary morbidity.SummaryAndrogen suppression in the form of luteinizing-hormone releasing hormone analogues or anti-androgens are currently utilized prior to brachytherapy for patients who have prostate hypertrophy or pubic arch interference. However, these agents have undesirable side effect profiles and have been associated with increased risk of cardiac mortality. We describe our experience with utilizing 5-alpha-reductase inhibitors alone as an alternative for this indication. http://ift.tt/2wNM3dH

[pak3mouy]

kay tamis ng iyong mga ngiti pang komersyal ng datu puti, at kahit na ang yung ngipin mo ay medjo sungki ang iyong halik ang syang minimithi.. 😂😂😂 happy monthasary mahal mwuah #64months #monthsary #iloveyou #ldrcouple

[erictan-dmci]

Great News! We are giving away additional discount on our project launching for CELESTE Building at Prisma Residences. 1bedroom special discount minimum of 28k and max of 31k. As low as P8,188.88/mo for 64months 2bedroom special discount minimum of 99k and max of 113k. As low as P14,603.71/mo for 64months 3bedroom special discount minimum of 210k and max of 230k. As low as P20,526.43/mo for 64months Reservation made on launching date (Dec 7, 2017 until Dec 14, 2017) For Sample Computation, Site and Model Unit Viewing, Feel FREE to CONTACT US at: 📱 Call/Text +63906-288.9347 📱 Viber/WhatsApp +63949-367.4026 ☎ Landline +632.985.0151 📩 email: erictan.dmci@gmail.com In-House Property Consultant Visit my Website for other DMCI Projects: http://dmci-homeproperties.com/

[erictan-dmci]

Great News! We are giving away additional discount on our project launching for CELESTE Building at Prisma Residences. 1bedroom special discount minimum of 28k and max of 31k. As low as P8,188.88/mo for 64months 2bedroom special discount minimum of 99k and max of 113k. As low as P14,603.71/mo for 64months 3bedroom special discount minimum of 210k and max of 230k. As low as P20,526.43/mo for 64months Reservation made on launching date (Dec 7, 2017 until Dec 14, 2017) For Sample Computation, Site and Model Unit Viewing, Feel FREE to CONTACT US at: 📱 Call/Text +63906-288.9347 📱 Viber/WhatsApp +63949-367.4026 ☎ Landline +632.985.0151 📩 email: erictan.dmci@gmail.com In-House Property Consultant Visit my Website for other DMCI Projects: http://dmci-homeproperties.com/

[pak3mouy]

kay tamis ng iyong mga ngiti pang komersyal ng datu puti, at kahit na ang yung ngipin mo ay medjo sungki ang iyong halik ang syang minimithi.. 😂😂😂 happy monthasary mahal mwuah #64months #monthsary #iloveyou #ldrcouple