#an: insert anti drug psa here

[dexlexia]

smoked princess - toji x reader

pairing: toji fushiguro x reader rating: 18+ summary: Toji liked when you were very high, you couldn't smoke a joint (your poor little princess lungs) but by god could you get through a baggie of edibles. And as a result you were so stoned the entire world melted away.  tags: pwp, smut, smoking weed, weed is very present in the story, brat!reader, nickname 'princess', high sex, rough sex, proceed with caution, exhibitionism, unprotected sex

Toji liked when you were very high, you couldn't smoke a joint (your poor little princess lungs) but by god could you get through a baggie of edibles. And as a result you were so stoned the entire world melted away. 

Toji would be smoking with some acquaintances, and one of his buddies was nice enough to make the little princess a batch of her favorite cookies. If Toji didn't know better, he'd think that someone was trying to hit on you. But he knew it was just a reason to shut. you. up. 

If Toji could leave an adult woman with a babysitter, he would. But he already looks enough like a creep with such a young woman calling him 'daddy' in the middle of the shopping center.

So he had to take you, and his buddy got you so stoned you were as docile as a lamb. He had to worry about you accidentally flashing your panties as you melted into the leather couch but other than that, Toji could enjoy his evening without his bratty little princess causing problems. 

Currently you were both in a less than pleasant part of town, Toji had been away for almost a week on a kill and now he had you over at a 'friend's' place to smoke a little weed. You were on your third cookie and your head felt full of cotton, but in a good way. 

It felt like every brain cell in that little head of yours was cooked till crispy. You were originally on the couch that reeked of booze and god knows what else but ended up on the floor with a matted throw pillow under your head. 

  “You good down there, princess?” Toji asked. 

  “I'm good, daddy.” You responded, “I want snuggles.” Your voice was a little slurred, like you didn't know what was coming next. You curled up closer to the pillow and exhaled deeply. You could feel your blood pumping your ears as the edibles started to have their effect. 

You rubbed your leg together, the tiny shorts that Toji put you in earlier started to ride up. You felt eyes on you but your head felt too heavy to even bother lifting your head to see who it was. 

  “Hey.” You heard, “Stare at her for a second longer and you're leaving this place in a body bag.” You felt your cheeks warm at Toji's aggressive words. He was such an over protective, almost obsessive man. 

  “Sorry, man.” You heard in response.

You sat up, your hair askew from snuggling the pillow, “You're so jealous, daddy.” And gave him a bright grin, before you dropped back down onto the carpeted floor. 

  “Yeah, well, someone's gotta be. I'm pretty sure if I wasn't around to cover for your ass, you'd be selling that same ass on the next street over. Guys would pay good money to ruin a face like that.”

 “Which is why you do it for free!” You raised an arm up and responded, “

  ”Damn right, baby.“ He chuckled as he got up, ”And it's time for the princess to pay up. Nothing but a lazy mooch, someone's gotta pay for the weed you just had, plus everything to make the cookies. And I know you don't have a cet to your name.” He picked you up with ease, “So I gotta pay for everything and you pay by letting me fuck that pussy of yours.” 

  “Dude, really.” His friend said, “Can't that shit wait till you get home.“

Toji chuckled, ”She'll be out by the time I get her home, which means you'll have to wait for another day for me to pay you. So either I fuck her out here or you point me to the closests flat surface to rail her. Plus, it's not like you keep this place tidy.“

His friend sighed, there was no saying 'no' to Toji. Plus at least it was easier to get cum stains out of sheets than beige carpet. ”Second room on the left, and don't wake up the whole neighborhood.“ 

Toji flashed a grin, ”Don't worry, I won't get the pigs at the door of your drug den.“ Then turned, with you in his arms, towards the room. He slammed the door with his leg and tossed you onto the bed where you splayed out like a starfish and looked up at him with those darling eyes. 

Toji licked his lips as he approached you. You were still so beautiful, even after the amount of times, he had bit, slapped, spanked, fucked and came on you. He didn't like toys that broke so, having a resilient little princess was exactly what he wanted. He wanted that virgin tight grip you had as you screamed into the covers until you were bright pink. 

  ”Daddy~“ You said. 

  ”I know, princess. Not your usual bed, but daddy's gotta make due. Gotta send a message to the guys outside. That your body is mine, your cunt is mine, those breasts of yours are mine, every last thought in your little head is mine. Got it?”

  “Yes.“ You nodded dumbly. 

He smirked, ”Yes, what?“ He started to unbuckle his belt. HIs large cock strained against the front of his jeans as he watched you begin to undress. He got a good look at your breasts inside your bra as you pulled the shirt over your head. 

 ”Yes, daddy.” You corrected it. Toji could see the various bruises on your body. They weren't your normal bruises. He'd never touch you that way, every bruise was from you begging for marks. Where he bit at your collarbones, slapped your ass till it was purple and when he gripped your hips as he slammed his cock into you. It was quite remarkable how bruised you still were. 

He stepped out of his jeans once they hit the floor and pulled down his underwear to reveal his erect cock. He got into the bed and soon his shirt was off. If he wasn't careful he was going to rip the shorts off of you and leave your bottom half bare for the rest of the evening. 

He exhaled through his teeth to simmer down for a moment before he carefully took the rest of your clothes off. Which left you nude in a bed that wasn't yours and reeked of recently smoked weed. But you didn't care, you were on cloud nine!

  “You look so good, princess.” He said, “you're such a good girl for me.” He gripped your hair when you didn't respond, he grinned like a maniac at you, “What do we say when someone gives us a compliment?”

  “Thank you daddy, I am your good girl. Forever and always.” You rubbed your bare thighs together to entice him. And it worked because when he grabbed your hips, you moaned loudly. Which in turn only made him smile more, he was beyond amazed by how hot you looked in that moment. The way you were such a slut for him, his own little slutty princess who he railed until she went cross-eyed. 

  “That's what I like to hear.” His grin grew as he gripped your bruised hips and slammed his cock all the way to the back of your pussy with one hard thrust. The stretch made you jump but he kept your pinned to the bed with one hand while the other held onto your hip.

By instinct you wrapped your legs around him and moaned loudly. A rush went through your body, there was no room for tenderness while in the bedroom with Toji. He was a rough lover, he didn't know what he wanted more, for the headboard to break or your back. 

He loved when you were stoned like this, you were so submissive to him when you got this high. You were in your own little world as daddy bullied your sweet pussy. His thrusts were aggressive, the mattress hit against the wall behind it. Your moans radiated through the thin walls of the house. 

Such a good girl, that was all he could think of. How perfect you were, such an angle for him. You were his and his only, he didn't want any other pussy. If anything he wanted to breed your pussy so you could never leave him. But that was a task for another day. For now he'll just dump into you and hope for the best. 

You reached out and grabbed him as the bed shook by the sheer force of your fucking. Your bodies started to heat up as the squelching sounds of sex filled the room. You were soaked, you were a fucking mess under him as you felt dizzy and oh so stoned. The feeling of sex mixed with the edibles made a collision in your mind and left you a moaning mess.  

  “That's it, princess. Such a good girl. You want daddy so badly, don't you. You want me to bruise you inside and out so everyone knows who you belong to. You're my fucking slut, that pussy is mine till the end. You're not getting away that easily.“ He grinned once more as he gripped your hair and yanked on it as he plowed into you. 

Your voice was high-pitched as you felt the rush of euphoria travel your body.  ”Fuck, daddy!“ You practically squealed as his cock bruised the furthest point of your pussy. It was hitting up against your womb at that point, and it left your brain feeling hazy. 

  ”That's it, princess. You take daddy's cock like no one else.“ He pulled on your hair and moved your head to  the side as he started to leave heavy, dark marks on your neck. You'd be bruised for weeks at that point. You could never forget who you belonged to. 

You moaned loudly, you knew there were people in the other room but your brain didn't have the processing power to even think about them. You were instead wrapped up in the pleasure that Toji was giving you. You were his precious stoned princess who he could ram over and over again and never get tired. You were his lover and his slut. You were everything to him. And he wasn't ever letting you go.

He slammed into a few more times quite roughly to see what kind of reaction he'd get out of you. You held onto him and your eyes rolled back like there was very little keeping you together. You were o lost in the pleasure that you weren't too sure if you'd ever find your way back!

He kept fucking you, letting your body bounce with each of his hands thrusts. The sight made him harder, he fucked his princess dumb! He fucked you until your brain was oozing out of your ear. It was an amazing sight, something he was going to cherish forever. 

It wasn't long after that you felt the growing urge to climax. You held onto his strong shoulders so tightly as he bullied your cervix. Your moans became breathless whines as your pussy clamped around him, wanting to milk him of every last drop. 

You moaned loudly as Toji began to tease one breast with his hand that was on your hip as he kept himself supported by his hand on your hair. He teased your nipple as he groaned through grit teeth. 

And then like a fairytale romance, you both came at the same time in a spare bedroom of a drug den with you both high on weed. How romantic. You gasped loudly as you climaxed as it was mixed with Toji's low groan, he shot himself into your sweet pussy. Hopefully that'll cause no problems in a few months. 

He dropped down beside you and you snuggled up next time him like a helpless little lamb. You kissed his strong neck as you melted into the messy bed. He cupped your ass and tugged at your ear. He said one thing into your ear, ”Now be a good girl and use that last brain cell you have to clean daddy up.“ 

And you could never say no to your daddy. 

  ”We'll take it slow.“ 

  ”You're lying.“

Gojo smirked as he leaned in for another kiss. The date had gone smoothly, you questioned if it really happened or was just a dream. Gojo really did wine and dine you. He took you to a nice place in Shibuya, he ordered the nicest white wine available and watched you with a glint in those blue eyes as you enjoyed the food. 

You knew what Gojo wanted, after almost ten dates you had yet to have sex. Gojo knew you were a virgin and he wanted to take pride in being your first time. But you wanted to make sure he was worthy to do so.

In all honesty, you weren't a prude or anything. You were just so busy that you never took the time to lose your virginity. But now as an adult, men like Gojo want the prize of being your first time. And if he was going to, he'd have to work for it. 

He had just driven you home and was walking with you to the door. His hand just above your ass, as you walked he leaned down to press his nose against your neck. He could feel the tightness in his pants. He couldn't help it! His thoughts had been polluted by you, he was obsessed with you.

He wanted to be the only person you ever had sex with. Call him a possessive bastard but he wanted nothing more than to live that dream. He'd do anything to make it happen, even play along with your little cat and mouse. He'd get his way eventually. 

  ”I'm not lying.“ He said as he kissed your hand before he pressed it to his face, ”I would be a great lover, c'mon. I want to know what my beauty feels like.“ 

You looked away and at your door for a moment, “you're such a fuck boy, Gojo.” You remarked, you had never really been showered this much by affection and love. But you weren't going to let yourself be fooled easily. 

You heard stories about Gojo, the white haired sex devil. Some were rumors, others were true and you couldn't tell them apart. He was a horny bastard who wanted nothing more than to fuck you. 

  “No I'm not, I'm a true romantic.” He responded as he leaned in to kiss you. Both hands on your shoulder as he passionately made out with you. You moaned into the kiss. 

You soon pulled away and looked up at him, ”Not tonight, Satoru. You have a good night now.“ Then pecked him on the cheek before you went inside leaving him outside alone. 

When the door closed in his face, he let out a pained groan. He adored you, was obsessed with you, but he wasn't too sure how much longer he could take without getting a sweet taste of your cunt. It was driving him mad!

He was painfully erect in his slacks as he hobbled back to his car to drive home. Every few steps he had to adjust his hard-on in his pants to make walking easier. But thoughts of you swirled in his mind. 

You looked divine in that outfit, he wished he could've torn it off of you and fucked you in the foyer of your home. Or maybe you'd be able to make it to the couch. There was a lot that Gojo had in mind with you. 

He wondered what noises you'd make as he entered his car. His cock painfully hard as he tried to get comfortable enough to drive home. He'd have to be semi-careful; he didn't want to bruise you during your first time.

But if you made the noises that he was envisioning then he'd really have to control himself. He knew that eventually you'd come into your own as a freak in the bedroom. Gojo would be more than happy to teach you all about how to give good head and how to orgasm every time he stuck his cock in you.

He knew you'd be a good girl for him, while you were assertive outside of the bedroom, he bet that you were a perfect little lamb between the sheets. You'd let him make you feel good, every orgasm was a reward for being a good girl. 

But Gojo wasn't getting comfortable enough to drive him. He ended up undoing his belt and taking his cock out of his pants. He spit in his hand and started to stroke his length quickly. 

He had to be fast.

  ”Fuck.“ The blue-eyed man huffed under his breath, he had to get some kind of friction on his cock or else he'd explode. He was thankful you lived in a quiet neighborhood. 

He looked to your house and saw a light on upstairs, he started to imagine what you looked like without all those clothes on. Your beautiful body, he knew you'd be beautiful. With a gorgeous cunt to match. 

He thought about diving in for the first time, the euphoria that would come with it as he watched your face contort as you lost your virginity. The thoughts made his heart race, oh how he wanted to be your first. And possibly your only partner, you'd only have eyes for his cock.

No one else. 

He was possessive like that, he wanted to know that only he'd ever have sex with you. No other man would stick his filthy cock inside of you. You'd be Gojo's perfect girl, he wouldn't want any other woman either. He'd just want your sweet, sweet pussy over, and over again. 

He grabbed his cock tighter as he thrusted up into his hand, he wanted you so badly. It was driving his crazy, he didn't know how much longer he could live like this..

He was a man without water, he was driven mad by the allure of your pussy. He wanted to get drunk off of it, he wanted it seated on his cock, on his face, every single way he could get a hold of it!

He groaned, his face felt warm as he feverishly stroked his length. He was driven to madness by this, so much so he was masturbating in his car like a pervert. His cock twitched in his palm as he continued to stroke it. 

He bit back a moan as he leaned back a little in his driver's seat. He continued to pleasure himself as he felt the orgasm approach. He really was down bad for you, he wanted you so badly. He wanted nothing more than to feel your bare body against him.

He knew he'd make you feel so good. He'd make you orgasm so many times, he had done it to so many women. He wanted to ruin your virginity and make you obsessed with him as he was you. 

He grit his teeth as he continued to thrust up into his hand, even spitting more into his palm to get an easier thrust. He stomach clenched at the feeling that he'd be orgasming soon. 

A groan slipped out from his lips as he felt the rush of pleasure through his body. He panted wildly in his warm car as he felt himself on the edge of pleasure. It was a great feeling, but not as great as being able to plow his cock into you.  

  ”Fuck, fuck!“ He groaned to himself as his movements were fast. He bit back a louder groan as his entire body went stiff as he came around his hand. Cum gushed out everywhere including his hand, slacks and even the steering wheel. 

He panted, ”Holy shit.” He relaxed against the seat as he grabbed napkins from the cup holder to wipe down everything. He knew he'd have a sticky hand the entire drive home. 

His head still felt in a rush as he tried to clean himself up. Eventually he got as clean as he could and put his cock back into his pants. It was tender as he tucked it back in. 

  ”Soon.“ He promised himself. Then his phone rang. He grabbed it and he looked at the text, it was from you. 

  'You know, Gojo.' It read, 'If you're going to be so desperate, then just come in and I can make you feel better than whatever you're doing out there' and it was signed off with a heart. 

Gojo's blue eyes went wide as he looked at the text message. His cheeks grew warmer but he didn't want to miss the opportunity so he got out of the car and raced to your home. His heart was hammering in his chest. 

He was finally getting what he wanted. He ws going to fuck your sweet pussy, and all it took was to be a pathetic pervert jerking off in his car. And if that was all it took to go down on you then he'd be more than happy to take it.

[dancing-cockroaches]

Everyone I know who did heroin had their dick noticeably decrease in size. Now, what I'm wondering is why do anti-drug PSAs always mention "heroin will ruin your life. It will ruin your relationships". Because most people will be like oh I dont give a hoot lol fuck my mom and my dad is a dumb loser and fuck being a successful member of society. But they slip in "if you do heroin, your dick will get small (insert before and after pictures here)" and I guarantee heroin usage will decrease dramatically, because most guys really do not want a small dick. And if they do, they dont want it smaller. They dont want a heroin baby dick.

And you might be thinking, well they'll just laugh that off because PETA tried the same thing with chicken nuggets. And to that I say, I have seen big shlongs on people who partake in eating chicken nuggets. Never have I seen dick shrinkage from eating some nuggets. Everyone knows that's just PETA making shit up. But I have seen dicks before and after heroin usage, and I can say that heroin definitely does shrink that mfer.

Of course, the next challenge, is coming up with a similar PSA for those that dont have dicks hangin.

[goldenlaquer]

My sweet Daddylaquer. I can't study. How does one study. With love, from a horny dumbass

With tears and misery and a two-hour long dive into YouTube watching “Best Tips and Tricks for Studying! (2020 update)” whilst wasting said time not studying. But in case that this is an actual cry for help-- here’s some guidance from an amateur studier with some odd years of experience under the belt. Please take it with a grain of salt as well! 

Experiment with your methods. There are a bunch of study/note methods. If one isn’t working for you, it’s not because you’re dumb or anything, it’s because it’s the wrong method! What works for one, might not work for another (that’s why I won’t recommend to you a specific one). Don’t be afraid to drop a method and pick up another. 

Time management. I’m saying nothing new here, but this is an important one and probably the hardest. You gotta figure how to juggle school and fun (and if you got a job as well-- big fucking oof). But I completely get it, social media is addicting and studying is boring. Telling yourself to get off the net and go study isn’t easy. Time management isn’t easy. Studying isn’t easy. Disciplining yourself isn’t easy. But regret and telling yourself that you should’ve done more when you know you could’ve when the time comes is an even harder pill to swallow.

A DON’T: passive studying. And what I mean by passive studying is you mindlessly copying off the textbook or the lecture for your notes. That’s a waste of your precious time; you aren’t actually retaining any knowledge when you do that. Also, don’t just google the questions you can’t answer right away, try to solve the problem yourself to the best of your abilities before turning to google to check your work. 

Get some help (insert Michael Jordan Anti-Drug PSA meme here). When it comes to self-study, you’ll definitely hit something you can’t hope to answer with just a textbook. There are more resources around you than you realize. Teachers. Professors. TAs. Study groups and tutoring (this is a bit hard considering covid). Friends. (Actually, probably not friends-- because you aren’t likely to get in the mindset of actually studying) People in real life are more eager to help you than not. But if you are the type of person that refuses to get help from the locals because you suffer from crippling social anxiety, the internet is an invaluable source. Khan Academy is extremely helpful and FREE-- they help breakdown hard concept into digestible knowledge, as well as offer you some great practice problems. YouTube is becoming a great source for teaching videos as well (but I recommend a learning site like Khan Academy, because YouTube is more likely to distract you from studying).  

Realistic goals. You know yourself the best. You know your strengths and weaknesses. Get real with yourself! Not many people can strain themselves with straight six hours of studying (if you can-- I’m envious as F***uck). But even just 30 minutes every night of going over what you learned from the day’s lecture is better than anything. Your goals are your goals alone. It doesn’t have to be anything grand or flashy. They can be little, simple things. 

Motivation. This is just as important and just as hard as time management. Successful studying is probably 50% motivation and 50% method (maybe even a 60-40). And with covid and online schools, motivation is an all-time low. It’s important to keep in mind why you study and what you can gain from studying. Remember what’s at the end of the race! And when you feel your motivation drop, please take a break. There’s no shame in taking a well-deserved break every now and then. Take that break, have a bit of fun, do a little cha-cha, take a nice warm bath whatever, and remember why you want to do this in the first place, then get your head back in the game!

Also, please don’t study on your bed. Just don’t. Bed is for relaxation and rest. Reserve another space for yourself where you can concentrate on your work. Plus, the feeling of flopping down onto the comfort of your mattress after exhausting your mind and body is unbeatable. 

Go at your own pace. Try not to compare yourself to other people’s progress. If you feel like you’re slow and you’re getting left behind-- you aren’t. Thousands, maybe even millions, of other people are on the same boat. I struggle with studying too, especially when it comes to motivation. 

And don’t be so hard on yourself-- you’re living your life for the first time after all!

With love and horny, 

daddylaquie

[itsclownhours]

friend 4 in the discord chat: [character name], in celebration, shoves a 2x4 plywood beam his throat. no one knows where he got it.

friend 4, five minutes later, in the discord chat again: [character name] reluctantly reaches back in his throat, grabs the 2x4, pulls it out, chops it up, then puts it back in his throat in manageable bite-sized pieces

friend 1, in the discord chat: what the f u c k

friend 1, in the discord chat: are we in hell

friend 1, in the discord chat: ARE WE IN HELL????????

me, out loud: yes we are

friend 4: [friend 4} drinks a solid object. he then eats milk

friend 1, in the discord chat: WHAT IS HAPPENING

friend 4, in the discord chat: and then he eats and drinks methane at the same time

friend 1, in the discord chat: YOU W H A T

friend 4, in the discord chat: [character name] recalls when he was once a dungeon master, and everyone screaming it wasn't his job to kill the players

friend 1, in the discord chat: are you okay my guy

friend 4, in the discord chat: a lampshade. no. [character name] hisses at [friend 2 character name]. he sits on a dead goblin. and takes the position of the famous statue "the thinker". [character name] breathes a cheeseburger

.

friend 4: can i hit him with all five sets of bagpipes

friend 3, dm-ing: you don't know five-weapon fighting

me: HIT HIM WITH THE GOLDEN BAGPIPES

friend 3, dm-ing: i'm pretty sure there's only two-weapon fighting

me: HE"S ALREADY BROKEN THE FOURTH WALL I THINK HE CAN MANAGE

.

friend 4, in the discord chat: [character name] screams SOUR CREAM AT [friend 1 character name]

.

friend 3, dm-ing: i think he's having problems from the grain he snorted in the storeroom

.

friend 1, in the discord chat: [friend 4 character name] is the personification of a 90's anti-drug psa

me, out loud: [friend 1] he literally does drugs

friend 4, in the discord chat: [character name] contemplates his life choices

friend 4, in the discord chat: then goes "meh" and puts the dead goblin's nose into his ear

friend 1, in the discord chat: *insert meme here: do you think god stays in heaven because he too lives in fear of what he's created*

.

friend 3, dm-ing, over and over again: okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay okay

.

friend 3, dm-ing: wait he doesn't have an apple

me: we don't know how he got the 2x4 plywood either just let it happen

.

friend 4: [character name] realizes that the apple he chucked at [friend 2 character name] is actually just a hallucination from snorting all that grain and shoving plywood down his throat

.

friend 4, in the discord chat: can we make a religion based entirely around [character name] and 2x4 beams

friend 1, in the discord chat: no

friend 2, in the discord chat: yea

me, in the discord chat: *bill wurtz voice* we can make a religion outta this

.

friend 4: i attack hte buggo-bearo with my large sombrero

.

friend 4, in a very high-pitched, squeaky voice: oh goody i hits it

[incontinencedr]

What Are the Best Prostate Cancer Treatments?

  The best prostate cancer treatment varies depending on a patient’s age, their overall health status, the cancer’s grade and stage, and other factors. Both surgical and non-surgical treatments are available to address prostate cancer, and a urologist provides each patient with a personalized prostate cancer treatment plan.

There are several common prostate cancer treatments used to address stage 1 prostate cancer (i.e. disease still confined to the gland). These include:

Active Surveillance: Involves regular monitoring of a patient’s prostate cancer measures including PSA over a set amount of time. Active surveillance usually requires a patient to receive rectal examinations and blood tests every six months, as well as an annual prostate biopsy to closely monitor for cancer progression.

Radiation Therapy: Uses high-energy rays or particles to kill prostate cancer cells. Radiation therapy is commonly used to treat cancer that is still in the prostate gland and is low grade. Or, it may be used as part of an initial treatment for cancer that has spread beyond the prostate gland.

Radical Prostatectomy: Involves the removal of the entire prostate gland and sometimes surrounding tissues.

The aforementioned treatments may be used to address stage 2 prostate cancer too. Other stage 2 prostate cancer treatments include external beam radiation therapy and brachytherapy. External beam radiation therapy involves the use of X-rays, protons, or other high-energy beams to destroy cancer cells. Meanwhile, brachytherapy involves the placement of radioactive seed implants into the prostate gland. Brachytherapy localizes radiation treatment to the prostate and limits its effects on the bladder, rectum, and surrounding organs. Additionally, in some instances, external beam radiation therapy and brachytherapy may be used together to treat stage 2 prostate cancer.

External beam radiation therapy, radical prostatectomy, and brachytherapy are among the treatments used to treat stage 3 prostate cancer. Hormone therapy may be used in combination with external beam radiation treatments as well.

Hormone therapy reduces a man’s level of testosterone, a hormone that accelerates the growth of prostate cancer cells. It is generally used to target prostate cancer that spreads beyond the prostate gland.

For older men or men who are dealing with severe medical problems, hormone therapy or active surveillance may be used to treat stage 3 prostate cancer. Hormone therapy and active surveillance are less aggressive than other prostate cancer treatments, and as such, may prove to be viable treatment options for these individuals.

With stage 4 prostate cancer, men may require one or more treatments. Common stage 4 prostate cancer treatments include hormone therapy, external beam radiation therapy, brachytherapy, and radical prostatectomy.

Sometimes, hormone therapy is used in conjunction with chemotherapy to treat stage 4 prostate cancer. Chemotherapy involves the use of anti-cancer drugs that are injected into a vein or give to a patient to take orally. Next, chemotherapy drugs enter the bloodstream and travel throughout the body.

Stage 4 prostate cancer treatment may also include options designed to alleviate pain and other symptoms such as urinary obstruction. For example, transurethral resection of the prostate (TURP) helps men address benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate. TURP involves the “shaving” and removal of the inner part of the prostate gland that surrounds the urethra, and it enables men to alleviate bleeding, urinary obstruction, and other prostate cancer symptoms.

There is no guarantee that the initial treatment a man uses to address prostate cancer will work. However, a revolutionary prostate cancer treatment is now available that has been shown to help patients address newly diagnosed prostate cancer or cancer that has returned to the prostate – high intensity focused ultrasound (HIFU).

HIFU: Here’s What You Need to Know

HIFU involves the use of high-frequency ultrasound waves that are used to heat and destroy cancer cells in the prostate. With HIFU, a surgeon targets cancerous tissues in the prostate and ensures nearby tissues remain intact.

During a HIFU procedure, a surgeon inserts a small probe into the rectum that provides easy access to the prostate gland. Then, the surgeon uses computer imaging to place the probe near the prostate gland. The HIFU probe delivers ultrasound waves to an area that is no bigger than a grain of rice, and the probe heats up to almost 100°C (212°F) in about 3 seconds.

HIFU enables a surgeon to adjust the number of ultrasound waves and their intensity and carefully select the areas that the energy will be applied to (i.e cancer regions). This ensures a surgeon can heat prostate cancer cells until they can no longer survive. It also guarantees ultrasound waves have no effect on tissues outside the treatment zone.

What Types of HIFU Are Available?

Not all HIFU procedures are identical, and a HIFU treatment can be used to target the whole prostate or certain areas of the prostate. There are four common HIFU treatment options:

Whole Prostate Gland HIFU Therapy: Involves treatment of the entire prostate gland. Whole prostate gland HIFU therapy is performed as an outpatient procedure and takes about 3 hours to complete.

Partial Prostate Gland HIFU Focal Therapy: Combines HIFU with magnetic resonance imaging (MRI) perfusion of the prostate. Partial prostate gland HIFU focal therapy enables patients to address localized cancer that is less than half the volume of the prostate.

Post Radiation HIFU: Involves treatment of prostate cancer that recurs. Post radiation HIFU has been shown to help patients who have struggled to effectively treat prostate cancer with radiation therapy.

Post Cryotherapy HIFU: Involves treatment of prostate cancer after cryotherapy, which is used to freeze the prostate with liquid nitrogen. Post cryotherapy HIFU is a minimally invasive outpatient procedure that has fewer side effects than those associated with prostate cancer surgeries.

Prior to undergoing HIFU prostate cancer treatment, a patient receives a prostate-specific antigen (PSA) blood test, digital rectal examination (DRE), and other tests. Proper prostate cancer screening enables a urologist to provide an accurate patient diagnosis and determine if a patient is eligible for HIFU.

Benefits of HIFU Prostate Cancer Treatment

HIFU is FDA approved, and to date, many men have reaped the benefits of this state-of-the-art prostate cancer treatment. Some of the benefits of using HIFU to treat prostate cancer include:

Minimally Invasive: HIFU is a targeted ultrasound treatment that does not require a patient to undergo prostate cancer surgery.

No Hospital Stay Required: HIFU is an outpatient procedure, and patients usually can go home immediately following treatment.

Fast Procedure: A typical HIFU treatment requires between 1 and 4 hours to complete.

Quick Recovery: Most patients can return to their normal activities just a few days after a HIFU procedure.

Limited Side Effects: There is no blood loss due to HIFU, and patients who receive HIFU procedures face reduced risk of erectile, sexual, and urinary side effects in comparison to other prostate cancer treatments.

HIFU is an advanced prostate cancer treatment, and a patient should meet with a urologist prior to a HIFU procedure. During a urological consultation, a prostate cancer patient can learn about the different types of HIFU, the benefits of HIFU procedures, and much more. As a result, a urological consultation enables a prostate cancer patient to learn about all aspects of HIFU and make an informed treatment decision.

Schedule a Prostate Cancer Screening at Comprehensive Urology Today

Comprehensive Urology Medical Group in Los Angeles employs a team of friendly, highly trained urologists, and we are happy to teach prostate cancer patients about HIFU and other treatment options. Our team responds to patients’ prostate cancer concerns and questions and helps them determine the best course of action to address prostate cancer symptoms. This way, we enable patients to address prostate cancer for years to come. To find out more about our prostate cancer treatment options, please contact us today or call us at (310) 499-2756 to schedule a consultation with one of our urologists.

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