EP 663: Prostate Cancer Diagnosis? Our Experts in Urologic Oncology Can Help Determine the Best Treatment Options for You!

In this segment, Dr. Mistry and Donna Lee discuss the diagnosis and treatment of prostate cancer. Despite being one of the most common cancers affecting men, prostate cancer has a low mortality rate because it is highly treatable. Dr. Mistry offers state of the art treatment options to his patients: radical prostatectomy (removing the entire prostate), HIFU, and Cyberknife. No matter which treatment you ultimately choose, it is critical to find a surgeon who is experienced and comfortable performing it. Dr. Mistry recommends that anyone diagnosed with a major or potentially life-threatening condition seek out a second opinion before committing to treatment. Importantly, the treatment option you and your doctor select should be chosen to help you live not just longer, but also BETTER. People today live longer than ever, but many of those years are spent in ill health. To extend your life span AND your health span, give us a call today!

Voted top Men's Health Podcast, Sex Therapy Podcast, and Prostate Cancer Podcast by FeedSpot

Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.

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Phone: (512) 238-0762

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Transcript

Speaker 1: 0:00

<silence>

Speaker 2: 0:07

Welcome to the Armor Men's Health Show with Dr. Mystery and Donna Lee.

Speaker 3: 0:15

Hello and welcome to the Armor Men's Health Show. This is Dr. Mystery , your host joined always with my insufferable co-host, not

Speaker 4: 0:23

Only insufferable. That's a big word. Yeah, that sounds negative.

Speaker 3: 0:26

It does sound negative, doesn't it ?

Speaker 4: 0:28

<laugh>.

Speaker 3: 0:29

She's very sufferable, in fact. Thank you . She's wonderful and lovely. And , uh, really the heart of this show. That's right. And , uh, really exemplifies the very nature of our practice. NAU urology specialist is who's bringing you this show? It's a practice that I started in 2007. We take care of everything between the nipple and the knees. That's

Speaker 4: 0:47

Right. Nipples and the knees. And NAU stood for North Austin Urology,

Speaker 3: 0:52

But then we had to change the name because Mm-Hmm . <affirmative> . We went to South Austin and Dripping Springs and it sounded weird.

Speaker 4: 0:57

That's right. 'cause we're worldwide in central Texas.

Speaker 3: 0:59

Yeah. I guess Westlake dermatology can go anywhere because Oh, that's right. There's a lake everywhere, I guess.

Speaker 4: 1:03

And their branding's pretty awesome . They just have hot chicks on billboards <laugh>. They don't even know their names . It's just, well, it's just their name. Westlake Dermatology. Hot Chicks,

Speaker 3: 1:10

<laugh> Hot Chicks, <laugh> Dunno . How do people get ahold of us and how do people , uh, become our

Speaker 4: 1:15

Patients? You can become our hot chick patients by calling 5 1 2 2 3 8 0 7 6 2 . Or you can reach out to us through our website, armor men's health.com. Please send us any questions you might have that we'll answer on the show anonymously. And again, that's armor men's health.com. What are we gonna talk about today, Dr. Mystery ?

Speaker 3: 1:32

Well , um, you know, if you're listening , uh, to this show, either on the radio or through our widely available podcast, you may think to yourself, man, they can talk about whatever they want. Mm-Hmm. <affirmative> . And that's true.

Speaker 4: 1:43

There's no FCC warnings in this podcast, <laugh> .

Speaker 3: 1:47

So, today I wanted to talk about prostate cancer treatment and , uh, some of the special things that , uh, patients can expect , uh, if they're looking for an advanced prostate cancer workup.

Speaker 4: 1:57

Hmm . A light topic. Great. Yes.

Speaker 3: 1:58

<laugh>. Uh , so prostate cancer is the most common cancer that is non-kin, a non-kin cancer Hmm . Diagnosed in men in the United States. Wow. But it doesn't kill a lot of men. Right. And so there's a , a lot of different stories that men have in their minds out there, depending on their own experience with prostate cancer and other cancers. Right. If you had a father that died of prostate cancer, now you're gonna be really scared of it. Mm-Hmm. <affirmative> . And if your father had it but died of something else, then you may not be scared of it. And so what what ends up happening is people's own experience with prostate cancer and their doctor's perspective on prostate cancer. Mm-Hmm. <affirmative> really shade how people get treatment. So it's not like there's an algorithm. It isn't cancer A gets this treatment. Cancer b gets this treatment, not like lymphoma or leukemia. There's just a lot of what we call shared decision-making in the process to decide what to do for prostate cancer. Okay . So , um, last week we diagnosed a 62-year-old professor. He was smart. You know, that's what we mean by that. He's a smart guy.

Speaker 4: 2:57

He's a smart guy.

Speaker 3: 2:58

He's a smart guy. He wasn't a professor of urology. Okay . No. And he had four areas of his prostate that, that were diagnosed, you know, with prostate cancer.

Speaker 4: 3:06

Wait, four areas of his prostate,

Speaker 3: 3:08

Four areas of the prostate, four of the 12 biopsies sections that were taken. Okay. Found him to have prostate cancer. Oh, okay. And I thought the , the guy needed to have a more aggressive approach to his treatment. Mm-Hmm. <affirmative> . But he, quote unquote read , uh, oh up on prostate cancer and convinced himself that he didn't need to have treatment.

Speaker 4: 3:27

So he doctor Googled

Speaker 3: 3:28

It, he doctor Googled himself. Okay. And so I asked him, you know, you're a professor. Are you a professor of urology? Like, do you study this? Like all

Speaker 4: 3:36

The time? Did somebody in the background go burn <laugh> ? Do

Speaker 3: 3:38

You , do you treat this? Did you dedicate your life to it? Did you spend years researching it? Oh, no. Do you have to, have you taken care of men who've died of this issue? Like, and I didn't say any of these things, but in

Speaker 4: 3:49

Your head you did.

Speaker 3: 3:49

That's the problem is , um, is that , uh, you know, when it comes to such a specific area like prostate cancer Mm-Hmm . <affirmative> , you really need to get a lot of advice from experts. And prostate cancer is a great example of that. And so I sat him down and I showed him the data, and I showed him the data that if he treats this aggressively, that his chance of dying from prostate cancer in the next 15 years drops to nearly zero. Wow. But if we wait five years and allow this thing to grow, he's a healthy 62-year-old man. Yeah. He's going to be maybe not as healthy of a 67-year-old man. Oh . And if he doesn't want to suffer the consequences or the side effects of treatment, then I want to explore less invasive ways of treating prostate cancer that we offer and other people offer. Mm-Hmm. <affirmative> . So one of the things that we offer is called focal therapy. F-O-C-A-L. Mm-Hmm. <affirmative> . Now the prostate's an organ. It looks like a, you know, a walnut, they say. Right. It's actually bigger than a walnut.

Speaker 4: 4:47

So the normal size of a prostate's bigger than a walnut. 'cause I always have a walnut in my

Speaker 3: 4:51

Head. I think it's , I mean, I've taken a lot out so , so many nuts

Speaker 4: 4:52

In you

Speaker 3: 4:53

Guys. There's a lot of , you know, we're nuts about urology <laugh>. Um , and so when it comes to the prostate , uh, when we do the biopsy nowadays, especially, we have a very good idea of where the cancer is. Uh ,

Speaker 4: 5:05

Okay. Is that sort of recent, the MR MRI guided biopsies? It's

Speaker 3: 5:09

That you're doing , it's recent in that it's , it's like 10 years old. Okay. Uh, so in the history of humanity, it's recent

Speaker 4: 5:16

<laugh> as is everything else <laugh> . So ,

Speaker 3: 5:20

So it's about 10 years old. Okay. But what's really cool about it , uh, which I know that we do and utilize , is that in three dimensions, I know where the biopsy was in the prostate because it gets, it gets recorded Oh. In, in a three dimensional model. Okay. So I know exactly where your cancer is because of the biopsy.

Speaker 4: 5:39

Okay.

Speaker 3: 5:40

In three dimensions. And so after I have this information, I can actually tailor a program in which we just treat where the cancer is. Mm-Hmm. <affirmative> . So let's say you just have cancer in one or two areas. We can actually do a treatment that just kills the cancer where it's, that's called focal therapy.

Speaker 4: 5:56

Okay.

Speaker 3: 5:57

And there are several different technologies that we offer and several that we don't, but are available and we can help guide you to find out where those people are. Mm-Hmm. <affirmative> . So focal therapies that we offer include high intensity focused ultrasound, high FU therapy. We've been doing it for many years. Uh, our program here in Austin is probably one of the busiest in the country. We probably do somewhere between six and eight HI foods a month. Mm-Hmm. <affirmative> , uh, which may not sound like a lot, but I promise you is a lot. It's a lot. I'm a proctor , uh, for the technology I've been to UCLA to help teach them how to do it. Mm-Hmm. <affirmative> . And , and

Speaker 4: 6:32

You teach local urologists.

Speaker 3: 6:33

Thank you . And local urologists. And so the HIFU program allows me to fally treat prostate cancer with an ultrasound that's done trans rectally. What does that mean? Through the rectum. Okay . Just like your biopsy is done. Mm-Hmm. <affirmative> , uh, there's no radiation involved. And the heat is just where the focus of the ultrasound is focused at in the prostate. So the rectum remains safe. And so there are few, there are fewer issues in terms of complications.

Speaker 4: 7:00

So Yeah . Fewer side effects because it's so targeted.

Speaker 3: 7:03

It's so targeted. So , so people generally retain their erections. People generally do not become incontinent. And these are the kinds of things people worry about with more advanced treatments. Right. This is covered by insurance mostly. It's certainly covered by Medicare. Uh , and if it's not covered by your insurance, then we do it for $13,500. Okay . Which is one third of the price that you get charged anywhere else, essentially. So , uh, it's anywhere between 30 and $50,000. Mm-Hmm . <affirmative> elsewhere. And we do it because we do a lot of them . And , um, you know, I don't, I I always hated it when price was the major determining factor Right . On , on what kind of treatment somebody got. Yeah. Uh, other types of focal therapy that are offered that we offer. One is called nano knife . This is super cool. Okay. Mm-Hmm. <affirmative> , we essentially, we form like an electrical cage around the cancer. Hmm . Using little needles,

Speaker 4: 7:59

Really?

Speaker 3: 8:00

And then we zap the cancer in the middle. Oh . It's called , uh, irreversible electroporation. Say that seven times.

Speaker 4: 8:08

No, I can't say it once. <laugh> .

Speaker 3: 8:11

And so it uses electricity to kind of, you know, electrocute the cancer. Okay . Inside,

Speaker 4: 8:17

Is that like CyberKnife? Is nano knife the same thing ? No.

Speaker 3: 8:20

Oh, they're different. CyberKnife is radiation. Oh,

Speaker 4: 8:22

I see. Okay.

Speaker 3: 8:23

This uses electricity to kill something in between. Okay . So , uh, it's a super cool technology. It's also occasionally covered. Not always. Uh, but if you're interested in a non heat based electricity based treatment, that's what it would be. Okay. Um, there's a treatment called Tulsa that uses ultrasound, but instead of going from the rectum up to the prostate, it goes from the urethra out to the prostate. Oh , wow. We don't offer Tulsa here, but I have a good friend in, in

Speaker 4: 8:50

Oklahoma who does it. Yeah ,

Speaker 3: 8:52

You do <laugh> . Uh , I have a good friend in , uh, San Antonio , uh, Dr. Naveen Keller , who does it. Oh. And then I think there's a, there's a center in Dallas that does it too.

Speaker 4: 9:01

I hadn't heard of that one.

Speaker 3: 9:02

So we would get you there if you were interested in that. Uh, we offer , um, uh, at least a referral , uh, to a laser , uh, prostate cancer specialist down in , uh, in , in , in Galveston, who does it through an MR mri . Mm-Hmm. <affirmative> . Uh, and then you can have cryotherapy where we freeze it. So you can freeze it, you can electrocute it, you can heat it up, you can laser it. We have so many different ways Wow . Of treating , uh, that's amazing. Prostate cancer in a focal way.

Speaker 4: 9:30

And how many treatments like this were there back in the day, like 20, 30 years ago? Like one option? The

Speaker 3: 9:34

Prostatectomy you had , you only had a radical prostatectomy that was an open Yeah. In which we routinely lost two to three liters of blood. Oh, my, you know , routinely, really, it happened. My first prostatectomy that was open, I don't know, I had, I walked out there like, it's bloody. Oh . And, but now we do it differently robotically and far less blood loss. Uh , and there was radiation and that was it. And so today the world has really changed when it comes to treatment options for prostate cancer. So if, if the message that I'd like people to be left with is get a second opinion on your prostate cancer treatment. Mm-Hmm. <affirmative> . You owe it to yourself. Understand the numbers, understand the treatment options, and remember that your treatment is gonna be largely biased based upon the experience of your doctor. Mm-Hmm. <affirmative> and your own experience. And , uh, what I say to patients, it's, it's a lot of, it's more psychology than biology sometimes when it comes to the decision making process for prostate cancer. How do people become our patient? Donna,

Speaker 4: 10:30

Call us if you want your second opinion with Dr . Mystery at 5 1 2 2 3 8 0 7 6 2, or reach out to us through our website, armor men's health.com, and please listen to our podcast wherever you listen to free podcasts. Hello

Speaker 3: 10:41

And welcome to the Armor Men's Health Show. This is Dr. Mystery , your esteemed host with my self esteemed co-host, Donnel Lee .

Speaker 4: 10:48

Self esteemed. I love that. You,

Speaker 3: 10:50

You think a lot of yourself <laugh> . I do.

Speaker 4: 10:51

But you introduced yourself as esteemed, so good luck with

Speaker 3: 10:55

That. There you go.

Speaker 4: 10:56

You're very

Speaker 3: 10:57

Esteemed. I'm a board certified urologist. This is a men's health show. We love to talk about everything from the nipples to the knees

Speaker 4: 11:04

And all the dirty parts

Speaker 3: 11:05

In between , uh, and all the dirty parts in between <laugh> . And , uh, this , uh, show is brought to you by the urology practice that I started in 2007 NAU Urology specialist. Donna, how do people become a patient of ours? Or ask us questions up for the show?

Speaker 4: 11:17

I'm sure you've memorized this by now. It's 5 1 2 2 3 8 0 7 6 2. You can even ask for me. Our website is armor men's health.com. You can also submit your questions that will answer anonymously to that website, armor men's health.com. There's a little button at the top that says, submit your question. Or you can also email us at armor men's health@gmail.com. That's ar MOR . And check at our podcasts wherever you listen to free podcasts. Please follow us, share this with your friends. Make us the number one most amazing podcast in the world.

Speaker 3: 11:47

And I love hearing that you listen to the show when you come in as a patient or even when you're the spouse or the child or parent of a patient. And so, please , uh, let us know if you're listening , uh, when come to

Speaker 4: 11:57

Your office. Want

Speaker 3: 11:58

A let us if you want a teach . Yeah. We do have quite a few

Speaker 4: 11:59

T-shirts. <laugh> <laugh> .

Speaker 3: 12:00

We'd love to give you one. Please. So prostate cancer is , uh, on my mind. Uh , here we're seeing a lot more prostate cancer. Uh, I think there was a delay during the pandemic Mm-Hmm . Of people getting a lot of care.

Speaker 4: 12:13

Did you see an uptick of people's prostate cancer being more , um, further along than usual, like right after the pandemic and people started coming in again?

Speaker 3: 12:21

Absolutely. Absolutely. Oh , geez . And it's so hard to get into the doctor now. It's hard for people to get. Yeah . You know, the, everything in the service industry has really made it difficult for a lot of self-care. Right. The doctor's office doesn't answer the telephone. Mm-Hmm . <affirmative> . Even though in our practice we're at 89% won't answering. So please call

Speaker 4: 12:39

Us. I know. Pretty proud of that. We have like a hundred people in the call center now, <laugh> . We have a lot of

Speaker 3: 12:43

People . You know, it's , it's , it's a problem to get in because doctors are busy. Doctors have retired urologists, you know, there can be an average wait time of months to see anybody. Mm-Hmm . <affirmative> , but not here. We'd sat at two new doctors so you can get in right away.

Speaker 4: 12:55

We had two new doctors and two more apps. Yeah. Advanced practitioner providers.

Speaker 3: 13:00

So, you know, we are , we're gearing up to be able to see you and take care of you quickly. Mm-Hmm. <affirmative> . But , you know , when it came to primary care, people just delayed care. People didn't wanna go to the doctor's office. They were scared of going to the doctor's office for fear of getting sick. Right. How , how backwards is that? That's crazy. And so , uh, we're seeing people that present to us later with more advanced disease and being a little bit like careful and reticent for treatment. Mm-Hmm. <affirmative> financially, people are worried things are gonna cost them money. And so when it comes to prostate cancer treatment, there ends up being a lot more considerations than just, is this gonna kill me or not? Which Right . Really should be the only concern. Yeah. Like in the end, you want to make sure that you are properly treating and addressing a condition that could, you know, shorten your life. Right. So we diagnose prostate cancer quite frequently. I'd probably say maybe seven to 10 cases just in my clinic. Uh , a week. A week. A week. That's

Speaker 4: 13:55

Awful.

Speaker 3: 13:55

It's a , it's , it is a very commonly diagnosed cancer. And one of the procedures that we offer is the robotic radical prostatectomy.

Speaker 4: 14:03

It sounds intense. It is intense. Every time you say it, I'm like, Ugh , I don't wanna prostate <laugh>.

Speaker 3: 14:09

Geez . You have a lot of parts that come out too robotically. Trust me ,

Speaker 4: 14:12

Lady <laugh> .

Speaker 3: 14:13

So , um, when it comes to the robotic prostatectomy, it is a technology that's been around for many years. It was introduced in the second year of my residency,

Speaker 4: 14:23

Like a hundred years

Speaker 3: 14:24

Ago, 2002, you know. Wow. And urologists were really the trailblazers when it came to robotic surgery. Oh,

Speaker 4: 14:32

Wow.

Speaker 3: 14:32

Because when it comes to using a surgical robot, we, it had to accomplish several tasks. Number one, it had to make something you were already doing better. Right. You couldn't make it worse. Number two, it had to be a skillset that was easy to learn. If it was too hard, then nobody was gonna do it. Mm-Hmm. <affirmative> . And number three, you had to have an institution that was willing to invest the money to use something Mm . That didn't even have a use, you know? Oh , it's a , it's a $1 million door stop . I

Speaker 4: 14:59

Was gonna say it's an expensive use.

Speaker 3: 15:01

And the very first few robotic processings we did , uh, we were not very good at 'em . I

Speaker 4: 15:06

Bet.

Speaker 3: 15:07

And I was in training, so there was a, you know, there was a senior doctor that gets to blame for all this. I wasn't you , but , um, the cases took eight to 10 hours. Uh, frequently there were complications and we were just learning, you know, how to do it , what to do.

Speaker 4: 15:20

So ectomy means to remove prostatectomy means remove the prostate for the layman people at there like myself. What , how do you remove a prostate with a robot?

Speaker 3: 15:29

That's a great question. So the robot is controlled by me , uh, on a console right next to the patient. So I'm not scrubbed in at the time. Right. I have an assistant that's scrubbed in or sterile helping me with the suction and different kinds of retraction and stuff like that. Okay. And the robot has four different laparoscopic instruments inserted into the body. Oh,

Speaker 4: 15:51

Okay.

Speaker 3: 15:52

So one is the camera. Mm-Hmm. <affirmative> . And then there are three arms that control instruments that work just like a human hand. They're , they're, they're really quite impressive. Where

Speaker 4: 16:02

Are all these four things? In the , the booty hole?

Speaker 3: 16:04

No, they're in through small incisions.

Speaker 4: 16:07

<laugh> , I'm thinking of the prostate.

Speaker 3: 16:08

They're in small incisions that are made in the abdomen. Oh,

Speaker 4: 16:11

Okay . That's a good question . Aren't you glad I'm hearing <laugh> ?

Speaker 3: 16:13

Yeah, that's good. I mean, you know, you never know what your listeners are wondering about that . Never know. So, so we make small incisions in the abdomen. Okay . All above like the belly button and into the right and left the belly button. Okay. And we fill the abdomen with carbon dioxide to puff it up. Oh. And you look like, you know, Pillsbury doughboy Really? That's right. And then we put these instruments, and each instrument, each port is only eight millimeters in length.

Speaker 4: 16:38

And how big is that? Like a quarter of an inch? Less than how much is 8 million?

Speaker 3: 16:42

Yeah , it's, it's , it's about, it's about like a third of an inch. Okay. And so each of those incisions, we put the instrument through Mm-Hmm. <affirmative> . And then we remove the prostate. The prostate is one of the most inaccessible organs <laugh> . Right . If you bought in the human body, you know,

Speaker 4: 16:55

How does it remove though, if it's like the size of a grapefruit?

Speaker 3: 16:58

It is , remember it's two walnuts. Right.

Speaker 4: 16:59

But don't they get some get bigger?

Speaker 3: 17:01

Some do get bigger. Okay . But luckily most of 'em are about the size of two walnuts. Okay . And so , um, we go, go down and then we find the walnut sized prostate. Right . And then we, we have to separate it from the bladder because it's attached. Okay . And then we have to separate it from the urethra because it's attached, and then we remove it,

Speaker 4: 17:20

And then you suture those,

Speaker 3: 17:22

And then , and then you gotta sew the bladder back down to the urethra.

Speaker 4: 17:25

Holy moly. Wow.

Speaker 3: 17:26

And then on top of that, there's a, there's a thin film of skin on the prostate where the nerves live that, that, that control your erections. Okay . We have to like, it's almost like taking an apple and just barely shaving off the peel. Mm . And you have to, you can't take any peel and you can't take any apple. Like, it's gotta be perfect. Oh. To be able to keep your erections. Okay. And so this skillset is something that many urologists have developed over years. Uh, I certainly have been, you know, making that an integral part of our practice for the last 16 years since I started Mm-Hmm. <affirmative> and literally done thousands of robotics cases now.

Speaker 4: 18:04

So with all of the new technology there , are you doing more radical prosta ectomies or less these days?

Speaker 3: 18:09

It is , uh, probably in aggregate, you know, as a percentage of what we're doing. We're doing fewer prosta ectomies as a percentage because we're doing a lot more hifu , high intensity focused ultrasound. Okay. But the numbers are increasing because, you know, as I get busier and the practice gets, you know, busier. Oh, I see. You know, so, so, so the , the pie is getting bigger. Oh , I see . Even if the slice is getting smaller, and if you go to a surgeon or a urologist who doesn't do the radical prostatectomy Yeah . Then you're probably not gonna get offered the radical prostatectomy.

Speaker 4: 18:37

Right. I mean , 'cause they wanna keep you in the , in the practice or , or ,

Speaker 3: 18:39

Or they don't because they don't do it. I mean, that's how, that's, that's, I think that's a natural tendency. I mean, if your , if , if your mechanic doesn't fix carburetors, is that a thing? Yeah.

Speaker 4: 18:48

<laugh> . Is there a carburetor anymore? I don't know . I I get your point. I don't know . If they don't fix flat tires,

Speaker 3: 18:53

Then your tire's always full <laugh>. In any case, the bias of your, of your urologist will often change , uh, what therapies you're given. Right. Most urologists do not do hifu high intensity focus , uh, ultrasound. In fact, there's probably less than 50 in the country that do it. Wow. So guess what, if yours doesn't do it, you're not getting offered it . You ain't getting it. And if you're urologist never learned how to do a robotic prostatectomy because they train too late or they own a radiation center or whatever, then you're probably not gonna get offered that with the same degree of certainty that you would get by a surgeon that does a lot of them. Mm-Hmm. <affirmative>. So getting a second opinion on your prostate cancer is really important. The technology is fascinating. It is, it's

Speaker 4: 19:36

Fascinating. Even for someone like me who has no interest in this, except from what I hear from you,

Speaker 3: 19:40

<laugh>. I know. And hey , you know, you know what's even better is sometimes you think that, that we've achieved perfection. You know, I remember when we did the open radical prostatectomy, and we could finish one in like an hour and 40 minutes, and you felt like the, you know, the bee's knees and you did everything perfect, and you didn't think there was any way things could get any better. And then , and then somebody stuck a robot in there and was like, oh, <laugh> . Yeah. Everything, everything you learned was dumb. <laugh> <laugh> . And now

Speaker 4: 20:07

Thank you . Thank you ai.

Speaker 3: 20:08

And now the surgeons that are coming out are new doctors that have come out. Uh , they've never done an open radical prostatectomy. Oh,

Speaker 4: 20:14

Wow.

Speaker 3: 20:15

So if they get into trouble, they're gonna have to call me. Yeah. But they don't get into trouble because they're so well trained on the robotics. Right . That they can really get themselves outta trouble no matter what. Oh my goodness. And so that's, that's a fascinating change. And , uh, we look forward to continuing innovations in urology. Mm . If you want a second opinion or you want to become our patient, or learn more about radical robotic prostatectomy, how do they get ahold of us? Donna,

Speaker 4: 20:37

You just call us right away at (512) 238-0762 . We promised to answer the phones. Now we have so many people waiting on your call. Our website is armor men's health.com, where we're

Speaker 3: 20:47

Like a , we're like a , uh, you know, a , uh, public television , uh, uh, charity drive. We

Speaker 4: 20:51

Are, we're all sitting around going, somebody answer that phone. We can get you in as quickly as possible. But send us your questions too at arm men's health.com. Submit those anonymous questions that will answer for you as quickly as possible. And thank you so much for listening to our podcast and sharing it with your friends . Thanks, Dr. Misre .

Speaker 2: 21:07

The Armor Men's Health Show is brought to you by NAU Urology Specialist. For questions or to schedule an appointment, please call 5 1 2 2 3 8 0 7 6 2 or online at armor men's health.com.