Bonus Episode: It's Probably--BUT NOT ALWAYS--Your Prostate: How To Get an Accurate Diagnosis & the Best Treatment For Your Urinary Symptoms

Today, Dr. Mistry and Donna Lee answer listener questions about Urolift, BPH, and all things bladder and prostate. While many men suffer from an enlarged prostate (particularly as they age), Dr. Mistry explains that it can be tricky to distinguish between symptoms caused by the bladder vs. the kidneys. At NAU Urology Specialists, we work with each patient to determine the best approach for treating their urinary symptoms. And don't be dissuaded by stories of your neighbor's failed Urolift procedure or your buddy's retrograde ejaculation following prostate surgery! Our procedures have a higher success rate because we treat the underlying cause of urinary symptoms and determine the best option in each individual case. Tune in to learn more about the range of state-of-the-art treatments available to address everything from frequent/urgent urination, retrograde or painful ejaculation, a weak pelvic floor, and more.

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.

We enjoy hearing from you! Email us at armormenshealth@gmail.com and we’ll answer your question in an upcoming episode.

Phone: (512) 238-0762

Email: Armormenshealth@gmail.com

Website: Armormenshealth.com

Our Locations:

Round Rock Office
970 Hester’s Crossing Road
 Suite 101
 Round Rock, TX 78681

South Austin Office
6501 South Congress
 Suite 1-103
 Austin, TX 78745

Lakeline Office
12505 Hymeadow Drive
 Suite 2C
 Austin, TX 78750

Dripping Springs Office
170 Benney Lane
 Suite 202
 Dripping Springs, TX 78620

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 Bird, bird board certified. on , you're board certified host here with my co-host Donnelly.

Speaker 4: 0:25

Hello everybody. We are bird operating over here.

Speaker 3: 0:27

We're not very good at editing. No

Speaker 4: 0:29

<laugh> , unless we'll probably

Speaker 3: 0:30

Take that out unless we say bad words.

Speaker 4: 0:31

It'll cost you extra,

Speaker 3: 0:32

Though. It'll cost us extra. So we're just gonna go with it. I'm a board certified urologist is a men's health show. We deal with everything from the nipples to the knees. Uh, we are , uh, happily able to provide information on a number of men's health issues. Uh, we would love for you to contact us to learn about our practice, to learn about our wonderful offerings. This show is brought to you by NAU Urology Specialist, the group that I started in 2007. Donna, how do people get ahold of us? And where are we?

Speaker 4: 0:56

You are available in the Austin area for anyone to see, or you can listen to our podcast wherever you listen to free podcasts. You know, a good time now would be the blooper reel that I should put out.

Speaker 3: 1:05

No,

Speaker 4: 1:05

That would be amazing.

Speaker 3: 1:06

No, a lot . A lot of like bleeps.

Speaker 4: 1:09

A lot of bleeps. You can reach out to us at 5 1 2 2 3 8 0 7 6 2. If you are insisting on this blooper reel, you can also email us at armor men's health.com. There's a little button at the top that says, submit your question where we'll answer those questions anonymously. We are in Round Rock, north Austin, south Austin, and Dripping Springs. Or if you're listening to the podcast, we are all over the world.

Speaker 3: 1:28

All over worldwide.

Speaker 4: 1:29

That's right. All over.

Speaker 3: 1:31

So your questions really drive this practice , uh, really drive this , um, uh, this show. And we'd love to hear from you. It really indicates a very high level of , uh, engagement from our listeners. Uh, we love it. Uh, Donna , uh, let's hear a

Speaker 4: 1:43

Question. Uh , you know, I had to make my screen bigger 'cause I can't see 'cause I'm old. Yes, you are . So here's your question. The first one for Dr . Mystery , about three years ago, I had the UroLift procedure. It did not work. I'm still on Tamsulosin. It lists his insurance, of which we take most of the insurance plans. By the way, I have occasional nights when I'm up every 15 minutes until 4:00 AM Let me know if you have other treatments that would be applicable to me.

Speaker 3: 2:06

That's great. So this is actually a two-part question whether the lister knows it or not. Mm-Hmm . <affirmative> . So the first question is UroLift for BPH H symptoms. Mm-Hmm . <affirmative> . And then frequent nighttime urinating. So those are two different questions. Okay. And so , um, I recently went on a hunting trip with my , uh, brother-in-Law. And he could not say enough nice things about UroLift. He had enlarged prostate symptoms. He had a UroLift performed, and he did great. And then there are others that don't do great. Right. And that's the nature of the beast. Not all treatments for BPH are likely to work the same, especially if it comes to a difference in how you go into the procedure with your symptoms. Mm-Hmm. <affirmative> . So the UroLift is a clip, it's like a curtain holder. So it goes into the prostate and moves the prostate lobes to the side and opens up the channel. I perform UroLifts. Multiple practitioners in our practice do the UroLift. But around the country, there have been many urologists who thought it was UroLift or nothing. Meaning that if you had a nail, you got a UroLift. Right . If you know what I mean. And everyone so and so, everyone got it. And I think that because of that, unfortunately, the product itself may have had kind of a negative kind of impression because not everyone who gets it does better. But in my practice, everyone who gets it does better because I am very specific about those people who the procedure should be done for. Okay. By an ultrasound, your prostate should measure somewhere between 30 and 60 grams. Okay. And the way that you are blocked should be from the lobes that are coming from the side. So if you're walking in the cave of the urethra, the prostate is like a cave and it's squeezing from the sides. Mm-Hmm . And if that's happening, then you are likely to benefit from a UroLift . And what benefits should you expect? Well, this is all just plumbing guys. Mm-Hmm . If you move the prostate lobes out of the way, your flow should be better. So number one, if you complain of slow flow or hesitancy, that means it's hard to get started peeing. Or if you are tired of having to stand right over the urinal or else you pee on your shoes, this is a great procedure. You know, this UroLift procedure. Yeah. It's often done as an outpatient in my practice. We do it in the hospital, but several of my practitioners here in our practice do it in the office. Mm-Hmm. <affirmative> . So you don't have a hospitalization, you don't need a catheter. If you get it done by me, you get a catheter overnight. But many of our practitioners and many practitioners around the country do not leave a catheter. And that's fine. That's just a difference of, of , of, of, you know, practice patterns. For me , uh, even if only one in 20 people end up in the ER that night because they can't pee, I'd rather avoid the one in 20 and make the other 19 suffer. Uh , so that, so that <laugh> so with a catheter over. So that's why , and that's the truth . I mean, it is the truth. But that's, that's kind of how I am, because going to the emergency room, in my opinion, is terrible. Yeah. And leaves a negative impression on so many people's minds. Are

Speaker 4: 4:58

All catheters painful? Because I know guys really, really don't want a catheter sometimes .

Speaker 3: 5:01

I'll tell you . I don't think so, but I've never had one. So I'm, I'm just gonna leave it there. <laugh> , I'm gonna leave it that . Okay . I think the idea of a plastic tube in your penis is never good, only attractive to maybe one in 20. Hmm . <laugh> . We've seen those guys and we've seen those guys. <laugh> .

Speaker 4: 5:16

We have a shadow box of different devices that we've seen those guys

Speaker 3: 5:19

For. That's right. That's right. And so now you have this issue where if you went to the urologists, because you're getting up frequently at night. Mm-Hmm. <affirmative> , then BPH is only one of several different options. But to go back to this patient, if your year lift wasn't placed properly, or if you didn't have the right type of anatomy for it, it may not work. Oh . And so a lot of men are gonna have to have some type of repeat procedure. And as part of that repeat procedure, unfortunately, you often have to have those clips, those clips removed. Now , does it hurt? It does not. I mean, it is done in the operating room while you're sleeping , while

Speaker 4: 5:54

You're asleep. That's

Speaker 3: 5:55

Right. Yeah. And so we offer the hoep holmium laser and nucleation of the prostate. Dr. Jordan Krieger in our office does an amazing job with those. Mm-Hmm. <affirmative> . And she can use the laser to cut the little strings that make up the eurolift clips. Oh. Or we can terp you , which you may not want to hear that word, but that's what it is. We use a cutting loop to cut the, the clips out.

Speaker 4: 6:14

Oh , that's the Roto-Rooter.

Speaker 3: 6:16

That's the Roto-Rooter. Okay. It's been around forever. It works like a charm. Mm-Hmm. <affirmative> . But it does lead to retrograde. Mm . Yes. In , in my practice. <laugh>

Speaker 4: 6:24

Yes, please. Less

Speaker 3: 6:27

Mess . No more wet , no more wet spot. Um , and it does , uh, require catheterization. And in my practice does require an overnight stay in the hospital. Now, a lot of my own partners don't make people stay overnight. And a lot of urologists around the country don't make them stay overnight. Mm . But again, I'm extraordinarily conservative. I want to keep you outta the emergency room. And that's why I do that. Mm-Hmm. <affirmative> . And the hospital that we do it at is like a Marriott. So it's like really nice . This iss not a big problem to stay overnight. Very

Speaker 4: 6:51

Boutiquey.

Speaker 3: 6:51

It is very boutiquey. And so , um, now we get into this particular patient's problem, which is he gets up frequently at night. Mm-Hmm. <affirmative> , you can get up at night frequently for a number of reasons. And enlarged prostates, only one of them.

Speaker 4: 7:05

An irritating wife is the other. That's right.

Speaker 3: 7:07

A dog more , you know , shifting <laugh> , if you're a poor sleeper, if you are making too much urine at night, that's called nocturnal polyuria. So if you get up at night every 15 minutes, which is not happening to this guy, but if he's getting up every 15 minutes and peeing a whole bunch Mm-Hmm. <affirmative> , that's a different problem than if he's getting up and peeing just a little bit. Mm-Hmm. <affirmative> , if you're getting up and peeing just a little bit, you could have overactive bladder or urgency. Some people have muscle problems. So if you're 35 years old and you're getting up frequently at night, you don't have an enlarged prostate, you're too young. Oh , you have something else going on. Oh my . If you are 48 years old and weigh 380 pounds and are getting up four times a night, it's probably sleep apnea. Oh . Sleep apnea leads to causing you to develop too much urine at night. Okay. So the problem is different. Hmm . If you are a long distance runner and you have hip pain and you're getting up at night, it may not be in en large proceed . It could be something called pelvic floor spasticity, which affects you more when you're lying flat and

Speaker 4: 8:04

You should stop running immediately.

Speaker 3: 8:06

You could be a poor sleeper. So that's why we work on sleep hygiene here. Mm-Hmm . <affirmative> with , uh, holly, our, our , um, our in-house health coach. Mm-Hmm. <affirmative> to work on supplements that might help you sleep better. So correctly diagnosing why you're getting up at night is very important. Okay. That being said, all that being said, Mm-Hmm. <affirmative> , 80% of people that get up frequently at night also get up frequently during the day or go to the bathroom frequently during the day. Mm-Hmm. <affirmative> . And that's overactive bladder. Oh . And in women, that's not because of a prostate, because only a few women have a prostate. It's

Speaker 4: 8:39

20, 24.

Speaker 3: 8:40

Only those that identify as a woman. But were , you know, genetically have a prostate. Mm-Hmm . <affirmative> , you know, they may have their prostate, but for the majority of women it's overactive bladder. Mm-Hmm. <affirmative> . And for most men is an enlarged prostate pushing on the bladder neck, causing you to, to have to frequently urinate. So what the first question I ask when people tell me they're getting up frequently at night is, are you going frequently during the day? Yeah . Now, a lot of people are working from home, some people are retired. Going to the bathroom isn't a big deal. You got a bathroom right there. Right. But, you know, if you're having to stop six times while playing golf, you have to get up twice during a movie that's urgency during the day. And those people probably have an overactive bladder. Mm-Hmm . But if you're only getting up at night and you're fine during the day, then it's probably not an enlarged prostate. And I, I'm , I'm sorry to say that many urologists don't make that parsing of what your deci what you know, what your symptoms are. Mm-Hmm. <affirmative> . And that's really important to make sure that you have the right treatment. So for us, if you've already had a bph h treatment, UroLift resume , a turp , whatever, and you're still getting up at night, you, you require a, a more aggressive evaluation. And although as you're talking about it kind of obliquely like, oh, you're getting up at night. Well, that's too bad. Mm-Hmm. <affirmative> , you know , like , like, what do you care? But what are you doing tomorrow? You know? But really, I mean, people, especially if you have a hard time going back to sleep Mm-Hmm. <affirmative> , I mean, it ruins your day the next day. Yeah. And so we really, really, really want to help you not get up as frequently at night and trying to understand exactly what the underlying mechanism is critical to making your life better. Mm-Hmm. <affirmative> Donna. We'd love to see second opinions, you know, that we do. So if you're out there and you want to get a second opinion, if you don't live in Austin and you want a second opinion over telemedicine, we'd love to do that for you. Donna. How do people get ahold of us?

Speaker 4: 10:22

You can reach out to us right away at 5 1 2 2 3 8 0 7 6 2. That's Monday through Friday. We'll answer the phones. You can also ask for me, and you can visit our website, armor men's health.com, where you can submit these amazing questions that we'll answer anonymously. There's a little button at the top right that says, submit your question here. And of course, always reach out to us when you are in the Austin area, again at 5 1 2 2 3 8 0 7 6 2.

Speaker 3: 10:46

Hello and welcome back to the Armor Men's Health Show. This is Dr. Mystery once again, joined by my co-host, Donna Lee.

Speaker 4: 10:53

Hey, did you know your last name is really mystery.

Speaker 3: 10:55

It is really mystery. We haven't gotten that little , uh, question in a long time, have we?

Speaker 4: 10:59

<laugh>? We've not. But somebody called you Dr. Misery today, which drove me completely insane. <laugh>

Speaker 3: 11:03

Well , uh, sometimes <laugh>, but only if you're married to me. That's right. Or you're my child. Oh . Uh, so yes. My name is Dr . Mistry . M-I-S-T-R-Y. It's a name from India. That's where I'm from. What, that's where my parents , uh, are from. And that's , uh, you know, the culture that I was , uh, grown up in.

Speaker 4: 11:23

Pretty common last name it.

Speaker 3: 11:25

There is not. No , I don't think so. No,

Speaker 4: 11:27

No . Okay. You're right. I've never heard of another mystery.

Speaker 3: 11:29

Well, there's a couple of us.

Speaker 4: 11:30

Dr . Misery would be funnier though.

Speaker 3: 11:31

That would be pretty funny. It's like Dr. Hurt . Mm-Hmm . <affirmative> who we have on the show sometimes. Or

Speaker 4: 11:36

Dr . Slaughter.

Speaker 3: 11:36

Or Dr. Slaughter. Yeah.

Speaker 4: 11:37

Those are fun.

Speaker 3: 11:38

Or Dr. Payne. There's a Dr. Payne too.

Speaker 4: 11:40

Oh , there's a OBGYN named Dr. Love .

Speaker 3: 11:42

And we knew a guy , uh, we knew a guy in , uh, when I was in training called Doctor , doctor Uhuh .

Speaker 4: 11:48

Yes.

Speaker 3: 11:48

<laugh> . They , doctor, doctor , doctor. Well, there you go.

Speaker 4: 11:52

Sometimes that's like Tito beverage owning Tito's vodka. Did you know his last name is Beverage ? Is it? Yeah. Tito's Beverage. It's spelled a little funny, but it's pronounced Varage <laugh> . It's French all of a sudden.

Speaker 3: 12:02

Well, there you go.

Speaker 4: 12:03

Welcome to the Varage .

Speaker 3: 12:04

Well, welcome back to our show. This is a men's health show's brought to you by the urology practice that I started in 2007 NAU Urology specialist. Donna, how do people get ahold of us? Come to us for a second opinion or learn more about us.

Speaker 4: 12:15

Now you've memorized our phone number by now for that second opinion. It's 5 1 2 2 3 8 0 7 6 2. Our website is armor men's health.com. And that can take you to our parent company's website and a you urology specialist. There's a little button at the top and you can see our shiny smiley faces. And we are in Round Rock, north Austin, south Austin, and Dripping Springs, Texas. And Dr. Mystery , I'm gonna make a promise to you that I'm gonna promote and discuss the podcast more efficiently this year than I did last year, because I think I forgot about it 50% of the time.

Speaker 3: 12:42

Well, that's good. Yes. Uh , and I'm glad to see things improve . <laugh> ,

Speaker 4: 12:45

Your marketing person is on it. Yeah.

Speaker 3: 12:48

<laugh> . So your questions , uh, drive this show. Uh, what's a question you got for us,

Speaker 4: 12:52

Don ? Well, we talked about Eurolift in the last question, so we have a follow up , but from another whole person. Excellent. Dr . Misery , what happens to outer UroLift clips in the hole up operation? Can they cause problems, for example, pain in Kegel exercises of the pelvic floor?

Speaker 3: 13:08

That's a great question. Mm-Hmm. <affirmative> . So , um, first I'm gonna talk about kind of what the , uh, actual UroLift procedure is. Mm-Hmm. <affirmative> . It's quite innovative. Yeah. Yeah. I mean, for those of you that work with drywall or hanging pictures up, you know that you can drill like a small hole in the wall and you can insert a screw in there. Mm-Hmm. <affirmative> . And then while you're screwing the screw, there's like an anchor that can be created. Mm-Hmm . <affirmative> that keeps you on both sides of the wall kind of secured. Okay . And , uh, you know , uh, me being the big talker <laugh> , um, there's, there's innumerable videos. It's funny, half my TikTok is like construction videos and half are , uh, yoga pants, things that , with things that we should not mention. Girls and yoga pants. A lot of gymnasts for some reason, <laugh> and people jumping rope. Adult

Speaker 4: 13:56

Gymnasts.

Speaker 3: 13:56

By the way, it must be because I it must be my kids. YouTube must be all

Speaker 4: 14:01

Six of your kids.

Speaker 3: 14:02

I don't know , using your phone. I don't know . I don't like it when they look at my tiktoks . This went bad <laugh> , uh, in any case. Um, so the, the number of types of anchors that you can do in a wall are very, they're , they're many. Mm-Hmm. <affirmative> , they're , I mean, it's, it's, it's amazing technology what can allow you to secure something to a wall. Okay. But, and I went through that because that's what the UroLift does. Mm . It sends a clip through the urethra, through the wall of the urethra. Mm-Hmm. <affirmative> through the prostate to the, out of the prostate, outer side of the prostate. And then by tightening it, you create an anchor on the outside and

Speaker 4: 14:35

It

Speaker 3: 14:35

Doesn't , and then there's an anchor on the inside and that squeezes the prostate wall. So if you can think of the prostate like a donut . Mm-Hmm . <affirmative> , you're going through the hole, going through the donut and then squeezing the donut so that the hole is bigger. Okay.

Speaker 4: 14:50

That makes sense.

Speaker 3: 14:51

And that's what you're doing. I like

Speaker 4: 14:52

Your donut analogy.

Speaker 3: 14:53

And so this, I'm hungry , listen , is must be an engineer because he understands Yeah . That when you cut the inside clip out and you cut the string that attaches both anchors Mm-Hmm. <affirmative> that that outside anchor remains. And that is correct. That outside anchor will remain. So if you get a UroLift , you'll forever have a small, very small non-reactive foreign body that exists on the outside.

Speaker 4: 15:19

Okay. What is the string attached to? So I know where the clips are going. And you said there's

Speaker 3: 15:24

Strings , there's an anchor on the outside of the wall. Okay. There's an anchor on the inside of the wall. Okay. But what squeezes it is a string. Oh . That goes in between Oh. So that's like the screw that goes through the wall.

Speaker 4: 15:35

Oh, I see. I've seen the little, it looks like a staple, but that's a string.

Speaker 3: 15:38

That's cor Well, there's a staple on the inside. Oh, a staple on the outside and a string that connects the two. I

Speaker 4: 15:44

See. Okay. I didn . See ,

Speaker 3: 15:44

And thats what the eurolift does.

Speaker 4: 15:46

It lifts,

Speaker 3: 15:47

It lifts it, it lifts and separates.

Speaker 4: 15:50

Mm . Like my face, it's

Speaker 3: 15:51

The, it's the, or the miracle broth . I was going

Speaker 4: 15:53

<laugh>. <laugh> .

Speaker 3: 15:56

Okay . So, so when you have the UroLift inserted the foreign body that exists on the inside, that means on the inner part of the donut hole. Mm-Hmm. <affirmative> you can cut out Mm-Hmm . And you can cut the string, but getting to the outer anchor is impossible from the inside out. Oh. So the only way to remove that is to, to actually robotically, in our case, robotically go in and remove that clip. I see . Which we've had to do. So this listeners asking, can that outer clip lead to problems with the pelvic floor? Mm-Hmm. <affirmative> the pelvic floor

Speaker 4: 16:29

And Kegel

Speaker 3: 16:30

Exercise. And that's what you're kind of squeezing during a Kegels exercise. Gotcha . And, and I will tell you, and this will prove to you that we're not sponsored by anybody <laugh> . I certainly think that that can happen. <laugh> certainly think that can happen. Oh my. If you actually ever remove the prostate Mm-Hmm . <affirmative> , the pelvic floor and the outer edge of the prostate are touching each other very intimately involved. Oh. And so when we're removing the prostate, we actually have to sweep off the pelvic floor musculature off of the lateral or sideways edge of the prostate gland. What

Speaker 4: 17:03

Do you use to sweep it

Speaker 3: 17:03

Off the robot? Oh, I see. We have little special instruments, laparoscopic instruments that sweep it off. I see. And so damage to that pelvic floor can lead to pain and it can also lead to urinary incontinence. Uh oh . So you might say, well man, that sounds terrible. Yeah. But the truth is, the incidents in my own practice of pelvic floor problems from these UroLift clips is very rare. Mm . But that doesn't mean it can't happen. Yeah. So let's say you had one of these procedures done, and before that you weren't having any pain. And now whenever you're squeezing your pelvic floor, you are having pain, then I think it goes to say that maybe the UroLift did it. Mm . <laugh> . And so how do you fix that? Well, we have a number of ways that we deal with it. Mm-Hmm. <affirmative> . So going in laparoscopically to remove the clip clip is the last thing that we do. That's like, that's like Howitzer trying to kill a fly in a China shop. We don't, we don't go for that unless there's a really, really, really good reason to do that. Okay. So, so things that we do, we do , um, pelvic floor physical therapy, which oftentimes it's not just Kegel. So if you think that Kegels is what you're doing, then don't try to save the money by not going to a pelvic or physical therapist. Right. We do a lot more things. Mm-Hmm . <affirmative> . So you can actually reach that clip trans rectally. So by doing something called myofascial release through internal work rectally. Why

Speaker 4: 18:23

Are you doing that with your finger? Well,

Speaker 3: 18:24

I'm just trying to show you,

Speaker 4: 18:25

But they , they can't see what you're doing, but

Speaker 3: 18:27

It's , oh , they,

Speaker 4: 18:27

They know it's exciting. They know you're just moving your finger in a

Speaker 3: 18:30

Circle. They , they know it's like a little circle

Speaker 4: 18:32

<laugh> in the booty

Speaker 3: 18:32

Hole . But , but what you can do through the booty hole, uhhuh <affirmative> is you can access that muscle and try to stretch that string. Oh. And so it's, it's not the clip that's causing problem, it's any residual tension Mm . From that string and that anchor. Okay. And so by going behind the wall, as it were, and massaging that anchor, you can release that anchor and lead to improved pain. And I'll say the vast, vast, vast majority of patients will improve with that. Yeah. And sure. And so if it doesn't work, then we can do something called a pudendal nerve block and try to help release any pain that can be occurring by injecting lidocaine and a steroid where that clip might be. What

Speaker 4: 19:12

Does denal mean?

Speaker 3: 19:13

Pudendal . Isal. One of the nerves that goes to our Putin

Speaker 4: 19:17

P <laugh> . Bless you. <laugh> .

Speaker 3: 19:18

Bless you. That's your perineum. Oh . So pain in the perineum, your sit bone pain, like if you're a cyclist, you know Mm-Hmm . <affirmative> , you know that bone that you're sitting on with a Yeah . With a narrow cycle seat. And we can do that. Um, and then there are medications like anti-inflammatories that could reduce it. Mm-Hmm. <affirmative> , rarely, rarely people can be allergic to the metal that's in the clip. Oh. Didn't think that . And we've had a couple of instances of patients who've had , uh, an allergy , uh, to what's making up that clip. Now, the inside clip is make it of nickel, and the outside clip is made of titanium. And it's rare, rare, rare, rare, rare to have a titanium

Speaker 4: 19:57

Allergy . But there's so tiny, I guess it's , you can still be allergic to something that tiny,

Speaker 3: 20:00

I mean, a peanut's tiny too.

Speaker 4: 20:02

Uh , good point. Nice. That was well done, <laugh> . Right ? <laugh> .

Speaker 3: 20:07

And so sometimes people can be allergic. You just have to have an open-minded practitioner. Mm-Hmm . <affirmative> . So if the guy who's done your UroLift has done 10,000 of 'em and he is never seen your problem, then that's awesome. But like, you know, <laugh> Probably not true. You know, but, but probably not true. And sometimes when you do so many of a procedure Mm-Hmm, <affirmative> the problems kinda wash away in your memory. You know what I mean? Oh yeah . Like , you know , that makes sense. Know I put my pants on 10,000 dimes. I don't remember the last time I caught my pubes in a zip <laugh> , but it's probably happened. You know what I'm saying? It's probably happened and you just forget about it. Right. It doesn't mean that it's never happened to anyone. Wow . And so having an open-minded practitioner understanding your particular problem, so if you're having pelvic pain, and the most common one that you'll, you'll see is people that have pain with. Mm-Hmm. <affirmative> after a procedure. Yeah. Then you need somebody to help you take care of that. Oh . And we would love to do that. Yeah . So, Donna, how can we help this listener and how can we help other listeners that may have never heard of this particular problem?

Speaker 4: 21:03

Well, you can also call us if we , if you have questions or about the two Ps, the peanut allergy or the pubes in the zipper at 5 1 2 2 3 8 0 7 6 2. And again, visit our website, armor men's health.com, where you can see Dr. Mystery's shining, smiling face, and you can submit your question right there. Again, armor men's health.com. Don't forget to listen to our podcast. They're amazing. Thank you, Dr .

Speaker 3: 21:25

Mr . Thank you, Donna.

Speaker 2: 21:26

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 arm men's health.com.