In this segment, Dr. Mistry and Donna Lee answer listeners' questions about testicle size and ED following sexual inactivity in older age. If you've ever wondered if your "balls" are bigger than average, or if it's too late to start ED medications, this episode is for you! Tune in to learn what a hydrocele is, how sexual activity can influence erectile dysfunction, and why knowing their patient's sexual history can help urologists better treat ED.
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
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Speaker 2 (00:09):
Welcome back to the Armor Men's Health Hour with
Dr. Mystery and Donna Lee.
Speaker 1 (00:15):
Hello
Speaker 3 (00:16):
And welcome to the Armor Men's Health Hour. I'm
Dr. Mr , your host joining youtoday from Austin, Texas. I'm
here with my co-host Donna Lee.
That's
Speaker 4 (00:25):
Right. Hello. Happy day To everybody out there.
Speaker 3 (00:27):
If you're new to the show, Donna Lee is in fact a
professional comedian.
Speaker 4 (00:32):
I was, in fact, yes.
On Nick at night search for thefunniest mom in America. Number
seven. I'm seventh funniest momin the
Speaker 3 (00:38):
World. And sometimes you're still looking for the
opportunity to do a littlestandup act.
Speaker 4 (00:41):
I am . We have clubs opening now again in Austin, so
maybe I'll appear at one ofthem ..
Speaker 3 (00:47):
So Joe,
Speaker 4 (00:48):
I could beg him . I have to call and say , can you
please let me
Speaker 3 (00:50):
Work ? I'm
hoping Joe Rogan is a , is a
listener to our podcast in ourradio show. I
Speaker 4 (00:54):
Hope so, because maybe he'll throw a bone and
you and I can do a little funny
Speaker 3 (00:58):
And do and do a , a little standup at his new
comedy show. Mm-hmm.
.
Speaker 4 (01:01):
That'd be amazing.
Let's
Speaker 3 (01:03):
Do it. That's awesome. This show is brought
to you by N a u UrologySpecialist. That's the urology
specialty , uh, clinic that ,uh, started in 2007. We have
four physician providers. Wehave five physician assistant
providers. We have three pelvicfloor physical therapists. We
have a sex therapist, and wehave an amazing , uh, sleep ,
um, apnea , uh, management andtesting program.
Speaker 4 (01:25):
And you have one Donna Lee
Speaker 3 (01:26):
And one Donna Lee .
Mm-hmm..
Speaker 4 (01:28):
And your name is by the way, m i s t r y. If you
would like to Google him.
Speaker 3 (01:32):
Yes.
Speaker 4 (01:32):
You like the Googling
Speaker 3 (01:34):
?
Speaker 4 (01:35):
He's doing it all the
Speaker 3 (01:35):
Time. I Google myself all the time . .
Um, this is a show in which wetalk about men's health issues
and , uh, your questions arethe kind of thing that that
drives this show. Uh, so wereally appreciate you sending
in your questions. Uh, we areseeing patients , uh, we are ,
uh, actively , uh, still seeingall patients that are new with
all sorts of insurance. So ifyou , uh, have an issue that
(01:56):
you'd like to get a secondopinion on, or you'd like to
have a men's health issue thatwe has not been addressed, you
know, to your satisfaction ,uh, we see them all the time,
all day , uh, all week. Mm-hmm. . And so Donna,
how do people get ahold of usand where are our locations? We
Speaker 4 (02:10):
Are located in Round Rock, north Austin, south
Austin, and Dripping Springs.
If you're on the other side ofthe world, that means nothing
to you. Just know we are in thebest part of the whole country
to live in our number's. 5 1 22 3 8 0 7 6 2 . Our website is
armor men's health.com, and youcan send your questions to
Armor Men's health@gmail.comthat we will answer
anonymously. And you know, wehave a lot of podcast
(02:30):
listeners. They're not just theradio show listeners and
they're listening from all overthe
Speaker 3 (02:34):
Place. Well, I'm so glad. Do we have any questions
from one of them? We do
Speaker 4 (02:36):
Have one of them.
He's listening from , uh,across the state actually. He
says, hi, I've been a regularlistener to your weekly
podcasts for years now and lookforward to them each week.
You've become my go-to formen's health issues. I have a
question that perhaps can bediscussed for myself and
others. I'm a very fit 61 yearold man, no major health issues
and only take meds to keep myblood pressure in check. I do,
(02:58):
however, have what I considerlarger than average testicles.
I've never had any testtesticular pain injuries or
detected any abnormalities whendoing my self exams . But
visually, the boys quote , boysseem very large. Even as a
teen, I was aware that myscrotum and testicles were
larger than others in thelocker rooms and have always
been very self-conscious aboutthis. I've just heard, I've
(03:19):
just learned how to cope withthem by shifting them around
when sitting or working out,just wondering if it's normal
to have larger testicles andcould they be something that I
should be concerned with in myfuture years?
Speaker 3 (03:30):
Well , it's a really great question. Mm-hmm .
, because , uh,we often , um, it's got big
balls. We'll see people, we'llsee people , uh, that come to
us for smaller than averagetesticles, whether they be from
fertility concerns or priortrauma or prior surgery , uh,
or because the abuse ofmedications, the most common
reason would be testosteroneuse does shrink the balls to
Speaker 4 (03:49):
Make them smaller.
It does
Speaker 3 (03:50):
Make them smaller.
What
Speaker 4 (03:51):
Makes them bigger?
Is there a medicine that mightmake them bigger? Well, no,
he's had this his whole life.
Speaker 3 (03:54):
Yeah. So he is , had his whole life. So , um, if
you're looking at yourtesticles mm-hmm .
, and you'remeasuring them , um, you don't
really want them to be biggerthan two of your knuckles. So
if you use your, if you useyour , um, your index finger,
you just want to go to thesecond knuckle, and that should
be about the biggest that yourtesticle really is. Okay. Now,
(04:14):
of course, if you have smallhands or anything ,
Speaker 4 (04:16):
Whatever , I have big hands, I'd have really big
balls, I think. Right. Are you
Speaker 3 (04:20):
Looking, actually, I've heard , I've heard that
about you, . So , um,and , and so that , that's ,
uh, that's about four to fivecentimeters in length. Mm-hmm .
from top tobottom. So if it's bigger than
that mm-hmm. ,then it could be that that's
not just the testicle. Youcould have something called a
hydros eal , and that meansthat around the testicle
there's a sack. Right . Andthat sack can fill with fluid,
(04:42):
fluid
Speaker 4 (04:43):
For that long, for his whole life. For
Speaker 3 (04:44):
Sure. If nobody knew about it. No . You know, no .
And it can be just enough fluidto not be overly noticeable to
a doctor, but just noticeableto the patient. So , um, a
small hydros seal would beprobably be the most common
reason to have larger thannormal , uh, testicles. Mm-hmm.
tumors areunlikely to be present for that
long of a time, but there isput some types of tumors or
(05:06):
cysts of the inside of thetesticle or the EPIs mm-hmm .
That can give the testicle avery large size. Mm-hmm . So if
somebody has abnormally largetesticles, I think doing an
ultrasound, which has noradiation covered by insurance
and is painless answers almostall of those questions. It
tells you whether yourtesticles in the normal range,
because you'll get the size.
(05:26):
Okay . It'll tell you ifthere's fluid around the
testicle. It'll tell you ifthere's cysts or there's
anything going on , uh, like inthe epididymus.
Speaker 4 (05:34):
And where's
Speaker 3 (05:35):
That, that is a little worm-like organ that
lives right next to thetesticle, and that's where the
sperm gets stored. Mm-hmm .
. So sometimesmen who've had a vasectomy
mm-hmm. and thesperm builds up in the
testicles, they'll noticemm-hmm . that
their testicles are a littlebigger, their epi is a little
bigger, and that can cause someswelling
Speaker 4 (05:51):
And pain.
Speaker 3 (05:53):
It can cause it pain, but most people do not
have pain. Gotcha . But what'shappening here is his , his
nuts are getting stuck betweenhis legs when he is working out
and that's causing himdiscomfort. So that's big
balls.
Speaker 4 (06:04):
Yeah.
Speaker 3 (06:04):
But let me talk to you about big scrotums. Oh ,
Speaker 4 (06:08):
Okay. So
Speaker 3 (06:08):
Sometimes people just confuse the words and
confuse what's going on. SoYeah . I don't know. The nuts
in the sack are , are yourtesticle. Right. But if the
sack is real big mm-hmm .
, it can starthanging down and that certainly
gets worse as you get older.
Right. That sounds annoying. Imean , we see some and you're
like, man, they must be bangingto your knees. That's a really
low hanging fruit there.
(06:29):
Speaker 4 (06:29):
Women have a boob problem like that start sagging
.
Speaker 3 (06:32):
That's right .
Things start sagging. Okay. Sowe actually have a repair for
that. So , um, Dr. Dellinger,who's one of the plastic
surgeons on this show that wework with all the time, he and
I have to do these scrotallifts, not infrequently like
Speaker 4 (06:45):
Scrotox with some Botox up in there.
Speaker 3 (06:47):
We don't do it with medicine this time where you
like cut it out . There'sactually a technique. It's
called the diamond technique.
Is
Speaker 4 (06:52):
It like a facelift for your Totally to your , for
your
Speaker 3 (06:54):
Totally poopoo .
Okay . And it , and it tuckseverything ups, so it doesn't
get in between your legs. Andit's , um, I , most urologists
can do them. Uh, the problemwith the procedure is that
because the scrotum hangs down,the gravity sometimes pulls the
stitches apart. Oh . So if youget it done, you'd prefer to
get it done by somebody whoknows what they're doing. So
(07:15):
they just put a lot morestitches in there that doesn't
pull apart.
Speaker 4 (07:18):
Oh , are the stitches underneath?
Speaker 3 (07:20):
They're they
Speaker 4 (07:21):
Tucked up and underneath.
Speaker 3 (07:22):
They don't. They just, well , essentially all
you do is you just take theextra scrotal skin out and it
just kind of tucks everythingup. Okay. It's a relatively
painless , uh, it can becovered by insurance. If
somebody is like really kindof, you know, kind of tricky
about how they code it, butprobably doesn't cost more
than, you know, three grand toget a really nice scroop plasty
done. Mm-hmm. .
(07:43):
And , uh, it can really helpalleviate this issue. And as
you're getting older, and ifyou're getting more active, the
tissues just seem to getthinner and more stretchy.
Mm-hmm. , uh,you're gonna get a lot more
veins in them . So we see a lotof veiny scrotums.
Speaker 4 (07:56):
This is very unattractive sounding.
Speaker 3 (07:59):
Well , I mean, I don't know. Women, women never
really comment on howattractive a scrotum is.
Speaker 4 (08:04):
Never. 'cause you guys don't have pretty parts.
We have pretty parts.
Speaker 3 (08:10):
I really think this is a sexist kind of
conversation. scrotumis amazingly versatile
Speaker 4 (08:15):
And it's versatile, but it's not pretty.
Speaker 3 (08:17):
Well, I'll tell you , sometimes we take Bull
scrotums and put 'em on ourdesk and put candy beans in
them.
Speaker 4 (08:21):
Oh , do we ?
Speaker 3 (08:22):
I just said , I just said candy beans, . I
don't think that's a thing.
. It's a candy beanjelly beans
Speaker 4 (08:30):
Candy bean
Speaker 3 (08:31):
. If anybody
looking for a gift for me,
Speaker 4 (08:33):
Please bring a massive some candy beans , a
Speaker 3 (08:35):
S girdle sack for what Some candy beans are my
way to go. , if youhave questions about things
that you have had for a longtime or wondering if they're
normal, we would love to answerthem for you. And if you want
any of these big ball issuesprepared, that's something
certainly we can, we can helpyou take care of. If you're
having to readjust yourself sothat you're not squeezing your
balls between your legs, pleasecome and see us. We would love
(08:57):
to take care of it for
Speaker 4 (08:58):
You. Please bring us some candy meat.
Speaker 3 (09:01):
How do people get ahold of us?
Speaker 4 (09:03):
, you can
call us at (512) 238-0762. That
was so enjoyable. Um, ourwebsite is armor men's
health.com and our emailaddress for these questions
that are amazing that we willanswer anonymously is Armor
Men's health@gmail.com. We'relocated at Round Rock South
Austin. North Austin andDripping Springs. Listen to our
podcast wherever you listen tofree podcasts and you'll learn
(09:24):
something. For sure.
Speaker 3 (09:25):
For sure.
Speaker 4 (09:26):
Thank you.
Speaker 3 (09:28):
Hello and welcome to the Armor Men's Health Hour.
I'm Dr . Mystery , your hosthere with my co-host, the Ever
Present , ever Wonderful DonnaLee ever
Speaker 4 (09:37):
Present . Is that a thing? That's right. It's
Speaker 3 (09:38):
Like thing I'm ever present . It's like showing ups
half the battle. Hey,
Speaker 4 (09:41):
You're here again.
. Welcome to work.
Speaker 3 (09:43):
It's half the Battle . I'm a board certified
urologist. This is a men'shealth show. This show is
brought to you by N a u Urologyspecialists, or we have been in
practice since 2007, almostcoming upon our 13th magical
year here in Austin.
Speaker 4 (09:57):
You know, 13 is our lucky number at home. Well,
when we go to Vegas, we bet on13 all the time.
Speaker 3 (10:01):
That's right. And
Speaker 4 (10:02):
We win big.
Speaker 3 (10:03):
Well, you're still coming to work, so maybe you're
not winning too big.
Speaker 4 (10:07):
You have to come to work to finish off
Speaker 3 (10:09):
That maybe's a lucky number for me so that ,
if you got rich, you wouldn'tcome to work anymore. .
Speaker 4 (10:14):
Okay, good point.
Speaker 3 (10:15):
Uh , uh, our urology practice is dedicated to the
treatment of both men and women, uh, for , uh, a variety of
urologic needs, includingkidney stones, bladder cancer,
prostate cancer, you know,things that deal with the, the
body from the belly button tothe knees. Let's just say
knees. Oh , or just above.
Above the knees, below thebelly button. We have , uh,
four amazing , uh, physicianproviders. We have four amazing
(10:38):
physician assistant providers.
We have in-house sex therapy,in-house , um, uh, physical
therapy and biomechanicaltherapy. Sweet . We in-house
nutrition, in-house sleep,because we really care about
you from your head to toe.
Mm-hmm . Even though we onlyreally take care of your belly
button to your knees. The
Speaker 4 (10:54):
, the
midsection. That's
Speaker 3 (10:55):
Right. Just the midsection. Oh boy.
Speaker 4 (10:57):
The Dingling and the Yum Yums. Oh
Speaker 3 (10:58):
Yeah . That's the most important. . If
you had a bullseye on what ourmost important part of the body
is, at least we know .
Donna, how do people get aholdof us? You
Speaker 4 (11:06):
Can call us during the week at 5 1 2 2 3 8 0 7 6
2. We have a new website, Dr .
Mystery . Well , we have an oldwebsite, but we combine some
websites. So now it's a littledifferent for people to get
ahold of us. So they have to goto our website, north austin
urology.com, and they have toclick on the podcasts. So we
have a podcast link. Howexciting.
Speaker 3 (11:24):
That's right. We we're podcast able ,
Speaker 4 (11:25):
We're podcast able , as we like to say. So you can
send us questions through ourwebsite. You can also continue
to send your questions to ArmorMen's health@gmail.com, which
we respond to all of them werespond to. And we do have some
questions today. So
Speaker 3 (11:37):
Those questions and your engagement as our
listeners, that really mean alot to us. I don't know . I
think a lot of my friends arelying when they say they're ,
they're listening to us. Youthink?
Speaker 4 (11:46):
Yes. But who's , who's listening to the
Speaker 3 (11:47):
Podcast? Everyone says they're always listening
to me all the time.everyone. I think they know
that my ego is really fragile.
Speaker 4 (11:53):
Oh , well, mine is now too. Thanks. Well ,
Speaker 3 (11:55):
There you
Speaker 4 (11:55):
Go. . I went
to look at our downloads. I was
a little sad. I was like, oh ,wasn't the thousands I was
expecting. That's right.
Speaker 3 (12:00):
No , not this week.
Not this week. Well, let'sspice it up, lady
Speaker 4 (12:03):
. Oh boy. I
do have a question. Yeah, let's
do it. Um, this one a littlemade me a little sad, so I'm
gonna respond to this guy. Hewanted to make a long story
short, Dr. Mystery , I've beeninactive sexually, so sexually
inactive most of my life. In myearly thirties, I had no
problems getting aroused andhaving erections. However,
invariably I went soft. Thishad nothing to do with losing
interest. And then he said, Ithink I tried five or six times
(12:25):
around that time when I was inmy forties. I actually was in a
relationship for several monthsdue to religious reasons. We
only had sex three or fourtimes. The same thing happened.
There was, there was no guiltrelated to my faith, nor did I
lose interest during the act.
Now he's in his sixties. He'swondering if Viagra would be
useless now or do you thinkthat there's promise there?
Well ,
Speaker 3 (12:44):
I think that's a great involved question that
has several components to it.
Although I'll try to addresswhat this listener is asking.
Um, I'm gonna start from the,just kind of the progression as
he was going through his life.
Mm-hmm.. So youngpeople who are not sexually
active, whether it be forreligious reasons, self-esteem
issues, anxiety issues. Mm-hmm.
(13:04):
, those arethings that we really pick up
on here in our clinic. Manypeople, when they're going
through a sexual history, ifthey ask the patient, are you
sexually active? And they say,no, they may just stop there,
but we are , are the kind ofpractice to say, why not?
Right. You know, if you're a 27year old healthy man or woman
and you're not sexually active,and if it's for religious
reasons or because you're notmarried or because you've
(13:25):
chosen, chosen that, thenthat's, you know, that's fine.
Right. But if it's because youhave a sexual issue that you
don't want to talk about orembarrassed to talk about
mm-hmm . , that'ssomething else. Gotcha . So in
, in , in this case, it seemslike what we have is a person
who is not very sexuallydeveloped, not very sexually
experienced, and then to try totry to start becoming sexually
(13:46):
experienced in your thirties.
Mm-hmm . , whenyou're with a sexually
experienced partner causestremendous subconscious
anxiety, stress . Oh boy. Forsure. There's no getting around
it. I can't imagine. And , andin our physiology , uh, as, as
humans, the one thing thatkills an erection more than
anything is , uh, a very strongdose of, of epinephrine. So
(14:09):
when it's, its part of ourfight or flight. Right. I mean,
could you imagine if like atiger was chasing us and you're
Speaker 4 (14:16):
Trying to have an orgasm
Speaker 3 (14:17):
And you had an erection, it would be the worst
thing. You know, , youknow, James Bond is never
really, you know, they're doingthe things afterwards, not like
in the middle of the Ja youknow, what a confusing feeling.
That's right . That's right.
This is confusing. The , theanergic , uh, response of
having that epinephrine coursethrough our body, coming from
our adrenal glands when we'rehaving a fight or flight
response. Mm-hmm.. That's why sometimes when
(14:38):
you're just start losing anerection and you get really
worried about it and you try topush harder, you know , uh, and
so that's where we need thatslide whistle. That Oh , And
that's what's gonna happen.
You're gonna have difficultymaintaining that erection. Then
you, then you move to forties.
Now you're in a committedrelationship. You have nothing
that's really kind of gettingin the way of it, but now you
start getting Ed mm-hmm .
(15:00):
age related ed.
Right. Which just seems unfair.
You never got to use the thingin the first place. Right. And
so , and now whether Viagra'sgonna work or not, it almost
certainly is likely to helptremendously, but to just throw
a pill on the problem, right.
That has existed for 40 yearsRight. Is unlikely to overcome
kind of the deeper set issues.
Speaker 4 (15:20):
Um , so the patient did reference though , uh, is
this a more appropriatequestion for a sex therapist?
Speaker 3 (15:25):
Well, I think that's a lot. Like , um, if your , um,
lights are flickering mm-hmm .
, and you call anelectrician mm-hmm .
, they're gonnasay it's an electrical problem.
If you call a carpenter, theymay think that something's
wrong with the substructure ofthe house. If you call mm-hmm .
, you know, a ,uh, a horoscope specialist,
they're gonna tell you thatyour , your planets are not. So
(15:45):
kind of , you're gonna get theanswer from the, the type of
practitioner you're goingthrough. Right. So when you
come to us, that makes sense.
We have the sex therapist here.
We have a pelvic floor physicaltherapist here. Mm-hmm.
, I'm gonnahandle your hormones and your,
and your physiology. So whetheryour erectile issues or your
ability to maintain yourerection is neurologic. Mm-hmm.
(16:07):
, hormonal,psychological , um, or
vascular, which is blood flow.
Mm-hmm. , you'regonna get a, an appropriate
evaluation here. Mm-hmm .
. So it's noteither or, it's, and, okay. And
so getting a sex therapistinvolved for this longstanding
sexual dysfunction, along withunderstanding that at age 60,
now there's going to be avariety of physiologic medical
(16:30):
issues that are affecting you,I think is really important.
Low testosterone, you knowmm-hmm . impaired
blood flow. And , uh, you know,let's, let's, you know, come on
in. Let , let's, let's try tohelp make your sixties, you
know, kind of that, that magictime. Um, the , the , the
listener didn't say it, but I'mgonna guess it. Mm-hmm.
, he probablynever married.
Speaker 4 (16:52):
I don't think
Speaker 3 (16:52):
So. He doesn't have any children. Yeah . Yeah. So
the kind of amazing like impactthis has had on the course of
his life mm-hmm., uh, is, is tremendous. And so
, um, for those of you outthere that may be , you know,
quietly suffering from asimilar kind of condition
mm-hmm. , youknow, I try to encourage so
(17:13):
many younger people to addressthese things when they're able
to , uh, you know, alter thecourse of their lives. Right .
We meet people from Asiancountries , uh, immigrants
often who may have grown upwith , uh, different types of
attitudes towards sex, and thenthey're forced into arrange
marriages, for example. Right.
And then they come and see usbecause they can't get
(17:34):
pregnant. Yeah. They can't getpregnant because they've never
had sex. You
Speaker 4 (17:38):
Know , that was the marriage I needed.
Speaker 3 (17:39):
. Oh God .
Don
Speaker 4 (17:42):
Speaker 3 (17:43):
Course . Poor Michael . Poor Michael. Uh , so
, um, uh, yeah. May maybe ,yeah , maybe you should sign up
for one of those. You know whatI'm saying? It's not too late.
Yeah , that's right.
Speaker 4 (17:53):
Oh, I'm sorry, Michael. Oh, by the way, he
wants to be on the show todefend himself.
Speaker 3 (17:57):
He's gonna defend himself. Okay.. He's
gonna defend himself. I don'tthink we have, I don't think we
have an option. . Oh,boy. Well,
Speaker 4 (18:03):
That's insightful. I felt really sad for him when I
read that question. And I , Ihope that he comes in, so I'll
reach back out to him.
Speaker 3 (18:09):
Well, that's a , uh, that's a great question. We, we
really look forward to yourquestions. I think they give us
a lot of , um, inspiration inour own practice to continue
what we're doing. Mm-hmm .
in the kind ofway that we're doing it.
Because , uh, I think that ifyou go somewhere and have such
a complex scenario, or don'tshare your scenario with your
doctors mm-hmm ., they know it's complex, then
(18:30):
you know, all the Viagra in theworld is only gonna , um, uh,
give you a headache and , uh,change the blue-green , uh,
outline of lights instead ofRight . Really helping you get
to the underlying issue. And
Speaker 4 (18:40):
How brave was it for him to ask
Speaker 3 (18:42):
That ? That was amazing. That was really , so
thank you so much for thatquestion a Donna . Mm-hmm . How
, how do we get more bravequestions?
Speaker 4 (18:46):
You can send your brave questions about those
lines chasing you while you'rehaving an erection to Armor
Men's health@gmail.com. That'sArmor Men's health@gmail.com.
You can visit our website northaustin urology.com. Um, you can
also still visit armor men'shealth.com and you'll just be
given a whole beautiful bluewebsite full of information and
knowledge about the middle partof your body. Uh, call us at
(19:10):
(512) 238-0762 during the week.
You can ask for me. I'm happyto help. And , uh, we're
located in Round Rock where Dr.
Misery started 13 years ago.
North Austin, south Austin ,and Dripping Springs. And Dr.
Misery is his real name. M i sg r y. Somebody called us zany
the other day.
Speaker 3 (19:24):
Well, better than gimmicky.
Speaker 4 (19:27):
We'll be back with our zany show.
Speaker 2 (19:29):
The Armor Men's Health Show is brought to you
by N a U Urology Specialist.
For questions or to schedule anappointment, please call 5 1 2
2 3 8 0 7 6 2 or online atarmor men's health.com .
Speaker 2 (00:09):
Welcome back to the Armor Men's Health Hour with
Dr. Mystery and Donna Lee.
Speaker 1 (00:15):
Hello
Speaker 3 (00:16):
And welcome to the Armor Men's Health Hour. I'm
Dr. Mr , your host joining youtoday from Austin, Texas. I'm
here with my co-host Donna Lee.
That's
Speaker 4 (00:25):
Right. Hello. Happy day To everybody out there.
Speaker 3 (00:27):
If you're new to the show, Donna Lee is in fact a
professional comedian.
Speaker 4 (00:32):
I was, in fact, yes.
On Nick at night search for thefunniest mom in America. Number
seven. I'm seventh funniest momin the
Speaker 3 (00:38):
World. And sometimes you're still looking for the
opportunity to do a littlestandup act.
Speaker 4 (00:41):
I am . We have clubs opening now again in Austin, so
maybe I'll appear at one ofthem .
Speaker 3 (00:47):
So Joe,
Speaker 4 (00:48):
I could beg him . I have to call and say , can you
please let me
Speaker 3 (00:50):
Work
listener to our podcast in ourradio show. I
Speaker 4 (00:54):
Hope so, because maybe he'll throw a bone and
you and I can do a little funny
Speaker 3 (00:58):
And do and do a , a little standup at his new
comedy show. Mm-hmm.
Speaker 4 (01:01):
That'd be amazing.
Let's
Speaker 3 (01:03):
Do it. That's awesome. This show is brought
to you by N a u UrologySpecialist. That's the urology
specialty , uh, clinic that ,uh, started in 2007. We have
four physician providers. Wehave five physician assistant
providers. We have three pelvicfloor physical therapists. We
have a sex therapist, and wehave an amazing , uh, sleep ,
um, apnea , uh, management andtesting program.
Speaker 4 (01:25):
And you have one Donna Lee
Speaker 3 (01:26):
And one Donna Lee .
Mm-hmm.
Speaker 4 (01:28):
And your name is by the way, m i s t r y. If you
would like to Google him.
Speaker 3 (01:32):
Yes.
Speaker 4 (01:32):
You like the Googling
Speaker 3 (01:34):
Speaker 4 (01:35):
He's doing it all the
Speaker 3 (01:35):
Time. I Google myself all the time .
Um, this is a show in which wetalk about men's health issues
and , uh, your questions arethe kind of thing that that
drives this show. Uh, so wereally appreciate you sending
in your questions. Uh, we areseeing patients , uh, we are ,
uh, actively , uh, still seeingall patients that are new with
all sorts of insurance. So ifyou , uh, have an issue that
(01:56):
you'd like to get a secondopinion on, or you'd like to
have a men's health issue thatwe has not been addressed, you
know, to your satisfaction ,uh, we see them all the time,
all day , uh, all week. Mm-hmm.
how do people get ahold of usand where are our locations? We
Speaker 4 (02:10):
Are located in Round Rock, north Austin, south
Austin, and Dripping Springs.
If you're on the other side ofthe world, that means nothing
to you. Just know we are in thebest part of the whole country
to live in our number's. 5 1 22 3 8 0 7 6 2 . Our website is
armor men's health.com, and youcan send your questions to
Armor Men's health@gmail.comthat we will answer
anonymously. And you know, wehave a lot of podcast
(02:30):
listeners. They're not just theradio show listeners and
they're listening from all overthe
Speaker 3 (02:34):
Place. Well, I'm so glad. Do we have any questions
from one of them? We do
Speaker 4 (02:36):
Have one of them.
He's listening from , uh,across the state actually. He
says, hi, I've been a regularlistener to your weekly
podcasts for years now and lookforward to them each week.
You've become my go-to formen's health issues. I have a
question that perhaps can bediscussed for myself and
others. I'm a very fit 61 yearold man, no major health issues
and only take meds to keep myblood pressure in check. I do,
(02:58):
however, have what I considerlarger than average testicles.
I've never had any testtesticular pain injuries or
detected any abnormalities whendoing my self exams . But
visually, the boys quote , boysseem very large. Even as a
teen, I was aware that myscrotum and testicles were
larger than others in thelocker rooms and have always
been very self-conscious aboutthis. I've just heard, I've
(03:19):
just learned how to cope withthem by shifting them around
when sitting or working out,just wondering if it's normal
to have larger testicles andcould they be something that I
should be concerned with in myfuture years?
Speaker 3 (03:30):
Well , it's a really great question. Mm-hmm .
balls. We'll see people, we'llsee people , uh, that come to
us for smaller than averagetesticles, whether they be from
fertility concerns or priortrauma or prior surgery , uh,
or because the abuse ofmedications, the most common
reason would be testosteroneuse does shrink the balls to
Speaker 4 (03:49):
Make them smaller.
It does
Speaker 3 (03:50):
Make them smaller.
What
Speaker 4 (03:51):
Makes them bigger?
Is there a medicine that mightmake them bigger? Well, no,
he's had this his whole life.
Speaker 3 (03:54):
Yeah. So he is , had his whole life. So , um, if
you're looking at yourtesticles mm-hmm .
really want them to be biggerthan two of your knuckles. So
if you use your, if you useyour , um, your index finger,
you just want to go to thesecond knuckle, and that should
be about the biggest that yourtesticle really is. Okay. Now,
(04:14):
of course, if you have smallhands or anything ,
Speaker 4 (04:16):
Whatever , I have big hands, I'd have really big
balls, I think. Right. Are you
Speaker 3 (04:20):
Looking, actually, I've heard , I've heard that
about you,
uh, that's about four to fivecentimeters in length. Mm-hmm .
that mm-hmm.
not just the testicle. Youcould have something called a
hydros eal , and that meansthat around the testicle
there's a sack. Right . Andthat sack can fill with fluid,
(04:42):
fluid
Speaker 4 (04:43):
For that long, for his whole life. For
Speaker 3 (04:44):
Sure. If nobody knew about it. No . You know, no .
And it can be just enough fluidto not be overly noticeable to
a doctor, but just noticeableto the patient. So , um, a
small hydros seal would beprobably be the most common
reason to have larger thannormal , uh, testicles. Mm-hmm.
long of a time, but there isput some types of tumors or
(05:06):
cysts of the inside of thetesticle or the EPIs mm-hmm .
That can give the testicle avery large size. Mm-hmm . So if
somebody has abnormally largetesticles, I think doing an
ultrasound, which has noradiation covered by insurance
and is painless answers almostall of those questions. It
tells you whether yourtesticles in the normal range,
because you'll get the size.
(05:26):
Okay . It'll tell you ifthere's fluid around the
testicle. It'll tell you ifthere's cysts or there's
anything going on , uh, like inthe epididymus.
Speaker 4 (05:34):
And where's
Speaker 3 (05:35):
That, that is a little worm-like organ that
lives right next to thetesticle, and that's where the
sperm gets stored. Mm-hmm .
mm-hmm.
testicles, they'll noticemm-hmm .
their testicles are a littlebigger, their epi is a little
bigger, and that can cause someswelling
Speaker 4 (05:51):
And pain.
Speaker 3 (05:53):
It can cause it pain, but most people do not
have pain. Gotcha . But what'shappening here is his , his
nuts are getting stuck betweenhis legs when he is working out
and that's causing himdiscomfort. So that's big
balls.
Speaker 4 (06:04):
Yeah.
Speaker 3 (06:04):
But let me talk to you about big scrotums. Oh ,
Speaker 4 (06:08):
Okay. So
Speaker 3 (06:08):
Sometimes people just confuse the words and
confuse what's going on. SoYeah . I don't know. The nuts
in the sack are , are yourtesticle. Right. But if the
sack is real big mm-hmm .
gets worse as you get older.
Right. That sounds annoying. Imean , we see some and you're
like, man, they must be bangingto your knees. That's a really
low hanging fruit there.
(06:29):
Speaker 4 (06:29):
Women have a boob problem like that start sagging
.
Speaker 3 (06:32):
That's right .
Things start sagging. Okay. Sowe actually have a repair for
that. So , um, Dr. Dellinger,who's one of the plastic
surgeons on this show that wework with all the time, he and
I have to do these scrotallifts, not infrequently like
Speaker 4 (06:45):
Scrotox with some Botox up in there.
Speaker 3 (06:47):
We don't do it with medicine this time where you
like cut it out . There'sactually a technique. It's
called the diamond technique.
Is
Speaker 4 (06:52):
It like a facelift for your Totally to your , for
your
Speaker 3 (06:54):
Totally poopoo .
Okay . And it , and it tuckseverything ups, so it doesn't
get in between your legs. Andit's , um, I , most urologists
can do them. Uh, the problemwith the procedure is that
because the scrotum hangs down,the gravity sometimes pulls the
stitches apart. Oh . So if youget it done, you'd prefer to
get it done by somebody whoknows what they're doing. So
(07:15):
they just put a lot morestitches in there that doesn't
pull apart.
Speaker 4 (07:18):
Oh , are the stitches underneath?
Speaker 3 (07:20):
They're they
Speaker 4 (07:21):
Tucked up and underneath.
Speaker 3 (07:22):
They don't. They just, well , essentially all
you do is you just take theextra scrotal skin out and it
just kind of tucks everythingup. Okay. It's a relatively
painless , uh, it can becovered by insurance. If
somebody is like really kindof, you know, kind of tricky
about how they code it, butprobably doesn't cost more
than, you know, three grand toget a really nice scroop plasty
done. Mm-hmm.
(07:43):
And , uh, it can really helpalleviate this issue. And as
you're getting older, and ifyou're getting more active, the
tissues just seem to getthinner and more stretchy.
Mm-hmm.
veins in them . So we see a lotof veiny scrotums.
Speaker 4 (07:56):
This is very unattractive sounding.
Speaker 3 (07:59):
Well , I mean, I don't know. Women, women never
really comment on howattractive a scrotum is.
Speaker 4 (08:04):
Never. 'cause you guys don't have pretty parts.
We have pretty parts
Speaker 3 (08:10):
I really think this is a sexist kind of
conversation.
Speaker 4 (08:15):
And it's versatile, but it's not pretty.
Speaker 3 (08:17):
Well, I'll tell you , sometimes we take Bull
scrotums and put 'em on ourdesk and put candy beans in
them.
Speaker 4 (08:21):
Oh , do we ?
Speaker 3 (08:22):
I just said , I just said candy beans,
don't think that's a thing.
Speaker 4 (08:30):
Candy bean
Speaker 3 (08:31):
Speaker 4 (08:33):
Please bring a massive some candy beans , a
Speaker 3 (08:35):
S girdle sack for what Some candy beans are my
way to go.
that you have had for a longtime or wondering if they're
normal, we would love to answerthem for you. And if you want
any of these big ball issuesprepared, that's something
certainly we can, we can helpyou take care of. If you're
having to readjust yourself sothat you're not squeezing your
balls between your legs, pleasecome and see us. We would love
(08:57):
to take care of it for
Speaker 4 (08:58):
You. Please bring us some candy meat
Speaker 3 (09:01):
How do people get ahold of us?
Speaker 4 (09:03):
was so enjoyable. Um, ourwebsite is armor men's
health.com and our emailaddress for these questions
that are amazing that we willanswer anonymously is Armor
Men's health@gmail.com. We'relocated at Round Rock South
Austin. North Austin andDripping Springs. Listen to our
podcast wherever you listen tofree podcasts and you'll learn
(09:24):
something. For sure.
Speaker 3 (09:25):
For sure.
Speaker 4 (09:26):
Thank you.
Speaker 3 (09:28):
Hello and welcome to the Armor Men's Health Hour.
I'm Dr . Mystery , your hosthere with my co-host, the Ever
Present , ever Wonderful DonnaLee ever
Speaker 4 (09:37):
Present . Is that a thing? That's right. It's
Speaker 3 (09:38):
Like thing I'm ever present . It's like showing ups
half the battle. Hey,
Speaker 4 (09:41):
You're here again.
Speaker 3 (09:43):
It's half the Battle
urologist. This is a men'shealth show. This show is
brought to you by N a u Urologyspecialists, or we have been in
practice since 2007, almostcoming upon our 13th magical
year here in Austin.
Speaker 4 (09:57):
You know, 13 is our lucky number at home. Well,
when we go to Vegas, we bet on13 all the time.
Speaker 3 (10:01):
That's right. And
Speaker 4 (10:02):
We win big.
Speaker 3 (10:03):
Well, you're still coming to work, so maybe you're
not winning too big.
Speaker 4 (10:07):
You have to come to work to finish off
Speaker 3 (10:09):
That maybe's a lucky number for me so that
if you got rich, you wouldn'tcome to work anymore.
Speaker 4 (10:14):
Okay, good point.
Speaker 3 (10:15):
Uh , uh, our urology practice is dedicated to the
treatment of both men and women, uh, for , uh, a variety of
urologic needs, includingkidney stones, bladder cancer,
prostate cancer, you know,things that deal with the, the
body from the belly button tothe knees. Let's just say
knees. Oh , or just above.
Above the knees, below thebelly button. We have , uh,
four amazing , uh, physicianproviders. We have four amazing
(10:38):
physician assistant providers.
We have in-house sex therapy,in-house , um, uh, physical
therapy and biomechanicaltherapy. Sweet . We in-house
nutrition, in-house sleep,because we really care about
you from your head to toe.
Mm-hmm . Even though we onlyreally take care of your belly
button to your knees. The
Speaker 4 (10:54):
Speaker 3 (10:55):
Right. Just the midsection. Oh boy.
Speaker 4 (10:57):
The Dingling and the Yum Yums. Oh
Speaker 3 (10:58):
Yeah . That's the most important.
you had a bullseye on what ourmost important part of the body
is, at least we know
Donna, how do people get aholdof us? You
Speaker 4 (11:06):
Can call us during the week at 5 1 2 2 3 8 0 7 6
2. We have a new website, Dr .
Mystery . Well , we have an oldwebsite, but we combine some
websites. So now it's a littledifferent for people to get
ahold of us. So they have to goto our website, north austin
urology.com, and they have toclick on the podcasts. So we
have a podcast link. Howexciting.
Speaker 3 (11:24):
That's right. We we're podcast able ,
Speaker 4 (11:25):
We're podcast able , as we like to say. So you can
send us questions through ourwebsite. You can also continue
to send your questions to ArmorMen's health@gmail.com, which
we respond to all of them werespond to. And we do have some
questions today. So
Speaker 3 (11:37):
Those questions and your engagement as our
listeners, that really mean alot to us. I don't know . I
think a lot of my friends arelying when they say they're ,
they're listening to us. Youthink?
Speaker 4 (11:46):
Yes. But who's , who's listening to the
Speaker 3 (11:47):
Podcast? Everyone says they're always listening
to me all the time.
that my ego is really fragile.
Speaker 4 (11:53):
Oh , well, mine is now too. Thanks. Well ,
Speaker 3 (11:55):
There you
Speaker 4 (11:55):
Go.
a little sad. I was like, oh ,wasn't the thousands I was
expecting. That's right.
Speaker 3 (12:00):
No , not this week.
Not this week. Well, let'sspice it up, lady
Speaker 4 (12:03):
do it. Um, this one a littlemade me a little sad, so I'm
gonna respond to this guy. Hewanted to make a long story
short, Dr. Mystery , I've beeninactive sexually, so sexually
inactive most of my life. In myearly thirties, I had no
problems getting aroused andhaving erections. However,
invariably I went soft. Thishad nothing to do with losing
interest. And then he said, Ithink I tried five or six times
(12:25):
around that time when I was inmy forties. I actually was in a
relationship for several monthsdue to religious reasons. We
only had sex three or fourtimes. The same thing happened.
There was, there was no guiltrelated to my faith, nor did I
lose interest during the act.
Now he's in his sixties. He'swondering if Viagra would be
useless now or do you thinkthat there's promise there?
Well ,
Speaker 3 (12:44):
I think that's a great involved question that
has several components to it.
Although I'll try to addresswhat this listener is asking.
Um, I'm gonna start from the,just kind of the progression as
he was going through his life.
Mm-hmm.
active, whether it be forreligious reasons, self-esteem
issues, anxiety issues. Mm-hmm.
(13:04):
on here in our clinic. Manypeople, when they're going
through a sexual history, ifthey ask the patient, are you
sexually active? And they say,no, they may just stop there,
but we are , are the kind ofpractice to say, why not?
Right. You know, if you're a 27year old healthy man or woman
and you're not sexually active,and if it's for religious
reasons or because you're notmarried or because you've
(13:25):
chosen, chosen that, thenthat's, you know, that's fine.
Right. But if it's because youhave a sexual issue that you
don't want to talk about orembarrassed to talk about
mm-hmm .
, in , in this case, it seemslike what we have is a person
who is not very sexuallydeveloped, not very sexually
experienced, and then to try totry to start becoming sexually
(13:46):
experienced in your thirties.
Mm-hmm .
experienced partner causestremendous subconscious
anxiety, stress . Oh boy. Forsure. There's no getting around
it. I can't imagine. And , andin our physiology , uh, as, as
humans, the one thing thatkills an erection more than
anything is , uh, a very strongdose of, of epinephrine. So
(14:09):
when it's, its part of ourfight or flight. Right. I mean,
could you imagine if like atiger was chasing us and you're
Speaker 4 (14:16):
Trying to have an orgasm
Speaker 3 (14:17):
And you had an erection, it would be the worst
thing. You know,
really, you know, they're doingthe things afterwards, not like
in the middle of the Ja youknow, what a confusing feeling.
That's right . That's right.
This is confusing. The , theanergic , uh, response of
having that epinephrine coursethrough our body, coming from
our adrenal glands when we'rehaving a fight or flight
response. Mm-hmm.
(14:38):
you're just start losing anerection and you get really
worried about it and you try topush harder, you know , uh, and
so that's where we need thatslide whistle. That Oh , And
that's what's gonna happen.
You're gonna have difficultymaintaining that erection. Then
you, then you move to forties.
Now you're in a committedrelationship. You have nothing
that's really kind of gettingin the way of it, but now you
start getting Ed mm-hmm .
(15:00):
Right. Which just seems unfair.
You never got to use the thingin the first place. Right. And
so , and now whether Viagra'sgonna work or not, it almost
certainly is likely to helptremendously, but to just throw
a pill on the problem, right.
That has existed for 40 yearsRight. Is unlikely to overcome
kind of the deeper set issues.
Speaker 4 (15:20):
Um , so the patient did reference though , uh, is
this a more appropriatequestion for a sex therapist?
Speaker 3 (15:25):
Well, I think that's a lot. Like , um, if your , um,
lights are flickering mm-hmm .
If you call a carpenter, theymay think that something's
wrong with the substructure ofthe house. If you call mm-hmm .
they're gonna tell you thatyour , your planets are not. So
(15:45):
kind of , you're gonna get theanswer from the, the type of
practitioner you're goingthrough. Right. So when you
come to us, that makes sense.
We have the sex therapist here.
We have a pelvic floor physicaltherapist here. Mm-hmm.
and your physiology. So whetheryour erectile issues or your
ability to maintain yourerection is neurologic. Mm-hmm.
(16:07):
vascular, which is blood flow.
Mm-hmm.
evaluation here. Mm-hmm .
so getting a sex therapistinvolved for this longstanding
sexual dysfunction, along withunderstanding that at age 60,
now there's going to be avariety of physiologic medical
(16:30):
issues that are affecting you,I think is really important.
Low testosterone, you knowmm-hmm .
blood flow. And , uh, you know,let's, let's, you know, come on
in. Let , let's, let's try tohelp make your sixties, you
know, kind of that, that magictime. Um, the , the , the
listener didn't say it, but I'mgonna guess it. Mm-hmm.
Speaker 4 (16:52):
I don't think
Speaker 3 (16:52):
So. He doesn't have any children. Yeah . Yeah. So
the kind of amazing like impactthis has had on the course of
his life mm-hmm.
, um, for those of you outthere that may be , you know,
quietly suffering from asimilar kind of condition
mm-hmm.
(17:13):
many younger people to addressthese things when they're able
to , uh, you know, alter thecourse of their lives. Right .
We meet people from Asiancountries , uh, immigrants
often who may have grown upwith , uh, different types of
attitudes towards sex, and thenthey're forced into arrange
marriages, for example. Right.
And then they come and see usbecause they can't get
(17:34):
pregnant. Yeah. They can't getpregnant because they've never
had sex. You
Speaker 4 (17:38):
Know , that was the marriage I needed.
Speaker 3 (17:39):
Don
Speaker 4 (17:42):
Speaker 3 (17:43):
Course . Poor Michael . Poor Michael. Uh , so
, um, uh, yeah. May maybe ,yeah , maybe you should sign up
for one of those. You know whatI'm saying? It's not too late.
Yeah , that's right.
Speaker 4 (17:53):
Oh, I'm sorry, Michael. Oh, by the way, he
wants to be on the show todefend himself.
Speaker 3 (17:57):
He's gonna defend himself. Okay.
gonna defend himself. I don'tthink we have, I don't think we
have an option.
Speaker 4 (18:03):
That's insightful. I felt really sad for him when I
read that question. And I , Ihope that he comes in, so I'll
reach back out to him.
Speaker 3 (18:09):
Well, that's a , uh, that's a great question. We, we
really look forward to yourquestions. I think they give us
a lot of , um, inspiration inour own practice to continue
what we're doing. Mm-hmm .
Because , uh, I think that ifyou go somewhere and have such
a complex scenario, or don'tshare your scenario with your
doctors mm-hmm .
(18:30):
you know, all the Viagra in theworld is only gonna , um, uh,
give you a headache and , uh,change the blue-green , uh,
outline of lights instead ofRight . Really helping you get
to the underlying issue. And
Speaker 4 (18:40):
How brave was it for him to ask
Speaker 3 (18:42):
That ? That was amazing. That was really , so
thank you so much for thatquestion a Donna . Mm-hmm . How
, how do we get more bravequestions?
Speaker 4 (18:46):
You can send your brave questions about those
lines chasing you while you'rehaving an erection to Armor
Men's health@gmail.com. That'sArmor Men's health@gmail.com.
You can visit our website northaustin urology.com. Um, you can
also still visit armor men'shealth.com and you'll just be
given a whole beautiful bluewebsite full of information and
knowledge about the middle partof your body. Uh, call us at
(19:10):
(512) 238-0762 during the week.
You can ask for me. I'm happyto help. And , uh, we're
located in Round Rock where Dr.
Misery started 13 years ago.
North Austin, south Austin ,and Dripping Springs. And Dr.
Misery is his real name. M i sg r y. Somebody called us zany
the other day.
Speaker 3 (19:24):
Well, better than gimmicky
Speaker 4 (19:27):
We'll be back with our zany show.
Speaker 2 (19:29):
The Armor Men's Health Show is brought to you
by N a U Urology Specialist.
For questions or to schedule anappointment, please call 5 1 2
2 3 8 0 7 6 2 or online atarmor men's health.com .
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