Pump Up Your Sex Life: Dr. Mistry and Donna Lee Explain the Inflatable Penile Prosthesis and Other Options for Severe ED

Thanks for tuning in to the Armor Men’s Health Hour Podcast today, where we bring you the latest and greatest in urology care and the best urology humor out there.

In this segment, Dr. Mistry and Donna Lee answer a patient's question about the inflatable penile prosthesis, which is implanted surgically and is entirely concealed within the body. There are several versions of the penile prosthesis that offer a wide range of patients the ability to control their erections and achieve sexual satisfaction. NAU Urology Specialists' partner Dr. Yang is expertly trained in this specific surgical procedure, which is covered by most insurance carriers, including Medicare. 

If you or your loved one are suffering from ED, don't give up on your sex life! Contact NAU Urology Specialists for a consultation. And if you enjoyed today’s episode, don’t forget to like, subscribe, and share us with a friend! As always, be well!

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

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Transcript

Donna Lee: 0:00

The Armor Men's Health Hour is brought to you by Urology Specialists. For questions during the week, call us at(512) 238-0762, or visit our website at armormenshealth.com. The Armor Men's Health Hour is a show dedicated to providing information on a variety of medical topics, some of which may include sensitive subject material about penises. All cases discussed have been done with the permission of the people involved and their penises.

Speaker 2: 0:35

Welcome to the Armor Men's Health Hour with Dr. Mistry and Donna Lee.

Dr. Mistry: 0:41

Hello, and welcome back to the Armor Men's Health Hour. I'm Dr. Mistry, your host, here as always with my cohost and office manager, Donna Lee.

Donna Lee: 0:48

That's right. Hello everybody. You have such a silky smooth voice today.

Dr. Mistry: 0:51

Yes, I am working on my radio voice ever since we started the show. It's been...

Donna Lee: 0:56

...a year.

Dr. Mistry: 0:56

Yeah.

Donna Lee: 0:56

We've been silky smooth for a year.

Dr. Mistry: 0:58

Multiple octaves down. We had a wonderful week this week. We had the highest number of downloads of our podcast of any week. It was so amazing that we had to go back and figure out if there was an error.

Donna Lee: 1:09

I think you're convinced there is an error, and I think people are just listening to the show because it's award-winning.

Dr. Mistry: 1:14

So whoever's out there that just downloaded our show 900 times on Thursday, I really appreciate it.

Donna Lee: 1:20

Thank you so much.

Dr. Mistry: 1:21

Thank you so much. It really made...

Donna Lee: 1:21

And we need like a record number of new patients.

Dr. Mistry: 1:23

That's right. That's right.

Donna Lee: 1:26

What's happening?

Dr. Mistry: 1:26

I am a board certified urologist. This show is brought to you by NAU Urology Specialists, the practice that I started in Austin in 2007. We have grown to treating thousands of patients a month.

Donna Lee: 1:39

And we have so many employees.

Dr. Mistry: 1:39

And we have so many doctors and such a wonderful, growing, burgeoning practice. We are the second largest urology group in Austin...

Donna Lee: 1:46

...which means...

Dr. Mistry: 1:47

...we just work a little harder.

Donna Lee: 1:48

We're a little cuter on the weekend. Push up bras help.

Dr. Mistry: 1:53

This show is kind of the brainchild of Donna Lee and myself to really highlight why we think men's health issues deserve special attention. Really, to encourage people to ask questions and really get into topics that you may not either do on your own, or don't feel comfortable seeing a doctor for. A lot of times, people didn't even know that certain conditions could be treated like, you know, orgasmic issues or certain times of erectile dysfunction. A lot of times younger guys feel kind of out of place if they feel like they're having a problem that they think they're too young for. And sometimes the older guys feel like, you know, these things are normal parts of aging.

Donna Lee: 2:33

Right, and too proud to go.

Dr. Mistry: 2:33

And too proud to go. And so all of these things are wonderful topics for us to tackle. Our practice is unique. We have a nutritionist on staff, we have a pelvic floor, physical therapist on staff, we have sex therapy on staff. That's in addition to the four amazing doctors, the three amazing nurse practitioner and PAs. We do in-office obstructive sleep apnea testing because that condition and urologic conditions have such great overlap. And when you come in, it is our goal to take care of you from head to toe, wven though our focus is really just in the middle.

Donna Lee: 3:07

Just the little middle part--or the big middle part. Sorry guys.

Dr. Mistry: 3:10

That's right. You don't say"little" in our office.

Donna Lee: 3:14

That word's never used.

Dr. Mistry: 3:14

That's right.

Donna Lee: 3:15

I wrote somebody up the other day for using the word"little" around you.

Dr. Mistry: 3:18

Can you tell people about our practice, Donna Lee?

Donna Lee: 3:21

We are in Austin, Texas for all those thousands of people who podcast out of state. But our locations in Austin are Round Rock, North Austin, South Austin, and Dripping Springs. Our number is(512) 238-0762. If you have questions about the practice or if you want to talk to me about the podcast or have a question that way you can give me a call during the week. You can also reach out to us through armormenshealth@gmail.com. You can also send an inquiry to our main website for the show, which is armormenshealth.com.

Dr. Mistry: 3:48

Oh, that's awesome. Patient engagement and patient questions are awesome. And I think that we had a question about one of the procedures and specialties that we have here. They call it the penile pump, and I'd love to, why don't you tell the audience the question and then let's go into the details?

Donna Lee: 4:03

Audience? Well, we've grown from having one listener to an audience?

Dr. Mistry: 4:05

Yes. Thank you for listening, Michael.

Donna Lee: 4:08

So this patient sent in after last week's show:"Dr. Mistry, I heard you on the radio show talking about a doctor who is with your practice and specializes in the surgery for the penis pump." First, he wanted the doctor's name, but he also, this patient went on to ask about the different types of pumps and how he can find more information from us.

Dr. Mistry: 4:26

That's great. And so what we're talking about here is the doctor's name first in our practice is Dr. Yang, which I think is a great name for a urologist.

Donna Lee: 4:34

It really is. It's really kind of like"Mistry," but" Yang" is more specific.

Dr. Mistry: 4:38

That's correct. You know, what kind of doctor Dr. Yang is? He takes care of your Yang. Dr. Yang, he did his medical school at UTMB, which is apparently a medical school in Galveston. I didn't know they had anything else in Texas besides Baylor, but...then he did his residency in Chicago...

Donna Lee: 4:57

As did you.

Dr. Mistry: 4:57

...at UIC. I went to college in Chicago.

Donna Lee: 5:01

Oh.

Dr. Mistry: 5:02

I stayed at Baylor for mine.

Donna Lee: 5:03

Oh, that's right. The amazing Baylor.

Dr. Mistry: 5:05

That's right. He then left and went to Tampa and did a fellowship in just advanced surgery for erectile dysfunction. It may not seem like that could take a whole year, but you know, if somebody is going to handle that part of your body...

Donna Lee: 5:16

They better take a year.

Dr. Mistry: 5:16

...they better take a year. And you want them to take special care of that body part.

Donna Lee: 5:22

The ding-a-ling?

Dr. Mistry: 5:23

That's right. So at Baylor, in fact, a guy named Brantley Scott at Baylor, where I trained right, invented...

Donna Lee: 5:29

...the penis?

Dr. Mistry: 5:29

...the inflatable penile prosthesis. We were trying to find a way to overcome erectile dysfunction. This is before there was medicines or anything, so if you couldn't get it up, you were out of luck. What he invented was a silicone device that's implanted completely internally with a pump that goes into the scrotum, two cylinders that fill with fluid in the penis, and then a reservoir that holds the fluid in the abdomen. Everything is completely concealed. You can't tell that somebody has one of these things.

Donna Lee: 5:58

Even the pump?

Dr. Mistry: 5:59

Even the pump.

Donna Lee: 5:59

Underneath?

Dr. Mistry: 6:00

That's correct. You cannot tell.

Donna Lee: 6:01

It's not like a third testicle?

Dr. Mistry: 6:03

It kind of looks like...but I mean, unless somebody is really feeling down there, and at that point, you've already won anyway.

Donna Lee: 6:08

It's touch me!

Dr. Mistry: 6:09

That's right. What you do is when you when you press on this pump, it inflates the cylinders and gives you a very satisfying erection. Active intercourse feels the same, your orgasm feels the same, and you're very satisfied. It has a satisfaction rate over 90%!

Donna Lee: 6:26

As is she.

Dr. Mistry: 6:26

Would you believe that it's covered by insurance?

Donna Lee: 6:29

That is so upsetting.

Dr. Mistry: 6:30

When I was at the VA training...

Donna Lee: 6:34

Breasts are not covered but penises are covered.

Dr. Mistry: 6:34

...when I trained at the VA, when I was a resident, we actually had a patient who came in that said that his wife just activates it at night, while he's sleeping.

Donna Lee: 6:44

Stop it. Oh, party.

Dr. Mistry: 6:44

I think we call that sexual assault nowadays, but back then it was funnier.

Donna Lee: 6:49

He's not complaining.

Dr. Mistry: 6:49

That's right. He was not complaining. It takes it to a new level of just sit there and just lie there.

Donna Lee: 6:56

That's so funny.

Dr. Mistry: 6:56

That penile prosthesis, it can also help lengthen the penis. So spinal cord injury patients like it because it helps keep the, if they're having urinary issues where they were a bag over their penis all the time, or patients with limited mobility, having that constant girth in there can also help. They make three different kinds. One is called a malleable prosthesis in which it's always kind of erect. So then...

Donna Lee: 7:20

It's kind of off-putting for a woman, though, isn't it?

Dr. Mistry: 7:22

No.

Donna Lee: 7:24

Is that a banana in your pocket?

Dr. Mistry: 7:24

It's just a lot easier to deal with. And then you just bend it up and down, like some of our listeners may remember Gumby, you know? You can bend it up and down and out of the way. So although it may sound like...

Donna Lee: 7:37

I thought you were going to say Beckham. You said Gumby.

Dr. Mistry: 7:37

Gumby. It may sound like...Beckham?

Donna Lee: 7:40

"Bend it Like Beckham."

Dr. Mistry: 7:41

Oh, okay. Well, there you go. I can acceptthat. That use of malleable prosthesis is something that's a wonderful option for people with limited dexterity of their hands. It's easy to put in. It's very effective from day one and there's no mechanical transfer of fluid. So the reliability of it's very good. The more natural feeling version of these are going to be the inflatable ones, and there's two piece and three piece. Two piece ones do not require any kind of extra reservoir, but the standard three piece IPP or inflatable penile prosthesis would be what we would consider kind of the standard of care. It takes about an hour to put in. As I mentioned, Medicare covers it most all insurances cover it. And it, you know, negates the need for pills or shots or vacuum erection devices. And it results in an incredibly satisfying kind of erection.

Donna Lee: 8:38

What's the recovery time?

Dr. Mistry: 8:39

It takes about a week to recover and then you can start using it in six weeks, once everything is kind of healed up. And I think that unfortunately, a lot of men think of this kind of thing as the last possible thing they would ever consider. But by that time you're already so frustrated, and you're so...you know, that the idea of having to go through surgeries is such a monumental thing. And you may not get that much use out of it. I mean you'd probably get a lot more use out of it if you're a 55 year old diabetic man whom[inaudible] doesn't work anymore, like this is when you should consider it, or the taking of the medicines causes side effects. Because the further you go down in life where you're not having satisfactory functional performance, the less likely you are to pursue it, and just kind of live with whatever you have. And couples that get out of the habit of, you know, sexual intimacy, I think that they, it's hard to get back into the habit. Usually that's something that kind of fades over time.

Donna Lee: 9:36

True that.

Dr. Mistry: 9:36

True that. And so if...

Donna Lee: 9:38

Sorry, Michael.

Dr. Mistry: 9:38

If getting your erectile function, you know, better controlled, and when you come to our practice, you're going to get absolutely top notch care with a fellowship-trained surgeon, and you're going to get nutritional care. We're going to make sure your other medical conditions are under control, like your diabetes and high blood pressure. We're going to make sure you're surgically optimized from a nutrition standpoint. And if the penile prosthesis isn't right for you, we're going to tell you.

Donna Lee: 10:08

Right. We give you lots of options.

Dr. Mistry: 10:08

We're not just.. We have not just hammers, and you're just a nail. We have lots of tools, and so we want to make sure that right tool is used on the right patient. Donna Lee, why don't you remind people how to get ahold of us?

Donna Lee: 10:22

Tha's right. You can call us and ask about any hammer or nail you'd like to at(512) 238-0762. And again, our locations are Round Rock, North Austin, South Austin, and Dripping Springs, Texas. Our email address, send us your questions--they're amazing, and they're thought provoking, and they're super engaging: armormenshealth@gmail.com, and our website where you can also send inquiries and see Dr. Mistry's handsome, smiling face, it's the armormen'shealth.com. So that's armormenshealth.com. Thank you so much, Dr. Mistry. That was fascinating. And I can't wait to learn more about the penile pump.

Speaker 3: 10:55

The Armor Men's Health Hour will be right back. If you have questions for Dr. Mystery, email him at armormenshealth@gmail.com.