Vasectomies from A to Z With Dr. Lucas Jacomides: Why the Mistry Vasectomy Is "Vas-ly" Superior

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, Donna Lee is joined by NAU Urology Specialists' partner, Dr. Lucas Jacomides to discuss the Mistry Vasectomy--which removes as much of the hassle and pain from the process as possible! While other providers make you come in for a consultation and then wait up to 30 days before your procedure, we do same day appointments! We are also one of the only practices which offers IV sedation to help you relax during the in-office procedure. Finally, we ensure that the vasectomy takes by performing post-procedure semen analysis to prevent the unlikely (but possible) event of a post-vasectomy pregnancy. The actual surgery involves cutting the vas deferens--the small tube that carries semen from the testicles--and tying it before putting it back in place. Again, all of this can be done at a same-day, in-office appointment at NAU Urology Specialists by one of our expert urologic surgeons. Call us to schedule yours today!

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

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Phone: (512) 238-0762
Email: Armormenshealth@gmail.com
Website: Armormenshealth.com

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Transcript

Speaker 1: 0:09

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

Donna Lee: 0:16

Welcome to the Armor Men's Health Hour. This is Donna Lee. Dr. Mistry stepped away, so we brought in one of our favorite partners, Dr. Jacomides. Hello!

Dr. Jacomides: 0:22

Howdy, partner.

Donna Lee: 0:26

Hey Dr. Lucas Jacomides. I like to remind people that you're very fancy.

Dr. Jacomides: 0:29

How so?

Donna Lee: 0:29

You speak five languages.

Dr. Jacomides: 0:30

Yes.

Donna Lee: 0:31

That's very fancy.

Dr. Jacomides: 0:32

That is fancy. It's, and maybe Sign Language when I've been imbibing at a karaoke party or something like that.

Donna Lee: 0:38

Is that the sixth?

Dr. Jacomides: 0:39

That's a, that is a language. Yeah.

Donna Lee: 0:43

It is a language. So...

Dr. Jacomides: 0:43

Yes. I'm fluent in English, I like to think so. Greek, my Spanish is pretty good, and I took a lot of French, and then I took Italian so I can hit on Italian girls when they come to Greece. But you know,[inaudible]. You know?

Donna Lee: 0:54

I think that's so cool. You're like the only guy that we have that speaks that many languages.

Dr. Jacomides: 0:59

Yeah. I think the cumulative staff here speaks five languages.

Donna Lee: 1:02

I think so. English, maybe a little Spanish, and some Mandarin.

Dr. Jacomides: 1:06

No, I mean like five different people speaking...

Donna Lee: 1:10

That's true. What about your wife? Does she speak a bunch of languages?

Dr. Jacomides: 1:13

She cusses me out in several, but I don't think it's something she's fluent in.

Donna Lee: 1:18

Hi, Jenny. We want to say hi to Trish. She's a listener and also the mom of one of our employees.

Dr. Jacomides: 1:24

Oh really?

Donna Lee: 1:24

Yup. Megan's mom, Trish. She listens to the show.

Dr. Jacomides: 1:26

Oh really?

Donna Lee: 1:26

She said they were hysterical and I was just excited that one person out there is listening.

Dr. Jacomides: 1:30

Wow. Thank you, Trish. We appreciate the support, and tell Megan to listen, too, as well. Keep working and keeping Dr. Yang on time.

Donna Lee: 1:38

That's right. Don't ever quit. Megan.

Dr. Jacomides: 1:40

Send friends, please, cause I'm running out, I need some people to write stuff down.

Donna Lee: 1:44

That's right. Well, we've got lots of amazing people around our clinic to help you with your urological needs. We always say that we fix things between the nipples and the knees. It's a little broader range, I think, than probably most. But...

Dr. Jacomides: 1:55

What of your nipples are at your knees? I mean, that's entirely...

Donna Lee: 1:59

That's possible. That's an older lady problem, like myself. We are located in Round Rock, South Austin, North Austin, and Dripping Springs, Texas. Our website is armormenshealth.com. You can see Dr. Jacomides' smiling handsome face on our website and read his bio. You can also send your questions and there'll be answered anonymously on this show as always to armormenshealth@gmail.com. And we have jokes.

Dr. Jacomides: 2:20

We do.

Donna Lee: 2:20

You want me to go first or you?

Dr. Jacomides: 2:21

Yeah, go ahead.

Donna Lee: 2:22

Okay. Did you hear about the doctor who botched a vasectomy but didn't go to prison? It wasn't a felony. It was a missed-a-weiner.

Dr. Jacomides: 2:30

Oh, that's, that's, that's better than my dad joke of the day. So Donna, on that related note, what is the difference between a man and a woman?

Donna Lee: 2:43

Oh boy, that's a loaded question. What?

Dr. Jacomides: 2:45

There actually is no vas deferens. Oh. Isn't that horrible?

Donna Lee: 2:49

But you know, Mistry said that joke on the air before. And my point is, I don't think a lot of people know what the vas deferens is. So this is a perfect topic.

Dr. Jacomides: 2:57

What a great segue.

Donna Lee: 2:58

So tell us first what that is, and then we're going to talk all about your vasectomy.

Dr. Jacomides: 3:01

Yes. About my personal vasectomy?

Donna Lee: 3:03

Your actual vasectomy that you got.

Dr. Jacomides: 3:03

Wow. We can fill 11 minutes, cause that's how long it took. So the vas deferens is a little tube that--all little, the same size. Don't worry.

Donna Lee: 3:14

Has nothing to do with the size of your penis. It's just a little tube.

Dr. Jacomides: 3:16

It's, and it's really impressive because it carries all the sperm from each of the testicles, you know? So you have two of them.

Donna Lee: 3:23

If you're lucky.

Dr. Jacomides: 3:23

...it's a little conduit, that's right. And some don't, you're right. You know, some people only have one testicle because they only have one kidney. I've learned that before. You're looking for that other one and you find out they only have a one. It's crazy, right? And I'm like there for like half an hour going,"Wait a minute, you don't, must not have one." And then sure enough, they don't have a kidney. But yes, what's interesting, another topic altogether, our testicles all start out in the belly next to our kidneys and our kidneys go up and our testicles go down. They're all kind of made of the same stuff embryologically, so yeah, that's how it all stands out.

Donna Lee: 3:53

That's how the magic happens?

Dr. Jacomides: 3:54

That's right. So our tubes are like y'all's tubes, you know, but y'all's tubes carry little eggs, you know, to the uterus and then ours just take little sperm. And you get one egg a month, if you're lucky. And then we get 300 million sperm every time we ejaculate and see a pretty lady, which is really incredible, if you think about it...

Donna Lee: 4:10

Or pretty man.

Dr. Jacomides: 4:12

Or a pretty man. Whatever you're into or them/they, whatever, you know? These days, who cares? But the bottom line is you can double the US population with just one quick burst. And un-, fortunately we only find that one egg. And I always tell people that we were all winners once, because we were at the front of the line. You know? If you're looking at it as a, as a man part, you know, like at the coming out of dad's leading sperm found that one egg and that's what made us champions.

Donna Lee: 4:37

Interesting.

Dr. Jacomides: 4:37

And[inaudible] 300 million minus one didn't make it.

Donna Lee: 4:40

Right. That's a good way to look at it. We are all winners just starting off in life.

Dr. Jacomides: 4:45

And so then we say,"That's great. What do we do when we don't want any more winners?" And so that's where vasectomies come in.

Donna Lee: 4:51

Gotcha. When you want to be a loser, get a vasectomy.

Dr. Jacomides: 4:53

No, that's not true. I mean, you know, but yes, it's a, it's a very important step to say,"Look for me. I was like, I can't fit any more kids in this car. So I need to either need a bigger car or I need to do this, you know?"

Donna Lee: 5:05

It's so much less invasive than a woman getting her tubes tied, correct?

Dr. Jacomides: 5:07

Correct.

Donna Lee: 5:10

It's easier.

Dr. Jacomides: 5:10

Yes. Because we can do a vasectomy. We can feel our tubes as men and we can't feel your tubes as a woman. You know? So women needs an OB-GYN to take her to the operating room, you know, insert joke here. But the bottom line is you have to go to sleep to get your tubes tied. What I think is amazing is that actually I think it's documented that tubals have higher failure rates than vasectomies.

Donna Lee: 5:27

Oh, really?

Dr. Jacomides: 5:27

Yeah. Which is crazy to me because you only get one egg a month versus 300 million swimmers every time you ejaculate.

Donna Lee: 5:32

That's fascinating. Poor lady.

Dr. Jacomides: 5:34

That's right.

Donna Lee: 5:34

Well, let's talk about, I take a lot of phone calls and when it comes to vasectomies and special procedures that we do, and I send out links that are appropriate to the patients, whether it's fertility or vasectomy or kidney cancer or whatever the topic is, because we have over 400 podcasts now. What I'd like to do is when I schedule your vasectomies is send out to these patients your actual voice talking about the vasectomy and explaining from A to Z what happens. So tell about what happens with a vasectomy.

Dr. Jacomides: 5:58

You know, we at our clinic here, at NAU Urology Specialists, we like to do this as a same day, visit in. You know, for the first 20 years before I joined y'all's practice, I did not do sedation, but it's made a huge difference to just knock people down so they can just take the edge off. And I used to think that sedation was like you're kind of drunk in the sleep, and if you put a knife to me while I'm asleep, well, I'm gonna start punching, you know? But people really, they feel something, but you just got to keep them engaged and you just sort of let him know. And, and, and I, I think it just really takes a lot of the edge off. So you're, you're consciously sedated. You are knocked out, but you're still, you know, you're just kind of silly. And, you know, we had a fun one today so it was great to do. You know, we're where the guy's like,"Did you, did you numb it up yet?" It's like,"No, we're done, that's it." Or they snore through the whole thing or, you know, just say jokes or whatnot, but you know, you just have to be aware that, that some parts that we'll get. So the main thing I tell folks with vasectomies is, first of all, know that you want to do one. Don't be like,"You know, I'm thinking maybe I can always reverse it," because that's not the way you want to think. Because an insurance company would gladly pay for your vasectomy. They won't pay for you to reverse it.

Donna Lee: 7:04

And it's like$6,000.

Dr. Jacomides: 7:05

At least. And so, and it's not a guarantee that's going to work. And it's tedious surgery. It's cutting out a piece of rice, tying it off, separating things. And then if you change your mind, it's hard to sew rice to another piece of rice. And the opening is so small in this already small little piece of rice that we're trying to take out of you. So I think know that you mean it, and the other end of the spectrum, making sure it takes, because all you need is that one to get through, to make baby number whatever. And we don't, and yes--every now and then we do have ones that don't take, but we have a way to make sure that we check your semen analysis, not once, but twice here, postoperative.

Donna Lee: 7:34

And free semen analysis.

Dr. Jacomides: 7:37

That's right. To make sure that we do not have swimmers before[inaudible]. I don't have any vas babies that I know about and neither do any of my patients, I hope because they listened to me, but I've done other people's vas re-dos for sure.

Donna Lee: 7:46

Oh, nice. So you go in and you very politely and calmly cut the little vas deferens.

Dr. Jacomides: 7:50

Yes. You, you, you numb it up a little bit with some lidocaine, just like you're going to the dentist's office only in reverse. And then you, you, there's a part when you it'll kick you in the nuts, you know, we've all been kicked when you go to grab it, to bring it up. There are, believe it or not seven layers from the skin to the vas, and you got to bob for vas, get him up there. And so that could be a tricky part. And that's, that really has helped tremendously with the sedation where people do not feel that as badly.

Donna Lee: 8:16

For sure. And I've been in the procedures. They're, they are sometimes talking. Sometimes, you're right, they're snoring, but sometimes they're talking and they're just talking about their day and their happy as clams. So, yeah. So I think we're one of the few that do IV sedation.

Dr. Jacomides: 8:28

Yeah, we are. I think perhaps the only, I'm not sure.

Donna Lee: 8:32

We are. I know another group or bigger groups, they require the patient to come in for consultation and they make them wait 30 days and then they have to come back. So I I've talked to like five patients recently. They were like,"I just don't want to wait. I, I'm a grown man and made my decision."

Dr. Jacomides: 8:46

You'll love this. I had a patient fly in from Japan this week for his vasectomy. So, arigato, you know, that's another language I'm speaking, you know? Domo arigato.

Donna Lee: 8:56

Domo arigato, Mr. Roboto.

Dr. Jacomides: 8:57

But, but I I'm, our podcast must be outreaching to the--no, he actually was visiting here in Austin where he used to live.

Donna Lee: 9:04

Oh yeah.

Dr. Jacomides: 9:05

Did you hear this?

Donna Lee: 9:06

Yeah, I scheduled that.

Dr. Jacomides: 9:06

Yeah, did you? Thank you. Arigato. But he, you know, incredibly, he said in Japan that a vasectomy costs$3,000.

Donna Lee: 9:16

Really?

Dr. Jacomides: 9:17

Yeah. Because apparently unlike China, where they're trying to limit number of babies...

Donna Lee: 9:21

Oh, they're trying to...

Dr. Jacomides: 9:21

...they're trying to produce people.

Donna Lee: 9:23

Oh, I didn't know that.

Dr. Jacomides: 9:23

So it's this huge disincentive to get a vasectomy as a cash paying customer in Japan. Isn't that amazing.

Donna Lee: 9:28

That's interesting.

Dr. Jacomides: 9:30

So we need to target Japan now. You could fly from Japan to NAU for less than it would, and have your vasectomy.

Donna Lee: 9:36

Sounds like it.

Dr. Jacomides: 9:36

Come back and do medical tourism.

Donna Lee: 9:38

It's interesting. We do need to talk about pricing real quick. So it's$800 cash if you don't have insurance, but insurance typically covers the vasectomy.

Dr. Jacomides: 9:44

Absolutely. Yeah. Gladly. Yes, absolutely. And yes, if you don't have it, we'll still do it, and it's all in pricing with sedation, everything else.

Donna Lee: 9:52

Yeah, that's right. Pricing is included for the sedation. That's important. Well thank you so much for talking about your vasectomy procedure.

Dr. Jacomides: 9:58

Yes. And not even my vasectomy, which no, no, no pun intended--it would take forever to talk about[ inaudible].

Donna Lee: 10:03

That's another podcast entirely. If you want to schedule an appointment with Dr. Jacomides for a vasectomy or anything else that's urologically related, call us at(512) 238-0762. You can send us questions to Dr. Jacomides meetings directly at armormenshealth@gmail.com. Visit our website, armormenshealth.com. And then you can also listen to our podcasts wherever you listen to free podcasts. Thank you, Dr. J.

Dr. Jacomides: 10:26

All over the world. In any language you want.

Speaker 1: 10:30

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