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The Truth About Vasectomy Reversals


While vasectomies are considered a “permanent” form of sterilization, that’s not actually 100% true. A vasectomy can be a permanent and highly effective form of birth control for couples… unless you don’t want it to be anymore. With advanced medical technology and a skilled surgeon, vasectomy reversals are becoming a common solution for men seeking to regain the ability to achieve a pregnancy with a partner. This procedure is growing in popularity, with about 10% of men who get a vasectomy eventually choosing to reverse them.

If you’re considering getting your vasectomy reversed, here are some things to keep in mind:

How Does It Work?

Whenever a man gets a vasectomy, his physician clamps, reroutes, or “snips” the vas deferens, so that sperm is no longer present when the man ejaculates. In a vasectomy reversal, the cut ends of the sperm pathway are reconnected, so that sperm can again exit the body through the urethra. Depending on the type of vasectomy you may have had to begin with, it may be more or less difficult to connect those cut ends. The entire surgery is incredibly detailed, and the area affected is so small that the whole thing takes place under a microscope.

How Will I Feel Afterwards?

A vasectomy reversal is considered a minimally invasive procedure, and most patients can go back to work within 2-3 days. Pain is similar to that of a vasectomy procedure and easily controlled with light painkillers for a week or so. Most men can return to their normal routines—sex included—within 2-3 weeks, after taking it easy for a short time. There are relatively few side effects associated with this procedure, and most vasectomy reversals remain effective for many years.

Will It Work?

A vasectomy doesn’t stop your body from producing sperm, it only stops the sperm from leaving your body during sex. When a vasectomy is reversed, you can be fertile almost immediately in a best-case scenario, since we’ve just connected the passageway so that the sperm can now exit the body again. That said, there are some scenarios where a blockage or scarring may occur and interfere, especially if the vasectomy was done many years ago. While almost all vasectomies can be reversed, the process can sometimes be more involved depending on your situation.

The reasons men may choose to reverse a vasectomy are many and varied, ranging from a new partner or marriage, the death of a child, to a couple simply deciding they want more children. While the fertility of a couple is determined by a wide range of variables, a vasectomy reversal can significantly increase the chances of conception and bring you one step closer to making your dreams of parenthood come true. For further information about this procedure or to schedule an appointment with one of our fertility experts, contact our offices today.

Life After Prostate Cancer: What Happens Next?


A diagnosis of prostate cancer can be scary, but the fact of the matter is that life goes on—before, during, and after treatment. Thousands of men are diagnosed with prostate cancer each year, and they go on to navigate treatment and move on with their lives. So, if you’ve been diagnosed with this disease, don’t panic. You’ll make it through and be able to resume your life with a low risk of side effects. With our team here at NAU at your back and our cutting-edge treatments, you can rest assured that you’re receiving the best care available for this condition.

Based on our years of working with prostate cancer patients, here’s what you can expect your life to look like after treatment:

Follow-Up Care

The best thing you can do for your ongoing health after treatment for prostate cancer is to stay on top of your follow-up care. This means making (and attending) all the right appointments, getting the recommended testing, and keeping an eye out for symptoms of reoccurrence. The recommending follow-up appointments will likely include blood tests and scans at regular intervals, just to make sure you’re staying cancer-free.

Healthier Habits

Men who improve their physical health are less likely to run the risk of cancer reoccurrence. After treatment, it may be wise to evaluate your habits and consider making changes like eating healthier, quitting smoking, and exercising regularly. Hey, you were going to start eating more salads anyway… right?

Sexual Health

While some men who undergo treatment for prostate cancer experience ED afterward, the chances of this are much lower with our HIFU treatment. If side effects do occur, they are often short-lived, last only for a few months, and can be addressed with help from your healthcare provider. You should expect relatively few changes to your sex life after your body has had time to heal from treatment.

Community Support

As you go through this treatment process and then attend your follow-up appointments, you may feel totally alone. But with an estimated 174,650 men in the United States diagnosed with prostate cancer in 2019, that’s certainly not the case. Many men find it encouraging and useful to seek out a support group in their area, where prostate cancer patients and survivors share their stories. If you seek out a support group like this, one of the biggest long-term changes that you’ll make is acquiring a group of new friends!

That’s a relatively short list of life changes, don’t you think? For the most part, men who have been successfully treated for prostate cancer here at NAU are able to resume their lives as normal after the treatment. While it’s natural to have concerns, rest assured that the risks associated with properly treated prostate cancer are very low. If you have any further questions regarding HIFU, prostate cancer, or other conditions, please contact us and we’ll connect you with the answers and resources you need.

How To Keep Up Healthy Habits During The Holidays (Without Turning Into The Grinch!)


It’s that time of year again. Yes, that one where you sit down in front of the TV with the Thanksgiving or Christmas leftovers, and five hours later you’re still sitting there surrounded by empty beer cans. We get it, we’ve all been there before. But these days, you’ve realized that you want to take better care of your health, especially during this temptation-heavy season. When everyone around you is double-fisting Christmas cookies and eggnog, however, it can be hard to stay on track—and you feel like the Grinch, sitting back with your salad while everyone else enjoys holiday parties.

It doesn’t have to be like that! Health is about balance, not depriving yourself of all good things. Here are a few ways you can stay on track and take care of your health while still enjoying the holiday season:

Less is More (No, Really!)

Picture this. You promise to not eat any dessert on Christmas day, in order to stick to your diet. But that chocolate cake looks SO good, that you decide to have a slice. And then another, and just one more, since you’ve screwed up already and what’s a few more calories, anyway? If that sounds familiar, you’re not alone. Instead of choosing the “feast or famine” approach, however, give yourself permission to indulge a little bit. One dessert, or one extra roll, and then it’s time to call it quits. This will help you feel like you’re still celebrating, but also still control of your health.

Stick to Routines

Prone to staying out late, eating poorly, and watching too much TV when you have time off? Don’t mess up your routines just because you’re on vacation! Stick to regular mealtimes, even if you’re serving turkey and stuffing instead of chicken and rice. The same goes for sleep schedules, screen time, and even exercise routines. By sticking to your routines where possible, you’ll avoid the issues that come with lack of sleep and poor personal care—like brain fog, weight gain, and lower immunity to illness.

Get Festive

Think about how you could get more involved in the holidays by doing activities with family and friends. Take the kids to go cut down your own Christmas tree, stroll through an outdoor light display, or head out to an ice-skating rink to really burn some calories. We’re prone to using the holiday season as an excuse to indulge in unhealthy habits and overindulge. By instead focusing on spending time with family, you’re able to participate fully in the holiday season—and that’s good for your mental health, too!

Plus, no one will dare accuse you of turning into a green-skinned grouch if you’re always looking for the next fun and festive holiday activity.

All things considered, health is about balance, not restriction. As you embark on the holiday season, taking care of yourself mentally and physically means learning how to enjoy celebrating with family and friends without going entirely off the rails. It is possible! And if you’re ready to get a head start on those new year’s resolutions, we can help. Our office is equipped with resources to assist you with all your healthcare needs. Contact us today to schedule your next appointment.

Are You Listening To The Armor Men’s Health Hour? (You Should Be!)


If you’re a man or have men in your life, you should be listening to the Armor Men’s Health Hour! It’s funny, it’s educational, and best of all, it’s hosted by experts in the field—so you know you can trust our advice.

Each week, our hosts Dr. Sandeep Mistry and Donna Lee cover a wide range of medical topics that are important to men. From prostate cancer to testosterone therapy, to weight loss, to vasectomies, there’s no aspect of male health that we don’t touch on. If you’re looking to get educated about your body and have a laugh at the same time…We got you.

If you’re not sold yet, we even made a list. Here are five reasons you should absolutely, positively, definitely be listening to the Armor Men’s Health Hour podcast:

Myths: Debunked

Don’t fall for common myths about men’s health and wellness any longer! No, a vasectomy doesn’t hurt your sex drive, and no, it’s not extremely painful. Arm yourself with the facts about your body and the wellness practices that will help you live your best life, by learning from our Board-Certified Urologists.

Practical Health Advice

Ever see health advice on the internet that goes along the lines of “Get up at 4 am and drink only kale all day”? Yeah, we don’t do that here. Our holistic approach to men’s health is practical and includes all the elements of a balanced lifestyle like nutrition, weight loss, and pelvic floor physical therapy. We’re experts in the field, not a BuzzFeed listicle—so you can trust us to give you reliable health and wellness information.

Get Your Funny Fix

Nobody wants to listen to a dry, boring discussion on health issues, right? That’s why our show is a little different than the others, and definitely anything but dry and boring. One of our co-hosts, Donna Lee, is a comedian—a finalist in Nick-at-Nite’s Search for the Funniest Mom in America. Dr. Misty, “the master of urology” according to his patients, is a lifelong funnyman in addition to being a urologist, surgeon, and owner of the Austin practice for 12 years. Put them in a room together, and you’re sure to be entertained.

The Educational Element

Okay, here’s the deal. You’re a man. You have a body. And it’s important that you know how to take care of it through all the crazy things that can happen in life. We’re here to help you understand your body and the things you can do to take care of yourself, whether that means talking about E.D., connecting you with the latest in prostate cancer treatments, or just reminding you to eat your veggies.

First Look At Upcoming Events

Want to be the first to know about exciting events like our historic “Make America Pee Again” experience? The Armor Men’s Health Hour is the place to find out. We talk about all our upcoming events far in advance, including letting you in on who our guest speakers will be. You’ll be the first to know any time we have something exciting to share!

Convinced yet? If you’re ready to join the Armor Men’s Health Hour army, tune in at KLBJ 590 AM & 99.7 FM every Sunday 4-5pm, or catch up on Spotify, Google Podcasts, or other major streaming platforms. See you there!

When Is It Time To See A Urologist?


If you’re the kind of guy who waits until the last minute to see a doctor, especially where urological issues are concerned—we get it. You have a hectic schedule and a thousand things on the priority list ahead of taking care of yourself. Sometimes it’s just easier to skip going in to see the doctor when you have a problem—especially one that you might find embarrassing—and hope your body gets better on its own. But we’re here to tell you that’s not the wisest choice, and there are definitely times when you need to seek medical attention immediately.

Here are a few signs that it’s time to see your urologist that you should never ignore:

Blood in the Urine

One of the most obvious signs of a problem is blood in the urine. If your urine is anything other than the usual shade of pale yellow, it could include blood and you should seek medical attention immediately. This could be a sign of a bladder or kidney infection, kidney stones, or prostate cancer, so don’t put it off or wait to see if it goes away on its own. While you might think of this as a minor annoyance—it could actually be a sign of a life-threatening condition. Make an appointment with your urologist immediately.

Erectile Dysfunction

While many men may feel embarrassed about discussing their sexual problems with a medical professional, there’s no reason to be shy. It’s important to tell your doctor about problems like erectile dysfunction since it can be a sign of a more serious issue like kidney stones, prostate inflammation, cardiovascular disease, or other conditions. We can help diagnose the real problem and find you treatment so that you can get back to living your life.

Trouble Urinating

If you experience pain urinating, have to urinate frequently, or experience urinary incontinence, you could benefit from a trip to the urologist. For both men and women, these symptoms can be indicative of anything from a UTI to bladder stones or STIs, so do take these symptoms seriously if they start to affect your daily activities. If you experience any of these symptoms, it’s definitely time to see a urologist. Contact our offices today for more information about these conditions and how we can help you combat them.

You Missed Us

We’re only sort of kidding. Regular checkups and maintenance are an essential part of maintaining your health, along with proper nutrition, not smoking, and other elements of a healthy lifestyle. By getting regular checkups, you’re getting in the driver’s seat and taking charge of your health once and for all.

These are just a few reasons it can be time to see your urologist—but there are certainly more out there. If you’re struggling with your weight, fertility issues, or are just looking for a partner in taking care of your health, we can help. Don’t wait until it’s urgent! Taking proactive measures and seeing a doctor sooner rather than later will help keep you in good health for years to come.

Contact us today to schedule your next appointment.



The Life-Changing Magic of a Healthy Lifestyle


You’ve probably heard the same tips for “getting healthy” your whole life. Exercise regularly, sleep more, don’t stress out so much, and make sure to get some more vegetables in your diet. Then, the internet tells you, one day you too can look like Channing Tatum or Charlize Theron. But between late nights at the office, kids to drop off at soccer practice, and weekends out with your kids, it can be hard to make time to eat better and get to the gym if you’re just in it for the six-pack abs that you don’t think you’ll ever have anyway. You may even give up on trying to live a healthy lifestyle at all. Why bother?

We understand. But don’t despair! A healthy lifestyle is about so much more than how you look.

Here are some unexpected ways that making healthy choices throughout your days can transform your life:

Resolve Urological Issues

A personalized diet plan can actually help relieve certain health issues. If you struggle with kidney stones, interstitial cystitis, male infertility, low testosterone, or other urologic issues, our health and wellness experts may be able to work with you to relieve your pain with dietary changes. Especially for those with sensitive bladders, a couple of small diet changes can go a long, long way. Even just minor changes like drinking more water and reducing salt intake can make a difference for those who may feel perfectly healthy.

Improve Stress Levels

If you’re always on the go, good nutrition may be the farthest thing from your mind as you scurry from the gym, to work, to school. You may just be happy to grab some fast food at the end of the day—but if this pattern continues, you may find your overall stress levels increasing. By changing things up and choosing options indicative of a healthy lifestyle, you can provide your body better fuel and lessen your stress levels, as a proper diet has been shown to strengthen the immune system, reduce blood pressure, and even help stabilize your moods.

Contribute to Weight Loss

When you begin to incorporate healthy habits into your lifestyle, one of the side effects you may experience is weight loss. As you choose more nutrient-rich options and fuel your body properly, you’ll be eating less sugar and harmful “empty calories”. Even if you aren’t actively pursuing weight loss, and just want to adopt a healthy lifestyle, weight loss is a common side effect of doing so. If you are seeking a weight loss plan, our Ideal Protein plan is designed with just that goal in mind.

If you’re ready to get started on your journey to the healthiest version of yourself, we can help. We have an entire clinic devoted to assisting patients with weight loss and wellness as part of our efforts to treat the “whole you”. Whether you need meal plans, healthy lifestyle advice, or just an accountability partner—we can help. Contact us today to get started.

The Many Talents Of Your Urologist

Ever wished you had a physician who was dedicated to “Men’s Health”? The ladies get gynecologists for all their issues related to women’s health, why don’t men have something similar? A one-stop-men’s-health-shop, if you will.

You’ve thought about it. Maybe even fantasized about it. You could go annually and have a specialist who’s dedicated to men’s health evaluate your health, recommend preventative care, and even answer your questions in detail. Wouldn’t that be nice?

Well, we have good news for you: that physician exists. And you may already have one.


It’s your urologist. What??

Here are five things your urologist can do that you may not have known about:

General Urology

This one is the obvious one, but we’d be remiss if we didn’t mention it. Your urologist will treat and provide preventive care for the things you normally think about going to the urologist for. That’s things like kidney stones, blood in the urine, incontinence, UTIs, and other conditions of that nature. Treatments like these form the backbone of what we do, but it’s really just the beginning.

Treat Prostate Cancer

Your urologist can treat prostate cancer—if that urologist is cool like us. With the HIFU procedure that we employ, we can focus our treatment on only the affected area without incision—and without damaging any of the healthy tissue around the area. This procedure is unique and involves no blades, scars, or radiation.

Reproductive Health

Yes, you read that right. Your urologist can assist you with your reproductive health needs, whether that’s investigating male infertility or signing you up for a ticket to vasectomy city. Whether you can’t wait to bring home another little one, or have as many munchkins around the house as you can handle, we pride ourselves on being able to meet your reproductive health needs, whatever they may be.

Combat Low T

Many men struggle with low testosterone (Low T), sexual dysfunction, weight gain, or other symptoms associated with low T or erectile dysfunction. Guess what? Your urologist can help with that too. Hormonal balance is essential to your comprehensive health, so we treat all aspects of your wellness that may contribute to erectile dysfunction or low T.

Encourage Healthy Living

At the end of the day, healthcare should be about ensuring that you can get healthy and stay that way. And your urologist is should be part of that equation. We can provide you with a health coach who will work with you to create healthy habits like changing your diet, working out regularly, and managing stress, so that you can continue to be your best self. Who would have thought your urologist could do that?

Ready to treat yourself to comprehensive men’s healthcare? Schedule a visit with your local urologist, North Austin Urology, today!

A Holistic Approach to Men’s Health

What sets us apart at North Austin Urology?

We have a unique approach to men’s health that is founded, fundamentally, in ensuring your holistic health. We don’t want to just treat a symptom, we want to get to the root of the problem and fix it for good—and address any other issues we find along the way, too. We care about all the aspects of your health, from weight loss to reproductive issues; and all the services we offer connect to further this goal.


Here’s a quick overview of all the services we offer, and how they connect to ensure that you get healthy and stay that way:

Urologic Health

At North Austin Urology, we use state of the art technology to treat urological conditions, prostate cancer, and other issues related to men’s health. Whether you’re struggling with low testosterone or just looking to improve your lifestyle, we can help you find a solution that fits your needs. Our experienced providers are dedicated to listening to your needs and working with you to ensure your long-term health.

Austin Vasectomy

At Austin Vasectomy, one of our specialty is the Mistry Vasectomy. This unique procedure, developed by our senior physician Dr. Sandeep Mistry, is a no-scalpel vasectomy with minimal pain and a quick recovery. If you’ve decided against kids, or have as many as you want, this procedure is a quick, efficient, and highly effective way to prevent pregnancy. For more information about what a vasectomy is and how ours works, check out this breakdown.

Men’s Health

In this aspect of our practice, we specifically study and treat issues like low testosterone, sexual dysfunction, weight gain and more. This comprehensive male wellness center uses treatments like hormone optimization and targeted supplement therapies to target and treat issues related to men’s health. We also seek to educate our patients on the best ways to take care of themselves, to ensure that all our patients live long and healthy lives.

Male Fertility

We believe that a patient’s fertility potential can offer insight into overall health, and vice versa, so we also have an entire clinic devoted to treating issues related to male fertility. Overall health can and does play a major role in determining one’s fertility, and therefore it is essential to evaluate and treat the whole person as we perform fertility evaluations. From hormonal to genetic testing, our advanced methods are designed to both determine fertility potential and determine if there are any medical issues which could be corrected to improve fertility.

Weight Loss

At North Austin Weight Loss, we use a multifaceted approach to evaluate and solve your health issues that is based on nutrition science. From personalized diet plans to supplements that complement your unique biochemistry, our experts work with you to help you achieve your goals. Focusing on physical and dietary wellness can help your body in ways you may never have expected.

These are just a few of the services we offer through North Austin Urology, and they all combine seamlessly towards the same end goal: your health. Each of these services can be paired with one or more of the other, so we can use these methods together to ensure your continued holistic well-being. Remember: your health is our highest priority.

Contact us to find out how we can help you live your healthiest life today.

Your HIFU Questions, Answered


For many men, even the mention of the potential side effects of many traditional prostate cancer treatments can cause some serious cringe. Erectile dysfunction? Urinary incontinence? Extended recovery time? No, thanks very much. And the cost of some of these procedures can be prohibitive, even if you’re prepared to face the possibility of side effects and significant time out of your life.

But if you’re seeking treatment for prostate cancer, don’t panic. You’ve got options, and they aren’t just radiation, cryotherapy, or hormone treatments. There’s another option out there that’s quick, non-invasive, highly effective, and has few documented side effects.

It’s HIFU: High-Intensity Focused Ultrasound.

Here’s what you need to know about prostate cancer’s new worst enemy:

What Is HIFU?

High-Intensity Focused Ultrasound (HIFU) is a new high-tech procedure that’s non-invasive and an effective option for prostate cancer treatment. This treatment involves state-of-the-art technology, is FDA-approved, and does not require a single incision. It’s a process designed to preserve healthy tissue and eliminate problem tissue without damaging any structures or cells beyond the directly targeted area.

How Does It Work?

When we use HIFU, we skip all the radiation, incisions, and sharp cutting implements. Instead, we use a device called The Ablatherm®, which uses a high intensity focused ultrasound to target only the necessary parts of the prostate, leaving the rest untouched and free of side effects. The high-intensity sound waves burn the targeted tissue and cut off blood supply to the dangerous cells, killing them without harming any of the good cells. This process can be repeated multiple times if necessary until the treatment is complete.

Is It Safe?

This procedure has fewer side effects than most other treatments, and is minimally invasive, making it significantly safer than many other traditional methods for treating prostate cancer. Through HIFU’s focused strategy for targeting and treating prostate conditions, many major risks are avoided, and the process kept as safe as possible. Follow-up visits will include testing to ensure the process was successful and to monitor your condition to ensure proper recovery.

If you’re considering HIFU, be sure to consult your doctor to ensure the process is right for you and your body’s needs. For more information about our non-invasive robotic HIFU, check out this informative video.

Ready to preserve your quality of life with low risk of side effects?

Contact us about HIFU today.

Can Cycling Affect Male Fertility?

A special class of Dr. Mistry’s patients is long-distance bicycle riders. There’s a distinct difference between wearing boxers or briefs a few hours a day and going on a 110-mile bike ride with shorts that are so tight they leave nothing to the imagination.

People will often ask, how does long-distance bicycle riding affect fertility? Cycling can affect men’s fertility in several ways, including:

  1. The rigors of training can take important bodily resources away from the reproductive tract. No one ever said cycling is easy! Training is often rigorous and puts a lot on the body.


  1. As we all know, we can’t just jump up and decide one day to go on a 100-mile bike ride. Well, we could, but we probably wouldn’t get very far without months of training and preparation. Cyclists know this well and often have to train their bodies to withstand long distances and to train their bodies to go periods of heavy activity without a lot of water. This constant cycle of dehydration and heavy training can also have an impact on sperm function, as well as testicular function and testosterone metabolism.


  1. We’ve all seen the cycling shorts or body suit that cyclists usually wear when going on a long ride and it can actually impact sperm and fertility. How? The use of tight shorts can increase testicular temperature, which can affect how the sperm move and how effectively they are produced.


People who ride bicycles long-distance often will develop a condition called pudendal neuropathy – also known as pudendal neuralgia – in which the nerves that provide feeling to the penis can be impacted. It’s known by many cyclists as a “numb penis” when they get off the bicycle after a long-distance bicycle ride. This can impact their ability to get and maintain an erection, which can also affect fertility.

Concerned about how long-distance cycling or any other sport might have an impact on your fertility? Book an appointment with us today.