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The Armor Men’s Health Hour: Prostate Cancer and HIFU

The Armor Men’s Health Hour is brought to you by Urology Specialists of Austin.

For questions during the week, call us at 512-238-0762, or visit our website.


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.

Welcome to the Armor Men’s Health Hour with Dr. Mistry and Donna Lee. We have been so lucky to be able to give you a year’s worth of shows now. The radio show is a wonderful way to connect the community with what we do.

The HIFU Treatment

This has been a big week for us. A big part of what we do in our urology practice is the treatment for prostate cancer. If you’ve been a listener of the show, you may be aware that we do a special kind of treatment. It’s not widely available. It’s called high intensity focused ultrasound or HIFU treatment for prostate cancer.

It’s almost too good to be true. We have patients, I would say about 70 to 80% of our patients that get this treatment for prostate cancer come from outside of Austin. It’s not widely available. It is a one-day procedure that is painless, that uses ultrasound energy to identify where cancer is and to ablate it using this ultrasound energy is like a magnifying glass that focuses the sun’s rays on a point that ultrasound energy can kill the prostate cancer.

If you’ve been diagnosed with prostate cancer and you’re taking some thought on how to treat it and you haven’t been given the option of HIFU, it’s definitely something that is probably our most popular reason for people to get a second opinion. This week in our own literature, it was shown that just treating where the tumor is in your prostate called focal therapy, just treating where it is, had equivalent treatment outcomes to radical prostatectomy—a radical surgery.

I’ve been doing robotic surgery for almost 20 years now. This is not something that is new to me or new to our practice, but the idea that we can provide focal therapy for just where your cancer is and give you lower side effects, equivalent treatment outcomes, much easier decision making is something that makes me really happy.

Nutrition Program For Cancer Patients

We have an amazing nutrition program as well. Robert Mendiola, our nutritionist, will put all of our prostate cancer and virtually all of our cancer patients on what we think is a very cancer specific nutrition program. And if you haven’t been given advice about that from either your oncologist or from your urologist or whoever’s diagnosed your cancer, certainly, we have excellent outcomes, ways to follow and wonderful support when it comes to understanding how do patients with cancer, whether they’re treated or not, benefit from a nutritional program.

If you haven’t been given that advice before, I certainly think that you deserve to get that advice. Most of these services are covered by insurance. So, out of pocket costs are not something that are usually a burden to get this information. Really, the burden is whether or not your medical provider has been able to educate themselves or collect the resources necessary to educate you on this particular topic, and of course, spend the time, which is the most valuable kind of resource on earth.

A New Era In Prostate Cancer Treatment

The company that manufactures the machine used in this treatment is right here in Austin: EDAP Technologies. They have agreed to give us really almost exclusive access to this newest of new technologies, HIFU for prostate cancer. It’s quicker, it’s easier, fewer side effects and bigger prostates can be treated. It is a new era in our prostate cancer treatment program.

Being in private practice and not in the academic arena per se, you don’t necessarily always get your hands on just kind of the latest and greatest before everyone else. And the fact that we’re going to be able to do that now and really help, you know, hundreds of men treat their prostate cancer with fewer side effects and equivalent outcomes is something that is really exciting. And we had a patient who came on, we have a whole podcast of him. The side effects he talks about, well, the lack of side effects is pretty impressive. He said he stayed home for a week afterward and it was fine.

Those men that are concerned about their either avoiding radiation or keeping their erectile function and continence, and if you have localized tumors, and especially if you have a tumor that conveyed identified by MRI, this is spectacular. This is MRI fusion technology that we can use to treat your cancer.

If you have questions for Dr. Mistry, email him at

The transcript has been edited for length and clarity. Listen to the original episode on The Armor Men’s Health Hour podcast.

To make an appointment, call us at 512-238-0762, or visit our website.

The Armor Men’s Health Hour: Family Planning

Dr. Mistry and Donna Lee Discuss Vasectomies and Vasectomy Reversals

The Armor Men’s Health Hour is brought to you by Urology Specialists of Austin.

For questions during the week, call us at 512-238-0762, or visit our website.


Hello and welcome back to the Armor Men’s Health Hour. I’m Dr. Mistry, as always, with my host Donna Lee. For those of you that listen to the show, you may recall that Donna Lee is in fact a comedienne, a professional comedienne. And she and I have a running gag that one day I’m going to come up with a whole comedy set.

Are you ready for my first one? What is the difference between a man and a woman?

There’s a “vas deferens.”

Don’t Know What A Vas Deferens Is?

The vas deferens is the tube that connects the testicles to the prostate, and that’s where sperm is transported so that we can make babies.

There are two different surgeries that we do for the vas deferens. This month, I was confronted with a patient who had a very enlarged vas deferens and it was very thickened. It was very tender and painful, it’s calcified vas deferens, and it’s one that resulted, we think, from a trauma that the patient experienced and has now led to infertility and chronic pain. So, we’re going to remove the whole vas deferens.

This process is just called a vasectomy, but that’s going to be a much bigger, much more involved procedure than we would usually associate with a vasectomy.

The Vasectomy Process

For those of you, if you’re at home from work and you’re able to recuperate, you may be interested in having a vasectomy during this time. The vasectomy is a very commonly performed, well-tolerated procedure. It takes about 20 minutes. We do it here in the office.

And we have great music that plays in the background—if you like 80’s new wave alternative because that’s pretty much all that’s going to play. You can tolerate the music because we do offer IV sedation, using intravenous midazolam, which wears off pretty quickly. Most patients are able to walk out of here even though they’re pretty loopy, sleepy, or really funny. They’re always smiling.

That’s another running joke we say about people when they go back to write reviews about the vasectomy, they say, “Well, don’t remember it, but everything went well.”

Single Visit Vasectomy

One of the reasons that we started the IV sedative is because it allows us to do something called a single visit vasectomy, which means that you can come in, get your consultation for the vasectomy, and get your procedure in the same day, which is extremely convenient. It makes it more likely that you’re going to go through with the procedure because you only have to come and wait in the waiting room and wait for me and you know, do all that stuff one time. At other offices, you have to go in 3 times, at least.

Benefits of IV Sedation

It becomes inconvenient when people are already kind of nervous about the procedure. We try to eliminate that one barrier by doing it. Another real benefit of the vasectomy with IV sedation is that you don’t remember it getting done. And early on in my practice, I had this theory that when you’re getting worked on down below, that’s already kind of an anxiety-provoking experience. If you can remember the pulling or the sharpness of any kind of instrument, I bet you kind of makes you like have some anxiety.

That sounds like a one-star Yelp review. And I think a lot of men were having discomfort after their vasectomy just because of that experience of having gone through it. As a result of that, we have much higher rates of actually completing the vasectomy because the anatomy is a lot easier to deal with. And we have fewer people complaining of pain and discomfort afterward. That’s really great. The IV sedation really puts us in a different category. We use a single incision.

Vasectomy Reversals

But we do something else here too, and that’s the vasectomy reversal. We do quite a few vasectomy reversals as part of our male fertility offerings here. The vasectomy reversal is done on some estimates on about 10% of patients that have a vasectomy rethink that decision. You know, you never know. But what’s interesting is second wives are older than they used to be.

If you’re thinking about getting a vasectomy reversal, but your second spouse happens to be 38 or 42, then it may be wiser in terms of the chance of getting a baby to do an extraction. We can do this right from the testicle or epididymis and then go through IVF. We have some wonderful IVF partners that we use. And so that’s one of the important considerations that we ask men to go through before they make a decision on becoming dads again is what would be the most likely way for it to happen?

There are a number of reasons men want to have a vasectomy reversal. There’s remarriage, which is probably number one. There’s just rethinking family size as economic situations change. And then, of course, the most tragic is the loss of a child. It’s an unfortunate tragedy that we deal with probably, you know, 3 to 6 times a year, we have a couple come in with the tragic loss of a child. The vasectomy reversal is a way for that family to find some happiness out of a tragedy.

You can get a vasectomy reversal in the office in some places, you can go down there or someplace that will do it in the office. I think it’s much, much more comfortable to get it done under general anesthesia. It takes, you know, an hour and a half to do it and you’ve got to sit still for an hour and a half and somebody’s working on your stuff. I mean, so we do most of ours in the operating room.

How Much Does a Vasectomy Reversal Cost?

The price for a vasectomy reversal is around $6,000. It is not covered by insurance. And for an additional $500, we will collect sperm that you can cryo-preserve and you’re not going to find that opportunity virtually anywhere. It adds about half an hour to the case since it requires me to examine the sperm under a microscope to make sure there’s moving sperm. It gets sent to a cryo-preservation facility and, just for a little bit of extra money, you have that confidence that even if the vasectomy reversal doesn’t work, then you have sperm that’s in the freezer that you could use for IVF or some other assisted reproductive kind of thing.

Does It Really Work?

A lot of people think of the reversals like just a plumbing job. Like you just took a tube and you’re just, and you are just occluding, and you just have to take that occlusion out and put it back together. But that, you know, the reproductive anatomy is really a living, breathing, evolving system. So, when you occlude the vas deferens with a vasectomy, the sperm backs up into the testicle. Then, there can be damage done to the epididymis and testicle that doesn’t allow the vasectomy reversal to work.

The numbers I usually quote is if you’ve had a vasectomy in the last 2 years or less, the reversal rates about 90%. If it’s less than 7 years, the vasectomy reversal rate is somewhere between 75% and 85%. But if it’s a, you know, 15 years or older, that number can drop to as low as 35%. So, the time since your vasectomy could have a big impact on success as well as any pain or complications you may have had.

The transcript has been edited for length and clarity. Listen to the original episode on The Armor Men’s Health Hour podcast.

To make an appointment, call us at 512-238-0762, or visit our website.

The Armor Men’s Health Hour: ADHD, Memory, and The NEAT Center of Austin with Dr. Jennifer Reynolds


The Armor Men’s Health Hour is brought to you by Urology Specialists of Austin.

For questions during the week, call us at 512-238-0762, or visit our website.

Welcome back to the Armor Men’s Health Hour with Dr. Mistry and Donna Lee. I’m Dr. Mistry, your board-certified urologic host, here with my cohost Donna Lee. When I tell people that I’m doing this, this show and podcast and that I have this huge family in this practice, the first thing they ask is how do I, how can I do it? Like how can I get it all done? I jokingly think that I have ADHD, but the truth is I have an amazing wife who takes care of 95% of my life. And an amazing staff here at the office.

Speaking of ADHD…

You know, from the beginning of my desire to do this show, you could only talk about testosterone, erectile dysfunction, and large prostate, prostate cancer, and all the amazing things that we do, without getting to some of the psychological things. Over the course of this show, we do plan on talking about things like alcoholism and depression and anxiety disorder. But I’m seeing so many patients with other neuro-cognitive kinds of conditions. And I started thinking about “What am I worried about myself?” I’m in my 40’s. I went to school for many years and I feel like my success as a professional is dependent on a lot of the motivation. But I worry about my memory, and I worry about ADHD and hyperactivity.

Guest Dr. Jennifer Reynolds

So, we have a wonderful guest today, Dr. Jennifer Reynolds. She’s the CEO of the NEAT Center of Austin. That’s the Neuropsychological Evaluation and Therapeutic Center of Austin.

We use neuropsychology evaluations often in children when we’re trying to diagnose them with behavioral or issues related to how they’re progressing in school. And then we know about neuropsychological evaluations in older patients when I’m trying to diagnose memory, dementia, but there’s this whole big middle. When people think of a neuropsychologist, they think mostly ADHD assessments, or you know, autism spectrum disorders. 

Middle-Aged Men and ADHD

I’ve had an increase of middle-aged—40 to 60-year-old men—coming in worried about cognitive decline and memory issues. A lot of times I see some ADHD issues hand-in-hand with this, meaning inattention, inability to concentrate, impulsivity. All of these things that need to be parsed out from say dementia or you know, early-onset Alzheimer’s. There’s something that happens in the neurotransmission of a man’s brain between 40 and 55 specifically with dopamine and testosterone that can affect memory and cognitive ability, the personality of the man, problem-solving, reasoning, emotions. And all of these things can be examined by a neuropsychologist with a very thorough assessment—valid, reliable assessments.

Diagnosing ADHD

These aren’t things that are self-report where I ask you 10 questions and you say true or false with, you know, or on a scale of 1 to 10. This is 6 hours of testing. But it goes in and out of the brain very specifically to figure out what lobes are functioning best, what lobes maybe need a little more working out so to speak—you use it, or you lose it. And is this an ADHD issue that’s being exacerbated by low testosterone? Or perhaps it is early-onset dementia, or an Alzheimer’s memory problem?

ADHD Signs and Symptoms

From young to old, I get the same blanket diagnosis of ADHD that comes in my office, and they need validation of that because the diagnosis usually comes from a general practitioner who says, “Well, let’s try this cocktail of Adderall or Vyvanse. And if that works, then you have it.”

ADHD is a blanket term that I’m not really fond of. What it really means is a cognitive redistribution of thinking. So, people with attention deficit aren’t always hyper and jumping off walls, and they’re not always inattentive and daydreaming. There’s a lot, there’s a myriad of things that go on, which is the thought emotional process. For example, when you say, give me an example of what it may look like in a day to day life…so somebody with “ADHD” may have a to-do list, right, at their house and they got 10 things to do: change the light bulbs, you know, take out the trash. And before you know it, you’ve got 1/16th of everything done and not a whole thing of anything done.

It can get more frustrating when you have changes in dopamine and testosterone because it’s going to be exacerbated. There’s going to be issues with your relationships because you don’t seem to be paying attention. And by the way, men, it’s not your fault. I mean, it’s dopamine’s fault. You can blame it. So just kind of parsing out and figuring out what is going on in the brain at that age is really important. Our executive functioning cortex, the frontal cortex, is done developing and we’re in mid-life and trying to figure out the brain. Just like any other organ in the body, it needs certain things at certain times in life.

Unfocused, but not ADHD

What kind of behavior might a person exhibit if they don’t really have ADHD but are just maybe not “focused”?

Procrastination is a big one that I see a lot of times in both men and women. The inability to overcome inertia. There’s something important to do. And instead of doing that important thing, you’ll sit there and look on Amazon prime for a new phone cover for 5 hours. Believe it or not, that is a component and attendant of attention deficit. So, what happens is you have an ability psychologically to go to a cognitive fugue state, and you distract from what you need to do because you’re overwhelmed by that which you need to do. You see a lot of procrastination. And then you see guilt coming from the fact that you procrastinated; loss of focus, so even when you do start on that important task, the mind will wander, the mind will drift.

You’ll get tired. I mean, physically, this is something that is converted. You become tired. It’s exhausting just to think about having to think. All of these things start occurring and people start wondering, “Well, am I losing my mind? Am I losing my memory? Am I going to be Grandma Rose in 4 years, who doesn’t know who my kids are?” You know, that sort of thing. And that’s terrifying. It’s terrifying for anybody. So, I think it’s very important on many levels, but certainly on the memory aspect and ADHD aspect to have it thoroughly evaluated for peace of mind.

Treating ADHD

People don’t want to go through extended evaluations. People just want this idea that there’s going to be a pill that fixes it. And then when you put them on the pill, they’re like, well, is there a way to do this without a pill? And there are ways to address ADHD without the use of medications. The problem is that historically, the way that we’ve gone about treating ADHD is through amphetamines. And we build a tolerance to those very quickly within the brain, so they don’t work as well when you’re older.

However, that being said, once you’ve had a thorough assessment—and you know you’ve had a thorough neuro-psych assessment when it’s 5 hours long. But once you’ve had that assessment, then you find learning mnemonics based on the lobes of your brain and what I figure out they’re doing and what they’re not doing. So, if there’s under-compensation, there are mnemonics that you know, I can teach and psycho-educate on that will help compensate, because the brain, you know, is the same as any muscle—use it or lose it.

Stimulating those weaker parts of the brain is more likely to make them more efficient by reconnecting. Neuroplasticity is an amazing thing. But again, you’ve got to figure out where that needs to happen. And in order to do that, you need a thorough assessment.

Ready for your assessment? Contact Dr. Reynolds through or by calling (512) 540-4767.

The transcript has been edited for length and clarity. Listen to the original episode on The Armor Men’s Health Hour podcast.

To make an appointment, call us at 512-238-0762, or visit our website.


The Armor Men’s Health Hour: Nutrition Counseling at Urology Specialists of Austin

Ideal Protein, Food Journals, and the Ketogenic Diet


The Armor Men’s Health Hour is brought to you by Urology Specialists of Austin.

For questions during the week, call us at 512-238-0762, or visit our website.

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.

We’re so excited about being able to bring a variety of men’s health topics to you. Dr. Mistry is a board-certified urologist practitioner who treats men widely for a variety of conditions. And Donna Lee is our practice manager. We also have our very own special guest today: Robert Mendiola, our registered dietitian.

How Does Nutrition Play An Important Role In Urology Conditions?

Throughout the year, we’re going to talk very much in-depth about all the different things that we deal with in our practice. Kidney stones, prostate cancer, kidney cancer, low testosterone, ED and more. One of the central things that we’ll focus on today, however, is the role that nutrition and weight loss plays in all of these conditions. And then we’ll talk about what kinds of tools we give patients to help them lose weight better.

Many Conditions Can Be Improved With Weight Loss—But Not All

Across the board, a lot of conditions do get improvement with weight loss. Things like low testosterone are going to be very responsive to changes in way higher cholesterol prediabetes, which are really common things that come tied in with these different urologic conditions, including erectile dysfunction. When you see urologic conditions, there are sometimes other medical issues going on there as well. We offer that whole program, including diet, which helps connect the dots. It can be really insightful for people and really help kind of get their health back on track. A lot of people are surprised, too.

If you are 350 lb and 5’10”, diagnosed with prostate cancer, however, and you also have diabetes, high blood pressure and obstructive sleep apnea, my decision to operate on you is going to be significantly altered. As opposed to you being 260 lb and 5’8” with only one medical condition. It’s a different animal.

How Does Having A Health Coach Help?

As a health coach, I’m able to provide accountability. We have check-ins and talk about what’s working and what’s not. How are you feeling? And how do we get the ball moving? It’s about an individual practice, an individual program, depending on your disease process. Kidney stones or cancer can be different than something specifically related to low testosterone. Not everybody has to lose weight, but a lot of people do.

What Have You Learned Working With Our Patients?

I’ve learned that people are really curious about nutrition and diet and lifestyle, and there are still so many unknowns. And I think that’s really kind of a fun part of working in nutrition and a science field is, there are so many unknowns still. We can find evidence to support almost anything that we wanted to support. Right now, we could find a study that says, “eating candy for breakfast every day is really good for you.”

But people are very curious, you know, and they are well informed that they come in with really good questions. I’m seeing more and more younger men who are taking charge of their health. Even when nothing is in labs, nothing is out of normal limits, they still want to know if they’re taking care of their health correctly. And I think that’s really cool—I think that’s really changed. I think men in particular and young men. I mean, historically, people only went to the doctor when they were sick, right? So, to see younger people doing that is really impressive.

As physicians, we’ve been so jaded by the fact that our patients don’t listen to us every time that I think a lot of the opportunity to educate patients on just basic nutrition has kind of gone away.

They really are curious, and you don’t fix everyone. But that’s really not the goal. I mean, I guess that’s our goal to fix everybody, but it’s not. It’s not the metric by which we judge ourselves successful. We want to help people change their habits into healthier habits. I love the fact that we have so many patients that are healthier, that are looking to make changes in their health because that’ll keep them healthier.

How Do You Keep People Motivated?

We do a number of things. I just kind of do a check-in. And then we use whatever accountability tool we’ve kind of started or educated or going went over, and maybe our initial visit that might be something like a food journal we get to review together. I know a lot of people are not very big on tracking food.

I usually tell people if you give me 2 to 3 days of eating track, that’s a really great glimpse into your life. And then we can make some changes based off of that. You don’t exactly. Yeah. And some people don’t want to tell you how much alcohol do exactly as I tell people. You know, Don’t be well behaved on this. Be your real actual 100% self. If you eat a pizza and 12 beers, please put that in the app so we could talk about it.

Some people that are maybe not tech-savvy. I try to put them on paper. So, it’s something they can still feel like they are accountable for. And even if they’re not comfortable using their phone like that, um, and then just kind of navigating some of those speed bumps in the road bumps that come up with a busy life and still trying to be healthy. And sometimes the solution is something that that is very medically managed.

The Ideal Protein Program

We are very happy to be able to provide ideal protein here. It’s a medically managed program. It’s strict, but I myself have done ideal protein, and I did achieve the 5 to £7 weight loss. This program is basically a medically managed ketogenic diet. We get our body using fat for fuel. It is lower calorie as well, and it is moderate and protein and pretty low in carbs. One of the great things that it does take the guesswork out of the diet. Which we all have a lot of questions on, and a lot of people don’t have time to answer all those questions before making changes.

It’s a really great way to have some accountability, set up some weekly appointments with the health coach and navigate some of the program. It’s okay. Well, how’s our weight trending and have we had our goal and what’s working. And if you’re a man out there and you’re looking lose about 40 to 50 lb in 12 weeks, I think it’s definitely a very achievable goal.

What Does The Ideal Protein Program Cost?

It would be $300 at the initial visit on that kind of start, you start off with supplements, a week’s worth of food kit, and kind of the whole deal. We go over in the office in the program, and then after that it would be your weeks’ worth of food. So, about $90 a week after that. When you think about how much how much you might spend eating out or things like that, it can balance out really well.

The transcript has been edited for length and clarity. Listen to the original episode on The Armor Men’s Health Hour podcast.

To make an appointment, call us at 512-238-0762, or visit our website.

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.

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