Phone: 512-238-0762

Fax: 512-341-7370

August 29, 2020

“Shrinking Penis Syndrome” and Dr. Mistry’s Treatment “Cock-tail” To Restore Penile Length

Speaker 1: 

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

Dr. Mistry: 

Hello, welcome to the Armor Men’s Health Hour. I’m Dr. Mistry, your host, here with my cohost, the certifiable Donna Lee.

Donna Lee: 

Dr. Donna Lee in the house.

Dr. Mistry: 

We are not doing that.

Donna Lee: 

Dammit.

Dr. Mistry: 

Texas medical board is going to be all over you, Donna Lee.

Donna Lee: 

Tomato, tomato. I am a board certified cohost though. And we have awards–we’re an award winning podcast.

Dr. Mistry: 

What you need to do is apply for a doctorate, like online, in something like astrology.

Donna Lee: 

Yeah, that’d be great.

Dr. Mistry: 

And then they’ll say, “Well, she’s a doctorate in astrology.”

Donna Lee: 

You do get tired of me talking about moon phases and all the angry and sad employees and patients that show up every full moon.

Dr. Mistry: 

That’s correct.

Donna Lee: 

That’s a thing. My dad was a PA in the ER.

Dr. Mistry: 

I’m very scientific. We don’t believe in moon phases…

Donna Lee: 

My dad didn’t either, but he was an ER PA, and every full moon he’d come home and tell me and my mom about how crazy all the patients were, and I thought he was crazy. Now I work with you.

Dr. Mistry: 

That’s funny. We’re all about crazy here. This show is brought to you by NAU Urology Specialists. We are a specialty of surgery called a urology. We deal with a lot of things, but mainly things from the belly button to the knees.

Donna Lee: 

To the knees. Really?

Dr. Mistry: 

If you’re lucky enough.

Donna Lee: 

Wow.

Dr. Mistry: 

People often ask me why I became a urologist and I tell them because of the jokes.

Donna Lee: 

And then he went off and hired a comedian to be his practice manager.

Dr. Mistry: 

That’s right. There’s no, there’s no, there’s no secret how we came to be. Donna Lee, why don’t you tell people about our practice?

Donna Lee: 

You can, you can call us during the week at (512) 238-0762. We will put you at the top of the queue if you have a joke for us. Our email addresses armormenshealth@gmail.com and our website is armormenshealth.com. We’re located in Central Texas, for all of you foreigners out there listening up North. We are in Round Rock, Texas, North Austin, South Austin, and the cutest little town in the world, Dripping Springs, Texas. There is a sign I told you that says downtown, “We love dripping!”

Dr. Mistry: 

We’re like, “No, we don’t like dripping!”

Donna Lee: 

We don’t want to be…but yeah, we’re all over the place, so call us. And then if you want that free second opinion for prostate cancer, Dr. Mistry is available and he talks all about this incredible thing called HIFU: high intensity focused ultrasound.

Dr. Mistry: 

What a great segue into kind of that concept that we love here, which is the concept of the second opinion, which you can ask via question at armormenshealth@gmail.com. And then we can also take your consult through a telemedicine appointment. Even if it’s complicated, we get medical records from all over the country. We have patients from all over the country that come and travel to us for advanced prostate cancer treatment. We have some patients that worry that they can’t get in to see us, but we pride ourselves on availability because we try to make sure that we have space for those interesting and complex cases that people have not found a solace or care for. If you think that you have a condition that’s being overlooked, we would encourage you to come see us. If you’re interested in advanced therapies, we encourage you to see us. If you’re sitting out there with BPH, just being, you know, managed on medications that are insufficiently working and want to hear about the next step-this week, I had a patient who gets up 10 times a night to pee, and he’s seen two urologists and nobody was able to make a connection. In one appointment, we diagnosed him with something called nocturnal polyuria, that means he was making too much pee at night.

Donna Lee: 

The other guys couldn’t figure that out?

Dr. Mistry: 

I guess they didn’t give them a urinal. A urinal cost two bucks. In one week, we diagnosed him. He’s making a liter and a half of urine at night. So we’re going to get him, you know, we’re gonna make sure his kidneys are working okay, we’re going to put him on a medicine called Desmopressin, and we’re going to get him fixed up. And I really think that we are going to do that. And so it’s kind of that more holistic body approach, really approaching things in a, in a real smart, intelligent, thought out, algorithmic way. I think really sets us apart.

Donna Lee: 

You know, I have a question. We had a patient–we’re kind of short staffed, so I’m answering calls here and there and taking new patients. Anonymously though, this was intriguing to me, though–the patient had since childhood, he had a lump on his penis and he’s in his thirties now. And so he wanted to make an appointment because now it’s starting to hurt. So I thought, “Well, I wonder why it never hurt before?” And I asked if there was any trauma, but maybe he had a hidden or microtrauma? But he said, “No nothing’s happened. But I went to my primary care and he suggested I see a urologist.”

Dr. Mistry: 

For the primary care doctor, it’s safest always to send these painful penile lumps. Usually when we hear about lumps, lumps, my penile lumps.

Donna Lee: 

Isn’t that a Fergie song? “My lovely lady lumps.” Humps?

Dr. Mistry: 

That’s not…It was, it was inappropriate. So, if you have little lumps on your penis, a common lump that can happen maybe not from infancy, but from, from puberty onwards is a sebaceous cyst. It’s like a little, an entrapped sweat gland.

Donna Lee: 

So you go to Dr. Pimple Popper for that?

Dr. Mistry: 

That’s gross. Come to Dr. Mistry, he’ll take care of it better. Those sebaceous cysts can sometimes become infected. Are there can be other cysts of the skin that become infected. I’ve had people have veins that become infected. There are other types of ulcerations there that can also become infected.

Donna Lee: 

So cysts can last that long?

Dr. Mistry: 

Surely, there can be any number of things that can last even from not again, not from infancy, usually, usually from, you know, teenage years and only, you know, raise their head in adulthood. Well, that’s a great question. I’m glad you asked. Is there a question from a listener that we can go over?

Donna Lee: 

We can, yes. All right, I cannot promise this is not from my husband–it might be.

Dr. Mistry: 

He may have used a ghosted account.

Donna Lee: 

Right? But it’s not his email address, but if I get asked this question one more time at home, I might have to leave.

Dr. Mistry: 

Poor Michael.

Donna Lee: 

“Good morning, Dr. Mistry. I’m in my fifties over the past several months, it seems my penis is noticeably smaller when erect. Not sure what might be causing this. Maybe just old age?”

Dr. Mistry: 

First of all, being 47 myself, I’m hoping that 51 doesn’t qualify as old age. I’m still a young buck…The shrinking penis syndrome, which is so common that I really think we should make it like a syndrome. As men age, absolutely there is a shortening of the penis that some men will, will perceive. After prostate treatment, whether it be prostate cancer, BPH treatment, even HIFU, a lot of men will report a shrinking or a retraction of the penis. When we look at that, we try to think to ourselves what could be going on? The first thing that we think about is that maybe everything’s the same size, but maybe you got fatter. 30 pounds gives you one inch. So if you have that FUPA–that mons pubis area that has more fat, definitely your penis is going to appear shorter. So 30 pounds, one inch. Now, to me, that seems like common sense. But so many men are just absolutely like surprised.

Donna Lee: 

Fascinated.

Dr. Mistry: 

“Are you saying that it’s the extra 30 pounds I’m carrying here that make my penis look shorter?” Yes. That’s precisely, that’s precisely what happened. And especially if it happens over a period of just several months. The second thing that we think about is a lower testosterone. So a lower testosterone will make your, just kind of like, what is the rigidity of your penis, you know, how are you carrying it? What is the health of your erectile bodies? Could make it seem like you’re more retracted? I have seen patients with something called pelvic for spasticity– that’s where the pelvic floor gets real tight and that can actually pull up some of the musculature that allows the penis to suspend. So if you’ve had like a back injury or a hip injury, or you’re not as active, you might notice that that could be going on. If you’re on a medication for an enlarged prostate, like Finasteride, I think that there could be some risk of the way that the testosterone’s being manipulated could cause that to get, you know, to perceive that you have a smaller penis. So when we have that in our office, we offer a multipronged therapy. Number one is we make sure that you are your testosterone levels normal. Number two, we have, you begin using a vacuum erection device or a penile tensioning device. Both of these can add up to one and a half inches of penile length if used regularly.

Donna Lee: 

One and a half inches? That’s a lot. I got excited about that.

Dr. Mistry: 

You got too excited. What do you care? You don’t like…

Donna Lee: 

I’m like, “Hey! I’m running away from that.”

Dr. Mistry: 

Then there’s the use of spark wave, which we have in our office, which is a type of treatment that uses low intensity acoustic or shockwave therapy to cause microtrauma to that, the erectile body, helps regenerate some healing, and then using that vacuum erection device or that penile tension device to help kind of give you more length. But then my, like my topper here is a daily Tadalafil. So the daily Tadalafil or Cialis commonly used for erectile dysfunction, not only will it help you get a better erection when you’re trying to get one, but I think that it also helps carry a larger penis size and girth when it’s flacid. And not because it’s partially erect all the time. I think there’s more blood flow to the penis, and if you can tolerate the medicine, which most people do, I think it leads to an overall better girth and length. And then that along with the vacuum erection device, the spark wave therapy if you’re interested, and then normalizing testosterone would be kind of our cocktail for shrinking penis syndrome.

Donna Lee: 

Cocktail!

Dr. Mistry: 

That was, they’re going to be bleep that out.

Donna Lee: 

I’m just saying a word.

Dr. Mistry: 

So if you’re interested in the cocktail or you’re suffering from this condition yourself, we would encourage you to call us for an opinion or for an appointment. We will love to see you make sure there’s nothing anatomically wrong, like Peyronie’s disease that can also cause shrinking of the penis or shortening of the penis in this case. How do people get a hold of this?

Donna Lee: 

That’s right. You can call us and talk to us about your favorite cocktail at (512) 238-0762. Our email address armormenshealth@gmail.com. It’s armormenshealth@gmail.com. Write it down, send us a question. We’ll answer your questions anonymously and I’ll respond to all of them. And I’ll even send you the podcast link. We’re podcastable, Dr. Mistry, all over the world. You can find our podcasts wherever you listen to podcasts on iTunes and Amazon and Alexa. Thanks for listening.

Speaker 2: 

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

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