0:07

Welcome to the Armor Men's

0:09

Health Show with Dr . Mystery and

0:11

Donna Lee.

0:15

Hello and welcome to the Armor Men's Health

0:17

Show. This is Dr . Mystery, your host

0:20

here, as always with my co-host

0:22

Donna Lee.

0:22

That's right. Welcome everybody. Thanks for listening and

0:24

listen to our podcasts. They're amazing and

0:26

Free. Donna, where do we get podcasts?

0:28

Where

0:29

Do

0:29

We get them? Yeah, where do you get a podcast?

0:31

You go to Google or you can listen to

0:33

iTunes, Spotify, iHeartRadio,

0:35

Amazon, wherever you listen to free podcasts.

0:37

What do you look up?

0:38

The Armor Men's Health show.

0:40

How do you spell armor

0:41

Incorrectly? A r

0:44

m o r . Because you forgot the

0:45

U I did forget the U .

0:47

So a ar

0:48

M o r And what's our website?

0:50

Armor men's health.com.

0:51

Well, I'm so glad that was your mini mental

0:53

state exam. So now I know that you are fully alert

0:55

and oriented times three. You

0:57

Made me walk at a

0:57

Straight line. That's right. Uh, if people want to get

0:59

ahold of us, how do they get a hold

1:00

Of us? You can call us at (512)

1:03

238-0762 . That's our main phone number. You can even ask for me during

1:05

the week. Our website, again, armor mens

1:08

health.com, where you can see our lovely shiny smiling

1:10

faces. And you could submit your questions to

1:12

our website. We'll answer them anonymously on the

1:14

show. There is a submit question button and

1:18

um, I love doing that because you don't know what the questions are gonna

1:20

be. Dr . Mystery .

1:20

Yes, I do like that too. Mm-hmm .

1:22

It's like a little game show that we always seem to win.

1:24

Mm-hmm. <affirmative>. So , uh, this is a

1:26

men's health show, is it? But

1:29

for most men, there is one piece

1:31

of anatomy that is very

1:33

important to us. You know what that is? The vagina, the

1:35

female pelvis. That's exactly right.

1:38

And so I thought we would get a female pelvis

1:40

expert on board .

1:41

Right. We have

1:43

Dr. George Shawa from right here

1:45

in Austin, Texas. George, thank you so

1:47

much for joining us today.

1:49

Uh , good to be here.

1:50

George, what is the name of your practice

1:52

and what do you do?

1:53

Austin urogynecology and , uh,

1:56

female reconstruction , uh, female pelvic

1:58

reconstruction, which , uh, basically is fixing

2:00

vaginas. And

2:02

How, how are you different than what people

2:04

would think a plastic surgeon is? Well,

2:06

We take care of , uh, female prolapse,

2:08

which is a non-plastic, well,

2:11

somewhat plastic surgery, but just reconstructing

2:13

the vagina after there's prolapse of

2:15

the various organs. Uh, on the

2:17

, uh, more external side,

2:20

what we do is real similar to the plastic

2:22

surgeons, I guess.

2:23

So there's some parts of it that are more cosmetic

2:25

and a lot of parts that are very much

2:27

more functional. And you've had

2:29

the pleasure of operating on a lot of the wives

2:32

of friends of mine , uh, o o

2:34

o over the years. So I would say you've

2:36

probably , uh, been inside more of my friends' wives

2:38

than , uh,

2:40

Than you have. Can I

2:41

Say that? No ,

2:41

You cannot say

2:42

That . Well, there you go. Well ,

2:43

Hopefully

2:44

<laugh> . Hopefully, hopefully, hopefully. And

2:46

so , um, well , when it comes to like most

2:48

common reasons that , uh, women are gonna

2:50

come to you for a consultation, would

2:53

you please explain to these , um,

2:56

uh, brooding men out there? What is pelvic prolapse

2:58

and , and uh, and what

3:00

does that word mean? Why are there wives irritated

3:02

by

3:03

It? So , uh, after, primarily

3:05

after pregnancy, but sometimes just

3:07

cuz some women are made that way. The

3:09

, uh, pelvic organs drop into the vagina,

3:11

including the bladder, the rectum, the uterus,

3:14

and the bowel. And there's a protrusion into

3:16

the , uh, vagina and sometimes outside

3:18

the

3:19

Vagina. And this is something that most men

3:21

may not recognize. The , the, i

3:23

I mean, I describe the vagina as kind of an

3:25

inverted sock that has to be

3:27

supported and it's really a

3:29

hole into the insides of a woman. And

3:31

so other organs can herniate

3:34

or come out of that hole with

3:36

the , if, if the support structures get

3:38

weakened. Now, that may be a weird

3:41

way to describe it. How , how do you describe it to

3:43

women and men? I

3:44

Like that way, what you were saying, <laugh>.

3:46

I don't , uh, I think that's a really good way

3:48

to , uh, say , to say it. But

3:51

in general, when they're talking about prolapse,

3:53

they're usually feeling a bulge or a protrusion

3:56

in the vagina and feeling that some

3:58

things feel different during sex and

4:00

, uh, if they're younger when we're in a tampon

4:02

and that kind of stuff.

4:04

And what kinds of symptoms are they going to

4:06

have , uh, that are more urinary

4:08

or bowel related ?

4:09

So as the prolapse advances, it gets harder

4:11

to avoid because it pushes down on the

4:13

, uh, urethra and on the bowel side.

4:16

If as the , uh, re as the rec

4:18

and bulges into the vagina , uh,

4:20

it could, it could cause constipation. And

4:22

We've seen , uh, women that came in with bad

4:24

, uh, rectal prolapse that would

4:26

have to get erect seals that would actually put

4:28

their fingers in their vagina to poop.

4:30

Right? That's right. Splinting the splinting

4:32

inside the vagina to help push it down.

4:34

And so what , what , what , what , who are the

4:36

patients that are most likely to be at risk for this

4:39

Difficult childbirth or multiple

4:41

childbirths genetic? Some

4:43

women just genetically are predisposed

4:45

and , uh, their soft tissue , their

4:47

, uh, connective tissue is weakened

4:50

and they could be at risk of having the

4:52

prolapse. So we do see some patients that never

4:54

been pregnant. And then of course, age,

4:56

Is it gonna be predominantly occurring

4:58

in people who are post-menopausal or can

5:01

people who are younger also experience the same

5:03

thing?

5:03

Oh , uh, it's all age ranges.

5:05

And so , um, when , when this is

5:07

happening , uh, what are some of the first

5:10

steps that you take before surgery to

5:12

help women who are symptomatic?

5:14

It depends on the age and the health

5:16

of the patient, but , uh, a

5:18

lot of times we just kind of explain the

5:20

prolapse. It's not a

5:22

, uh, life-threatening thing. Uh

5:24

, we tell 'em that they could kinda wait

5:27

until th until they're ready to have the

5:29

surgery. There is a pessary they could put in

5:31

to support the vagina. And what's

5:33

a pessie? So people know pessary's,

5:35

a silicone support that goes in the vagina

5:38

and keeps it, it causes a , uh,

5:40

it, it , it , um, it

5:43

has an occupying effect so that the bladder and

5:45

rectum and uterus, snowfall.

5:47

So it's almost like putting a big plastic

5:49

ring in the vagina that sticks. The,

5:52

the , uh, the uterus, the bladder,

5:54

and the rectum back into the right places. It

5:57

sounds kind of uncomfortable. What are the right type

5:59

of patients where a pry works better? We

6:01

Do , for the most part, it's patients that just don't

6:04

want surgery. And then older patients

6:06

who aren't medically fit for surgery.

6:08

Well , what , what kind of patients , uh, are also

6:10

going to have urine leakage or

6:13

stool leakage when they have a prolapse?

6:15

So the , uh, urine leakage is,

6:17

comes from weakness of the supports

6:19

of the urethra. And so it , it

6:21

goes , uh, opposite direction of prolapse.

6:24

As the prolapse gets worse, it gets harder to avoid

6:26

. And as the prolapse

6:28

is kind of in its early stages, a lot of times there's

6:31

more incontinence because the , uh,

6:33

the urethra itself isn't getting kinked

6:35

off.

6:36

So a lot of times women that have

6:38

kind of problems down there

6:40

go to their OB g and

6:42

may not know that there's a specialty kind

6:44

of , uh, field of medicine that

6:47

deals with, with this kind of thing. And

6:49

then there are probably a lot of women that just suffer in

6:51

silence. What w in

6:54

your experience, what types of people do

6:56

you think wait too long to seek

6:58

Care? I think , uh, patients that

7:00

are embarrassed to come in and then

7:02

also that just don't know things are different. So

7:04

it's a really, it's an indolent type

7:06

thing. So the symptoms develop over

7:08

time and the findings develop over

7:11

time. So sometimes it

7:13

just doesn't go recognized until it gets to a

7:15

more severe point. Uh, I

7:17

think that once it starts affecting your sexuality,

7:19

it's real important to look into getting

7:22

a repair done, because that's

7:24

an important part of any relationship.

7:26

So, you know, when we were in training , uh,

7:28

as residents, we were notorious for

7:30

thinking about those patients that we wondered

7:33

to ourselves. How in the hell did you let it

7:35

get so bad? And , uh, one

7:37

of the most common patients was those women

7:39

that would come in with their uterus is completely

7:41

inverted outside of their vagina. And we'd wondered

7:43

ourselves, how in the heck did you let it get

7:45

so bad? So how do people let things like

7:48

that get so bad?

7:49

I think they just live with it. It kind

7:51

of happens slowly. They figure out how to compensate

7:53

with the clothing they wear and that kind of

7:55

stuff. Uh , and some women bef

7:58

right before that step when the uterus is coming

8:00

out, as they lay down, the prolapse goes up

8:02

and they're actually still sexually active.

8:05

So like it just goes away on its own because

8:07

they're on their back. And so they don't even wonder

8:09

about it. Uh, and, and,

8:12

and , and , and when they're going to get , um,

8:14

uh, or, or , or go see a specialist , um,

8:17

why might their OBGYN

8:20

be, you know, kind of qualified

8:23

and when, when might they not be qualified to take care

8:25

of an issue like this?

8:26

It just depends. I think , uh, many OBGYNs

8:28

do a really good job with , uh,

8:31

surgery across the board on women. Uh

8:33

, I think more and more those patients are

8:36

being referred, the prolapse

8:38

patients as treatment has gotten more

8:40

, uh, sophisticated and elegant.

8:43

So I think it just depends.

8:46

I think that the , uh, type of anatomic

8:48

reconstructions that are done for pelvic

8:50

prolapse are, are getting more and

8:52

more specialized. So finding people that are, are

8:55

specialized with their training and their experience

8:57

in these things is likely to kind of reduce

9:00

in the , the , the , the need for

9:02

re-treatment and re-operation. So I think

9:04

that going to a , a well-qualified

9:06

urogynecologist is increasingly important.

9:09

Uh, and more and more communities are getting , uh,

9:11

people that are trained like you to kind of do

9:13

this, do this kind of surgery. Um,

9:16

what kinds of symptoms or

9:19

what , what , what is your threshold for , um,

9:22

uh, people to decide whether surgery is

9:24

the right thing for them?

9:26

Uh , it's really their call. If they have a

9:28

, uh, significant amount of prolapse and

9:31

they're , uh, having symptoms, whether they

9:34

be sexuality type symptoms or bulge

9:36

or urinary or rectal

9:38

symptoms, they ultimately make that call.

9:41

So , um, when, when most people are getting

9:43

surgery done , uh, and we're

9:45

gonna talk about surgery in the next segment , uh,

9:47

how quickly can people expect to see relief?

9:50

And how long is the recovery usually after these

9:52

things? Yeah,

9:53

The relief should really be instant, but

9:55

the recovery is a different story because

9:57

there's pain associated with the procedure,

10:00

especially when it comes to redoing

10:02

the, the area between the

10:04

rectum and the vagina. So

10:07

recovery from that, it could take up to two weeks to

10:09

come off the pain medication. Usually

10:11

need a catheter for like four days. So

10:14

those would be the two things.

10:16

Well, great. Uh , we're gonna come back in the next

10:18

, uh, se uh , in the next segment. George,

10:20

how do people get ahold of you and what is your

10:23

, uh, website address?

10:24

Website is uh, austin urogynecology.com

10:27

and office number is 5

10:32

1 2 9 7 3 8 2 7 6 .

10:32

Thank you so much for joining us. We'll be right back.

10:34

Hello and welcome back to the Arm Men's

10:36

Health Show. This is Dr. Mystery , your host,

10:38

board certified urologist all around

10:40

. Great guy here with my balling

10:44

chain of the office

10:44

All in

10:45

Chain, Donnelly . That's

10:47

Right. Thank

10:47

You everybody . Business manager, comedian,

10:51

All , all around . Great gal .

10:53

TikTok . TikTok extraordinaire. That's

10:55

right. Thank you for joining us today,

10:57

Johnna . Thank you. You let me go a little part-time. So

10:59

now I got free time to do some tick

11:00

Tax . You really make this show as far as our patient or our

11:02

listeners are concerned.

11:03

I do because they like me a little bit more

11:05

than you because I'm accessible. And you are

11:08

<laugh> . This show is brought to you by N A u Urology

11:10

Specialists, the urology group that

11:12

I started in 2007. We are four

11:14

physician providers. We are five

11:17

advanced practice providers. We have two pelvic

11:19

floor physical therapists. We have nutrition, health

11:21

supplements, holistic approach to

11:24

your care. And we'd really love to see you as a patient.

11:26

How do people do that?

11:26

Don't forget our sleep coordinator and two

11:29

sex therapists. There you go. Website , uh, you

11:31

can reach out to us at 5

11:33

12 2 3 8 0 7 6 2 . Our website is armor men's health.com

11:36

where you can see our faces. And

11:38

you can also submit questions to our armor mens

11:40

health.com website that will answer anonymously

11:43

on the show just for

11:44

You. And we're joined again by Dr. George

11:46

saa , one of our great friends from town,

11:49

somebody who I love to operate with a fellow surgeon.

11:52

Dr. Saa , thank you so much for joining

11:54

us. He's a urogynecologist. Thank you

11:56

for joining us again. Of course. So

11:58

, uh, I wanted to briefly talk about surgeries

12:00

that women may undergo pelvic

12:02

reconstruction surgeries that you do

12:04

some , uh, or do quite a bit of. Uh,

12:06

I thought we'd first talk about , uh, going outside

12:09

in. So let's talk about the labia

12:12

and labiaplasty. What is the

12:14

labia? What part are we talking about and why are

12:16

people irritated with it?

12:17

<laugh> . So the , uh, <laugh> , the

12:19

labia is the , uh, flap lip service that's

12:22

Lip service . Very good.

12:23

This pretty good. Nice job.

12:24

Nice . Thank you . I'm a professional comedian. You can find me

12:27

<laugh> . Yeah . Austin <laugh> .

12:29

So the labia are the , uh, skin

12:31

flaps that surround the vagina. And

12:34

, uh, there's two of 'em . The inner fold

12:36

is the labia menorah and the outer

12:38

fold is the labia majora . And , uh,

12:41

in some women, the, the

12:43

overgrowth of this area becomes real

12:45

prominent and it gets in the way of

12:48

activities that any kind of activity

12:50

where , where they labia potentially could

12:53

rub on clothing, especially during

12:55

exercise. And uh, I think there's

12:57

a much more in-tuned younger population

12:59

where there's a sexuality component to

13:02

it. Uh , women shave now so

13:04

that they could see and compare. And there's

13:07

some women with an extraordinary amount

13:09

of , uh, labial skin and

13:11

skin that goes around the clitoris.

13:13

And this'll be mainly the labia menorah

13:15

, the inner thin lips that go in

13:17

between the fat pads of the labia Maura . Correct.

13:20

Yeah. There , there it's also the

13:22

labia major and the labia major . The

13:24

bulging of that, the lay

13:26

term for that would be.

13:27

And so when people have this and, and their

13:29

, and their , and their bothered by it , uh, first of

13:31

all, their partner, their male partner may

13:34

notice that the skin of the labia manure

13:36

are pulling into the vagina when they're having intercourse

13:39

or that this area looks irritated. Are there

13:41

any other symptoms that a male partner may find?

13:43

I think just difficulty navigating or

13:45

, you know, through the open into the

13:47

opening of the vagina. You can't get in. Well,

13:50

you're just kind of hitting the skin on the way. Oh, no,

13:52

No .

13:52

Sounds like flaps are behind . But that would definitely be

13:54

just the labial flaps

13:55

Are down. Flaps

13:56

Are

13:56

Down . Flaps are

13:56

Down. Yeah . And so, so there is something

13:59

you can do about it. You don't just have to live

14:00

With it. No, no . That's one of the , uh,

14:02

more, one of the plastic surgeries

14:04

is really growing is the reduction

14:07

of the labial skin and the skin around the clitoris.

14:09

And that's something that you do quite a bit of. Is that

14:11

something that you can do in the office or you have to go to the operating

14:13

room?

14:14

We do it both, but primarily in the office.

14:16

If it's just the labia menorah

14:18

,

14:18

How long does it

14:19

Take? Uh, from the time they come in to

14:21

the time they leave, like two and a half hours.

14:24

So surgery itself, maybe an hour and a half.

14:26

So if women are suffering from this problem, they

14:28

don't have to suffer in silence. They can come in and

14:30

get it taken care of with you, right?

14:31

Yes. And I think that , uh, you know, it's

14:33

one of those things that's considered cosmetic,

14:36

but in , uh, if you went to our

14:38

website and looked at the before and after pictures,

14:40

you'd be able to see that it is more than cosmetic.

14:43

Uh, it could, it could be a really , uh, rewarding

14:46

surgery.

14:47

Hmm . I had a friend who had, and one

14:49

labia was bigger than the other . She went to her ob

14:52

bgy n who will not name cuz we all know him. And he

14:54

said, oh, I can take care of that. And he did a little local

14:56

anesthetic, cut the labia off

14:58

the, the larger, the longer side Uhhuh

15:00

<affirmative> . And she said it was the worst recovery ever.

15:02

It was just so like a quick momentary

15:05

thing. He's like, oh, I'll take care of that <laugh> . And he just kind

15:07

of cut it off .

15:08

Just sniffed it, huh? Don't you,

15:09

Isn't there more than just sniping it, like you're

15:11

not just gonna

15:12

Cut

15:12

It? Yeah, it's definitely, there's definitely an art

15:14

to the procedure to make it look, I would hope so . Natural and

15:17

normal. And , uh, it involves

15:19

the skin around the clitoris and adding length

15:21

to the , um, the distance

15:23

between the clitoris and the opening of

15:25

the vagina. So yeah, there's, there's a lot

15:28

That comes . There's an art to it .

15:29

There's an art.

15:30

So another surgery as we move in from

15:32

the labia is going to , uh, be , uh,

15:34

incontinence procedures. Now there

15:36

have been , uh, a lot of concerns that people

15:38

have raised about mesh and potentially

15:40

using foreign bodies in , in , in , in the

15:43

vagina. And , uh, we both know that in

15:45

the proper hands, the, the right kind of

15:47

surgeon can use a lot of these materials very

15:49

safely. Uh, but women who are suffering

15:51

from , uh, incontinence where they're

15:53

leaking when they're coughing and sneezing, this

15:56

is gonna be called stress incontinence. Oftentimes

15:58

we'll seek out some type of therapy to help them.

16:01

What is your most commonly performed surgical

16:03

procedure for women who are leaking when they

16:05

cough and sneeze?

16:06

Uh , it's the sling, the , uh, mid urethral

16:08

sling . And it's been a, it , it's been

16:11

around for about 20 years and it's been

16:13

revolutionary in the treatment of incontinence.

16:15

Now,

16:16

When we perform these procedures together, which

16:18

I do very often, it involves a small

16:20

incision in the vagina. Uh, sometimes

16:22

two small incisions , uh, right , uh, above

16:25

the pubic bone, sometimes just

16:27

the one incision is needed . We send them home

16:29

that day, sometimes with a , with a catheter

16:31

for a few hours. Is that what most

16:34

women can expect from that kind of procedure

16:36

When the sling is done by itself? That

16:38

it is, it's a, it's, it's

16:40

an outpatient surgery where they go home the same

16:42

day and recovery is a day or

16:44

Two. And most of these women can have benefit

16:46

for 10 years or longer and almost immediate

16:48

benefit. Is that right? Immediate

16:49

Benefit. And it should be long term .

16:51

And that's great. So what types of

16:53

women do you think suffer too long unnecessarily

16:55

when they're leaking? Well ,

16:57

Uh , the one , the more disruptive the

16:59

incontinence, the more , uh, the

17:01

more the suffering. And , uh, you know, we

17:03

have patients come in that have been wearing adult

17:06

diapers for years that are young in

17:08

their fifties. And so , so , um,

17:10

I think once it gets to that disruptive

17:13

stage ,

17:14

Uh , if you're not doing things that you, like, if you're not playing

17:16

tennis or all the things that you wanna do

17:18

because you're afraid you're gonna leak, I think you

17:20

really need to seek the care of somebody to fix

17:22

It . Yeah. And that would be , uh, the more

17:24

common thing where patients aren't holding off, but

17:26

it's, they're disrupting their everyday care because

17:28

the patients are playing tennis and working out are other

17:31

ones that are more in tune with their bodies

17:33

and symptoms.

17:34

And then when it comes to prolapse , um,

17:37

although we can't talk about all of them, we

17:39

, uh, you and I do perform prolapse

17:42

reconstructions using a robotic approach

17:44

called the abdominal sacro colpopexy.

17:46

If you had to kind of in lay terms, explain

17:49

to people what is happening in that

17:51

procedure, how do you explain it to them?

17:52

Well, I think that , uh, that you,

17:55

sonny invented the robot

17:56

Almost. I did not. You ,

17:57

You love the robot. I do love the so much. And

18:00

, uh, Sonny , you could teach him anything.

18:03

You could , you could be with him for 20 minutes and then he

18:05

has the surgery down <laugh> . So

18:07

that's been pretty fun for me. Uh,

18:10

the , uh, robotic surgery

18:12

for prolapse , uh, involves

18:15

fixing the vagina , uh,

18:17

to a piece of mesh and then the mesh to the

18:19

sacrum. So you , uh, restore

18:21

the normal anatomy of the vagina so that it

18:24

fuel and feels and functions like it did before

18:26

pregnancy. And you do this by

18:28

dissecting the, the , or various

18:30

organs away. And , uh, then

18:33

you place the mesh a around the

18:35

vagina and , uh, bring the

18:37

mesh to the sacrum. And the whole goal being

18:39

, being to restore the normal anatomy.

18:41

It feels like the first time

18:44

when I saw the vagina to the

18:46

tailbone. Oh boy. How long does this

18:48

surgery take?

18:49

It depends. It could take anywhere from like two

18:51

and a half to four hours.

18:52

And , uh, do women , uh, most often

18:54

keep their uterus or do they usually

18:56

remove the uterus when you do a prolapse repair?

18:59

Uh, for the most part, if they have a uterus, it's, it's,

19:02

it's after childbearing and you remove

19:04

the uterus, not because it's a cause of the prolapse,

19:06

but just because it , uh, leads to the more

19:09

optimal repair.

19:10

So when we do this, and kind of when I'm describing

19:12

it to women, again, I use this inverted

19:14

sock , uh, analogy that the sock is

19:16

kind of pushing out of the vagina. So we're gonna push

19:18

the sock back in, into the pelvis and then

19:21

sew the sock back up to the tailbone, which

19:23

is gonna make it kind of back into its normal

19:25

anatomic position. H how long does that recovery

19:27

last?

19:28

Uh, it's, that's the recovery that takes

19:30

up to two weeks because a lot of times

19:32

it involves vaginal, a vaginal part

19:34

of the procedure where we restore the , uh,

19:37

perineum or the muscle between

19:39

the anal area and the vaginal area. And

19:41

, uh, so that could take a couple weeks to come

19:44

off the pain medication and then about

19:46

six weeks to feel , feel like you didn't have

19:48

surgery.

19:49

And , uh, you're very humble. But , uh,

19:51

I think that we would both agree that not everyone

19:53

should be doing abdominal sacro colpopexy. Would

19:55

you agree?

19:56

It's just one, the more you do, the better you're

19:58

, you are at it. And , uh, one

20:00

thing I always like mentioning is , uh,

20:02

when I was doing a case with Dr. Mystery , and this is

20:04

after I'd done about 10,000 of these surgeries,

20:07

<laugh> , he goes , uh, why don't you keep

20:09

the bladder filled when you do this? And

20:12

I go, I don't know. It doesn't seem like you need to

20:14

do that. Anyways, I tried doing

20:16

that and uh, I completely

20:18

changed my technique of filling the bladder.

20:20

I almost fill the bladder up for everything <laugh>.

20:23

It means that we can all learn a lot from each other and

20:26

, um, we hope that women don't suffer. And

20:28

then you look for a gynecologists. And how

20:30

do they find you? What is your website and what is

20:32

your phone number?

20:34

Uh, so it's austin urogynecology.com

20:36

and it's also the cosmetic site

20:39

is , uh, Austin

20:41

Labiaplasty and Vaginal rejuvenation.

20:44

And the number is 5

20:48

1 2 9 7 3 8 2 7 6.

20:48

Thank you so much for joining us today, George .

20:50

Oh , it was great. Thank

20:51

You. The Armor Men's Health Show is

20:53

brought to you by N a U Urology Specialist.

20:56

For questions or to schedule an appointment,

20:58

please call 5

21:02

1 2 2 3 8 0 7 6 2 or online at armor men's

21:04

health.com.