Episode
Doctors Are Removing Testicles for This | Dr. Susan Macdonald
- Podcast
- The Dr. Gabrielle Lyon Show
- Published
- May 5, 2026
- Duration seconds
- 6075
- Processing state
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Summary
Most men don't know they have a pelvic floor, and most doctors aren't trained to look for dysfunction in it. The result: testicles are being surgically removed for pain that's actually neuropathic, at double the rate of a far more effective nerve-sparing procedure. In this episode, Dr. Gabrielle Lyon sits down with Dr. Susan Macdonald, a board-certified urologist, surgical program director at Penn State, and one of only ~30 U.S. specialists treating chronic pelvic pain in men, to discuss: Why "prostatitis" is often the wrong diagnosis, and how rounds of antibiotics mask the real problem The male pelvic floor anatomy almost no medical school teaches, and how to recognize dysfunction in yourself or a patient Off-label medications (Cymbalta, gabapentin, amitriptyline) that are quietly transforming chronic pelvic pain treatment Why erectile dysfunction is rising sharply in teenagers, and the role pornography plays in rewiring young brains Who actually qualifies for a penile implant, and what the surgery really involves If you've been told your pain is "all in your head," or you're a clinician seeing patients fall through the cracks, this conversation gives you the framework, the language, and the next steps to find real answers. Thank you to our sponsors: Manukora - Go to https://www.MANUKORA.com/DRLYON to save 31% plus $25 worth of free gifts. Timeline - Get 20% off your Mitopure order at https://www.timeline.com/lyon BONCHARGE - Save 15% at https://boncharge.com/ with code DRLYON Explore More from Dr. Gabrielle Lyon Premium Podcast Subscription: Ad-free episodes, key takeaway summaries, exclusive Q&A, and behind-the-scenes content https://foreverstrong.supercast.com Weekly newsletter: Recipes, podcast updates, and practical weekly insights https://drgabriellelyon.com…