Cate & Ty Break It Down
Urology is for Everyone! Breaking Down Sex, Surgery, and Stereotypes with Dr.Milhouse MD
14 Jan 2026
Chapter 1: What is urology and why is it important for everyone?
So you guys, welcome back to another episode of Kate and Ty Break It Down. We're super excited to have with us.
We have a doctor down below, Dr. Milhouse in the house. Yeah, I love it. We're so excited. Thank you for joining us.
Thank you for having me. I could not believe you reached out to me and I can't believe I am still like amazed that you guys follow me and listen to me and take note of what I'm doing. I just feel honored because I.
adore you both um and have been a fan of you all since your journey began on public tv um oh thank you yeah thank you i love what you're doing that's i mean that's where i first saw you was your show uh yeah so we i did watch your show yes i did i enjoyed it very much so um do you know is that is it coming back i've only seen the one season
child it's not even a season honey it is a it is a one episode uh one hit wonder yeah it was short I'm like so did they not pick it up again I thought it was very interesting and I feel like it's a lot of things that
people should know about.
Because no one knows the TV world unless you're in it. And so you know how that goes. Now you do.
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Chapter 2: How is erectile dysfunction affecting younger men today?
Now I do. Oh my God, now I do. I mean, that one episode was so many months in the making and took a lot of brave humans to put themselves on front street. I mean, the humans you saw on that one episode, they were real, they were suffering. They trusted me, you know, random doctor that they literally just met to do what I did. And the operations you see are obviously real. I loved the episode.
I loved it. I loved the portrayal of how it was. I think it portrayed me and my personality to a T. And I really thought it taught a ton for the audience. I mean, it got tons of good feedback. Tons of good feedback. It was like almost...
um a million viewers wow it was great and all on all metrics it should have been picked up yeah on all metrics it should have been picked up but timing was bad so um right like things have changed in the tv world and landscape with the strikes which i support and this that and the other and i don't know i don't think no i'm not under contract anymore yeah
Chapter 3: What misconceptions exist about female anatomy and orgasms?
TLC basically pivoted and they are not investing like they...
once did in doctor shows that's why if you pay attention to TLC you don't see the doctor shows like you used to right because I noticed like like Dr. Pimple Popper moved over to Lifetime moved to Lifetime right I wonder why though because I thought it was very yeah I love that kind of stuff and I think it's very it's interesting to me and like you said a lot of people don't know a lot about urology and like doctors and urology and stuff like I had to
go see a urologist when I was pregnant because I had weird things going on. And for me, I think it's like a branch in the doctor world that people don't really know or talk about a lot. And so even for me, going into it, I was like, oh my gosh, this is so weird. We automatically think that a urologist is just for men. When in fact it's not.
And I found myself there thinking it was hormonal things and come to find out it was something completely different. And I ended up having to have like a surgery to myself.
What did you do?
I had a periurethral cyst.
Yeah.
Oh, yeah. Yeah. And and I thought it was like hormonal surgery to yourself.
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Chapter 4: How can anxiety impact sexual performance?
Huh? What surgery did you do to yourself?
Well, no, like the urologist did.
OK, I thought I heard you did. I was like, did you try to bust your own?
No, no, no. No, it was way too painful. But I was like, I was pregnant thinking like it was like hormonal, you know, and I went in there and he was like, no, like you have to have a surgery and we don't want to do it when you're pregnant. And it was just a crazy experience.
But we can safely like, did you get it done pregnant? Because it can be safe.
Yeah, because I asked for that. I was like, well, is it possible? And he did mention about how it was, but he didn't feel comfortable fully sedating me or whatever, putting me under. So I ended up opting for after she was born.
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Chapter 5: What role does hormone replacement therapy play in women's health?
And it was the craziest experience of my life. But I think it just goes back to, I don't think it's talked about a lot. And I think a lot of people do think that urologists are just for men. And it's like, no, that's not accurate at all.
Absolutely. You said it all. You said it all, Caitlin. I mean, no one knows what we do. Y'all, the public, that you don't know. Even our own colleagues in medicine don't quite know the extent of what we do. And I didn't know what a urologist was until I got to medical school. And then I had to Google it. And I was like, oh, this seems like a male gynecologist.
You know, that's like the first thing that I think people comes to people's head. And as a woman, especially as a Black woman, I was like, well, you know, I can't see where I fit into this, you know, so check that off.
Chapter 6: How does the medical community address disparities in urology?
And then it wasn't until I met a Black woman urologist And I was like, whoa, how is a woman of color in urology? And like, oh, no, there's a whole urology is for everyone. I love saying that urology is for every one.
Well, I think people get it confused like urology and then gynecology. And then, you know what I mean? They get it like. So what is like the main like what's the main difference of people listening who don't know what is the main difference?
OK, so gynecologists are specialists of vulva vaginal owners. OK, so they technically will not see men or penis owners. OK, they see people who own a vulva, vagina, uterus or ovaries. All right.
OK.
On the flip side, urologists are specialists of the male reproductive system. So we're the specialists that people with penises go when they have problems with their penis, that people with prostates, that people with men who have infertility, testicle problems, all of that.
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Chapter 7: What are the latest advancements in urology technology?
So that's where we got the male gynecologist rap, okay, which is very true.
Mm-hmm.
But urology, uro, that is the study of the urinary tract. We are the specialists. We're the plumbers. I like to tell people we're the glorified plumbers. All right. If there is a something wrong, blockage, problem,
anatomic mass or cyst or tumor or something in the part of your body that produces and excretes urine it's coming you're coming to see us okay so that's anything from kidney masses kidney stones kidney malformations um your ureter which is a tube that connects your kidney to your bladder Things that happen there. Your bladder, bladder issues, urinary leakage issues. We see recurrent UTI issues.
Your urethra, you had a periurethral cyst. Okay. That is a urologist who actually does that, even though it's, you're like, it's in my vagina.
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Chapter 8: What should patients know before visiting a urologist?
Right, right. You're like, but wait, why is it not going to a gynecologist? It is usually a urologist who does that because it's next to the urethra. Because our urinary tract, our lower urinary tract involves women or people who own a vagina and vulva, there's a whole part of urology that is dedicated to women or vulva vaginal owners.
So this is why we are uniquely positioned because we actually can see anybody, no matter what's between your legs, who makes urine. And we are really good experts at genitals, whether it's the male genital or the female genital.
that's interesting because i remember when kate first went to the urologist she was like oh no it's a guy she's like dang it like she was hoping yeah for a female yeah well because like you said i mean my first instinct was i went to my my gynecologist and she was like i can't help you with this and i'm like what do you mean you can't help me with this you know and she's a female right i'm like what and she's like you have to go see a urologist and i'm like what and then yeah so yeah that's the first that's the first thing i did so i feel like it's
Is urologist ā I mean women have to be pretty rare I guess in this field because I remember ā Or are they not? Yeah, I was curious.
Yeah, so it's getting better, but I think the latest statistic is 9% of urologists are women. That used to be worse. Um, we do see like women coming in the pipelines. I was just at a meeting in Chicago. I live in Chicago and there's this group called the Chicago Urologic Society meeting. It's been around for like over a hundred years. It's like one of the oldest urology societies.
And that room used to look like white men. Okay. It used to look like straight up man club. Okay. And it's great to see because one of our speakers, I'm the vice president of the society as a black woman, but one of the speakers said, I was a resident here 25 years ago and this room was like filled with men. And now I'm looking and it's like 50% women.
So we have women that are are entering urology residency. And so we will continue to see that number go up as it should. Yeah. We obviously need better representation, not only gender, but race and ethnicity and background. We need more black and Latino representation. a urologist, um, is, uh, and so somebody like me as a black woman in urology is a unicorn.
Um, like really about 1% of the urology workforce.
Now, do you, now, do you find that there's a specific, is there any differences with certain, like, um, like higher risks for black people or Latino people? Like, is there like versus white people like in this field?
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