Dr. Jonathan Clavell

Episode #23

Dr. Jose Silva brings Dr. Jonathan Clavell back onto the show to discuss complex penile implant cases. They cover how to deal with mechanical complications of AMS700 and Coloplast Titan, penile implants in Peyronie's disease, penile implants in priapism, tips for successful revision surgery, and how to manage post-operative infections.

Episode #8

Dr. Jose Silva interviews Dr. Jonathan Clavell, a high-volume prosthetic urology surgeon and assistant professor of urology at UT Health Science Center Houston, about erectile dysfunction counseling and penile implants. Dr. Clavell goes into detail about his journey as a men’s health specialist, ED workup and medical counseling, advantages and limitations of different penile implants, implants for complex ED patients (diabetics, cancer patients, etc.), and post-operative care for penile implant patients

Peyronie’s disease is caused by fibrous scar tissue in the penis that causes painful, curved erections. Dr. Jonathan Clavell shares his surgical tips for Peyronie’s disease surgery in patients needing consequent penile implant surgery.

A penile implant infection is a treatable complication of penile implant surgery. The penile implant can be removed or replaced after a washout procedure. Additionally, patients with infected implants should be started on culture-specific antibiotics.

Patients with chronic priapism require special considerations when undergoing penile implant surgery. Dr. Jonathan Clavell shares advice about assessing the extent of fibrosis present, special preoperative therapies, and additional surgical techniques in order to place a penile implant successfully.

Diligent post-operative care for penile implant surgery is essential because infection, capsule formation, and penile implant post-op pain are possible. A strict regimen of antibiotics, pain medications, and patient education can improve post-operative patient outcomes.

The Coloplast Titan is one of the most popular three-piece inflatable penile prostheses in the United States. During penile implant surgery, each piece can be adjusted to fit the patient. Learn about the Coloplast Titan and how it compares to the AMS 700.