Dr. Jose Silva

Episode #38

In this episode of BackTable Urology, Dr Jose Silva and Dr. Esther Han discuss diagnosis and management of interstitial cystitis in women.

Episode #edición-esp-02

Dr. Jose Silva y Dr. Fernando Cabrera, urologista de Cleveland Clinic en Florida, hablan sobre el diagnóstico y tratamiento de cálculos renales y ureterales. Los doctores discuten cuáles pacientes necesitan la intervención, los métodos quirúrgicos para romper los cálculos, y consejos sobre cada tipo de terapia.

Episode #edición-esp-01

En el primer episodio en español de BackTable Urology, yo y Dr. Francisco Gelpi discutimos los tratamientos mínimamente invasivos para HPB, específicamente Urolift, Rezum, y GreenLight. Escucha el episodio completo para aprender más sobre la transición de Dr. Gelpi desde práctica oncológica académica a práctica privada enfocada en HPB, evaluación inicial de los HPB pacientes, factores importantes en la toma de decisión de un tratamiento de HPB, y beneficios y complicaciones de cada tratamiento.

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 #21

We speak with Dr. Zamip Patel about the different causes and treatments of male infertility. Listen to hear more about genetic vs. environmental causes of infertility, hormone tests, hormone replacement therapy, and varicoselectomies.

Episode #20

Dr. Daniel Hoffman, a urogynecologist specializing in voiding dysfunction, discuss the use of Botox, sacral neuromodulation, and bulking agents in treating overactive bladders. Listen to hear more about patient selection criteria for each treatment, botox and neuromodulation procedure techniques, and treatment side effects and complications.

Episode #14

Urologist Dr. Francisco Gelpi discusses surgical treatments for BPH with a special focus on the minimally-invasive GreenLight Laser prostatectomy. Listen to hear more about Dr. Gelpi’s transition from an oncology-focused practice to a BPH-focused practice, initial BPH patient workup , using prostate anatomy to choose a BPH surgical treatment, GreenLight Laser postoperative care, and the importance of BPH patient involvement and expectations.

Episode #12

We talk with Dr. Yahir Santiago-Lastra, director of the Women's Pelvic Medicine Center at UC San Diego Health about the management of cystitis and pelvic pain syndromes. She shares her insights on genitourinary syndrome of menopause, pain evaulation and treatment, and procedural options including botox and sacral neuromodulation.

Episode #9

Dr. Margaret Pearle, the Vice Chair of Urology at UT Southwestern Medical Center, joins us to discuss percutaneous nephrolithotomy (PCNL). Dr. Pearle shares advice on pre-operative urine culture analysis, CT scans, percutaneous access, and placing a ureteral stent vs. a nephrostomy tube

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

Episode #7

Dr. Aditya Bagrodia and Dr. Jose E Silva interview Brad Hornberger, PA-C in the UTSW Urology department, about bringing advanced practice providers (APPs) into your practice, and how to do it successfully. Brad goes into detail about his journey as a urological PA, advice for on-boarding new APP’s, and training PAs to do in-patient consults and assist in the OR.

Episode #4

Dr. Jose Silva talks with Urologist Dr. Yahir Santiago from UC San Diego Medical Center about the diagnosis and treatment of pelvic floor dysfunction in women.

Episode #3

Dr. Jose Silva talks with Urologist Dr. Aditya Bagrodia from UT Southwestern Medical Center about the medical and surgical management of testicular cancer.

Episode #2

Dr. Jose Silva talks with Urologist Dr. Aditya Bagrodia from UT Southwestern Medical Center about the medical and surgical management of bladder cancer.

Episode #1

Anish Parikh interviews Urologist Dr. Jose (Oche) Silva about his experiences building a practice from scratch after training, and then a Category V hurricane forced him to start over again.

Electrical stimulation of various nerves in the leg can help ease symptoms of overactive bladder. This article covers evaluation of a patient for electric neurostimulation, considerations for device selection, and possible complications.

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.

Botox injections are a relatively safe procedure to treat overactive bladder. This article discusses the ideal patient for botox therapy and describes how to administer botox injections and achieve sedation during the procedure.

Blue light cystoscopy is useful in managing bladder cancer, both for complete tumor resection in the OR and as routine surveillance office cystoscopy to monitor bladder cancer recurrence.

Rezum Water Vapor Therapy is a surgical BPH treatment that uses water vapor to ablate excess prostate tissue, which is naturally resorbed by the body.

GreenLight laser therapy is a minimally-invasive treatment for benign prostate hyperplasia (BPH). In this procedure, a laser fiber is inserted through a transurethral cystoscope and is used to enucleate excessive prostate tissue.

Genitourinary syndrome of menopause can have manifestations that are refractory to estrogen and pelvic floor therapy treatment, such as incontinence and cystitis. This article discusses various procedural and surgical options for these patients.

Genitourinary Syndrome of Menopause is a new term that describes various menopausal syndromes including dryness, irritation, and recurrent UTIs. This article covers clinical and holistic treatments for genitourinary syndrome of menopause.

Sling surgery is the most common type of surgery to treat female incontinence. This article explains the differences between different types of sling surgery including TOTs, TVTs, and mini-slings. Sling surgery recovery guidelines are also discussed.

Certain PCNL patients will require a nephrostomy tube, a catheter that drains urine from the kidney to an external bag.

Non-surgical options for female incontinence treatment are important for patients who don’t want to have surgery. They include anticholinergics, pessaries, bulking agents, and pelvic floor physical therapy.

PCNL (percutaneous nephrolithotomy) procedure is a minimally invasive surgery alternative to open kidney stone surgery. A PCNL procedure is a surgical technique that is used to remove large or complex kidney stones. Learn more!

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.

Testicular cancer markers are the first step in working up a testicular mass, but are not elevated in all testis cancers. MicroRNA biomarkers are elevated in roughly 90% of testis cancers.

The testes are responsible for sperm production, so many patients have concerns about testicular cancer and fertility preservation after radical orchiectomy.