Dr. Jose Silva

Rezum is a minimally invasive procedure to reduce symptoms of benign prostatic hyperplasia (BPH). Rezum post-procedure practices consist of catheterization, antibiotics such as Bactrim and Celebrex, anti-inflammatory drugs including steroids, and patient counseling. Learn more about Rezum post-procedure best practices from urologist Dr. Seth Bechis.

Rezum is a procedure in which steam is injected into the prostate to relieve benign prostate hyperplasia (BPH) symptoms. Rezum procedure technique can vary by way of needle placement and the number of treatments that an operator administers.

When is Rezum treatment appropriate, where does it sit within the BPH treatment algorithm, and who is the ideal candidate? To answer these questions, Urologist Dr. Seth Bechis describes his approach to Rezum workup, including his process of initial treatment for BPH, and identifying ideal Rezum patients.

Compounding in urology serves as a powerful tool for customizing medication, enhancing efficacy, and addressing unique patient needs. Learn more about its role in managing conditions like erectile dysfunction and fertility issues, techniques for enhancing patient compliance, and the impact of increased regulation on compounded medications.

Compounded medications have advanced the treatment of urologic patients receiving testosterone replacement therapy, and have also shown improvements in patient satisfaction, fertility and efficacy of treatment. Learn more about the current state of compounding in testosterone replacement therapy and how to navigate compound medications as a provider.

Surgery for Peyronie's Disease is not always a straightforward answer. This article covers the options, candidacy, and management for Peyronie's Disease.

XIAFLEX injections for Peyronie's disease, categorized as acute, can offer up to a 30% improvement in the degree of curvature and should be paired with a penile traction therapy device (e.g. RestoreX). Learn more.

Upper tract urothelial carcinoma is a rare entity that should be risk stratified in order to provide optimal treatment. This article discusses the features of high and low grade disease and treatment options based on risk classification.

Patients with testicular pain often refrain from discussing their symptoms with providers due to the stigma surrounding the topic. Learn more about how providers and patients alike can combat the stigma by acknowledging patient obstacles, improving the testicular pain evaluation, and advocating for men’s health initiatives.

Effective testicular pain treatment may involve anti-inflammatory medications, nerve blocks, neurolysis, or alternative approaches like physical therapy, yoga, and even acupuncture. Urologists Dr. Brahmbhatt and Dr. Silva discuss the various treatment methods for testicular pain, including surgical, medical, and musculoskeletal approaches.

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

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.

It is important to know penile implant infection signs because it is a treatable complication after surgery. Urologist Dr. Jonathan Clavell shares his advice when looking for penile implant infection signs and his advice for penile implant infection treatment on the BackTable Urology Podcast.

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

Botox for overactive bladder is a relatively safe and effective treatment procedure. This article discusses the ideal patient for overactive bladder Botox therapy, side effects, and describes the bladder botox procedure for administration and sedation.

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.

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.

A Rezum procedure (water vapor therapy) is a surgical BPH treatment that uses water vapor to ablate excess prostate tissue, which is naturally resorbed by the body. Learn more about how a Rezum procedure compares to UroLift, including complications, recovery, and side effects.

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.

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.

Bladder 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 and restrictions after the surgery are also discussed.

PCNL is a minimally invasive surgical procedure that is used to remove large or complex kidney stones. Urologist Dr. Margaret Pearle explains when nephrostomy tube placement is appropriate and how they can stabilize post-operative bleeding.

PCNL surgery is a minimally invasive alternative to open kidney stone surgery to remove kidney stones. Urologist Dr. Margaret Pearle shares her PCNL procedure steps and techniques and discusses the complications of PCNL surgery.