Men's Sexual Health

In this episode of BackTable Urology, Dr. Jonathan Clavell, a high-volume prosthetic urology surgeon and assistant professor of urology at UT Houston, joins Dr. Jose Silva to discuss his journey to becoming a men’s health specialist. He also shares advice on erectile dysfunction counseling and penile implant procedures and complications.

First, Dr. Clavell shares his approach to starting a successful urology private practice. Early on, he invested in marketing himself and his prosthetic services through a professional website, a Spanish radio show, an informational Youtube channel, and social media. His diverse marketing strategy succeeded in Houston, a large urban city with a sizable Hispanic population.

Next, Dr. Clavell and Dr. Silva talk about penile implants for patients with erectile dysfunction. Dr. Clavell emphasizes the importance of asking patients about their personal goals and having a partner in the room, if possible. Dr. Clavell then discusses the advantages and limitations of the two main penile implants, the AMS 700 and the Coloplast Titan. Special considerations may be given to patient age and penis size. Then, Dr. Clavell summarizes different approaches of complex ED patients needing penile implants, such as those with urinary incontinence, pump incompatibility, prostate obstructions, and diabetes.

Finally, Dr. Clavell shares his postoperative care regimen for penile implant patients. He always prescribes a week of antibiotics to prevent infections and, if needed, pain medication. He also instructs his patients on how to cycle their implants properly after 4-5 weeks if the incision site has healed.