Men's Health

Episode #31

We talk with Dr. Ashley Winter about the importance of educating physicians and patients on female sexual health, including common presenting symptoms and newer treatments.

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 #19

Dr. Ranjith Ramasamy explains the known effects of the COVID-19 virus and the pandemic on testosterone levels, vasculogenic erectile dysfunction, male fertility, and sexual practice patterns. Additionally, Dr. Ramaswamy uses evidence-based medicine to debunk myths about the adverse effects of the COVID-19 vaccine on men’s health.

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 #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 #6

In Part II, Dr. Aditya Bagrodia talks with Dr. Claus Roehrborn of UT Southwestern Medical Center about the surgical management of benign prostatic hyperplasia (BPH).

Episode #5

In Part I, Dr. Aditya Bagrodia talks with Dr. Claus Roehrborn of UT Southwestern Medical Center about the medical management of benign prostatic hyperplasia (BPH).

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.

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.

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.

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.

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.

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.

The HoLEP procedure, or holmium laser enucleation of the prostate, is a new BPH treatment that is widely used because of its minimal invasiveness and quicker recovery times. However, urologists should evaluate the limitations of the HoLEP procedure before they decide on the surgery.

The UroLift procedure is a minimally invasive, non-ablative BPH treatment that places permanent implants to pull the prostate lobes away from the urethra.

The bipolar TURP procedure involves the use of a bipolar current to resect excess prostate tissue, alleviating symptoms in patients with benign prostate hyperplasia (BPH). Learn about Bipolar TURP procedure steps, advantages of the procedure, and complications.

The International Prostate Symptom Score (IPSS) is a universal assessment endorsed by the AUA. The IPSS questionnaire consists of 7 questions and evaluates BPH patients from a score of 0 to 35.

5-alpha reductase inhibitors are a class of medications commonly used to treat BPH. They are most effective in BPH patients with large prostates.

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.