Dr. Jose Silva

Sex therapist Mark Goldberg and urologist Dr. Jose Silva emphasize the comprehensive evaluation and management of erectile dysfunction, recognizing the influence of various life stressors on patients' sexual performance beyond physiological factors.

Erectile dysfunction, a prevalent form of sexual dysfunction, intertwines with various factors like performance anxiety and premature ejaculation, requiring a holistic treatment approach integrating both psychological and physiological considerations, as advocated by sex therapist Mark Goldberg and urologist Dr. Jose Silva.

A variety of prostate cancer screening tools can be used to aid in patient selection for biopsy, in addition to guiding prostate cancer risk stratification. Urologists Dr. Jose Silva and Dr. Ali Kasraeian detail the role of multiparametric MRI and molecular testing in the early detection of prostate cancer.

The digital rectal exams and PSA blood tests both possess limitations as prostate cancer screening tools. Urologists Dr. Jose Silva and Dr. Ali Kasraeian share insight on society guidelines and research for PSA screening, decision-making, and patient education through a detailed risk-benefit analysis of prostate cancer detection.

Dr. Mohit Khera shares his approach to testosterone therapy, detailing considerations for patients seeking fertility preservation, various oral testosterone formulations, and the importance of managing estrogen levels.

Urologists Jose Silva and Mohit Khera speak on the nuanced role of testosterone in both the understanding and diagnosis of hypogonadism in male patients.

Urologist Jose Silva and endocrinologist Rodrigo Valderrábano explore the complexities of testosterone and prostate cancer treatment, sharing critical clinical insights and diagnostic techniques.

Urologist Dr. Jose Silva and endocrinologist Dr. Rodrigo Valderrábano dive into the groundbreaking research that’s exploring the viability of testosterone treatment in prostate cancer survivors. The doctors discuss the importance of proper patient selection and preliminary findings from Dr. Valderrábano’s clinical trial.

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 recovery timelines.

The Rezum procedure uses steam that is injected into the prostate to relieve benign prostate hyperplasia (BPH) symptoms. Urologist Dr. Seth Bechis describes his experience with Rezum treatment techniques.

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. Learn more about compounded testosterone injections, compounded HCG, and more!

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 treatments may involve anti-inflammatory medications (Meloxicam), surgery, or musculoskeletal approaches. Urologists Dr. Brahmbhatt and Dr. Silva discuss the various methods.

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.