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Episode 8

Men's Sexual Health

with Dr. Jonathan Clavell and Dr. Jose Silva

BackTable, LLC (Producer). (2021, June 2). Ep. 8 – Men's Sexual Health [Audio podcast]. Retrieved from https://www.backtable.com/urology

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

Podcast Participants

Dr. Jonathan Clavell

Dr. Jonathan Clavell is a high-volume prosthetic urology surgeon and assistant professor of urology at UT Health Science Center Houston.

Dr. Jose Silva

Host Dr. Jose Silva is a board certified urologist practicing in Central Florida.

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Show Notes

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.

RESOURCES MENTIONED:

Dr. Clavell’s Youtube Video on Cycling the Coloplast: https://www.youtube.com/watch?v=o1t3YuJ_zz4&t=106s
Dr. Clavell’s Youtube Video on Cycling the AMS 700: https://www.youtube.com/watch?v=07gyeibMieU
Dr. Clavell’s Youtube Video on the Mini-Sling: https://www.youtube.com/watch?v=HpjJZuhA2uo
Dr. Clavell’s Radio Show, Sí Se Puede: https://houstonmenshealth.com/posts/events/new-radio-show/

Transcript Preview

[Dr. Jonathan Clavell]
Yeah, everybody above 45 years old, I will ask them, "How strong is your erection?" And if they tell me, "Doc, it's strong as a bull." I'm like, "On a scale from one to 10, 0 being on your honeymoon, what would you give it?" "Oh, doc, you know it's not going to be the same as it was before." And that's when they start saying, "It's probably a seven or an eight." They need an extra push.

That's how I usually start that conversation with them. That's basically for every guy who comes into our office. But a guy who comes in specifically for ED, for me, the most important thing to remember, for everybody who's hearing this, is we need to remember and understand that these guys come in to see you in a very vulnerable state, and we need to take that into consideration. These guys basically had a really bad experience last night, and they made a fool of themselves. So the following morning, they're going to be looking and calling you.

For example, here in my office, I have a policy. Everybody who calls in for ED, whenever they ask for an appointment, you're going to give it to them. Why? If you don't give them the appointment that they want, they're going to go somewhere else to be seen because they want this fixed ASAP.

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Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Urology Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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