Research

What Causes Low Testosterone?

"Testosterone is the male hormone, the primary male hormone. For men, it helps us in terms of masculinity, for our reproductive organs, and deepening of the voice. It gets lower. Testosterone levels decline as we age. That's one...

How Is Our Practice Unique?

"People often ask me, 'Why is your practice unique? How are you different from any other practice that's a Men's Health practice or is a Sexual Medicine practice?' I think there are several things. One is, if you look at, for instance, myself, and the head advanced...

Working with Primary Care Colleagues

"An important part of Men's Health is really working with other providers in the community. One of the most important providers would be our Primary Care physicians, just because they're really at the center of everything. They're at the crossroads. They pick up a lot...

Two-Way Referrals with Neurology

"One of the other specialists that we work closely with is Neurology, and there's several aspects of Neurology that we see. One can be they can have men who've had vascular problems. So you know post stroke, vascular problems that could be closely linked to erectile...

Post-Prostatectomy Penile Rehabilitation

"So post-prostatectomy, we know that men can have problems with incontinence and they can have problems with erectile dysfunction. I'm really fortunate to have Ken Mitchell, who's the PA who's here with me. Ken developed really one of the leading penile rehabilitation...

Our Work with Colorectal Surgeons

"One of the groups that I'm very excited about working with are Colorectal surgeons. And it's interesting. This is something that probably should have been more apparent to me a long time ago, but if you look at the surgeries that the Colorectal surgeons do, they can...

Our New Focus on Sleep

"Sleep is a topic that I have become extremely interested in. It's a topic that, I will be honest, that I probably ignored more than I should in terms of my Men's Health practice up until several years ago. When I was at Hopkins, I had the benefit of working very...

Linking Sexual Medicine & Cardiology

"I have a long history of interacting and working with Cardiologists. Actually, this started over 25 years ago, when I took my first faculty position at the University of Minnesota, and I was in charge of the Erectile Dysfunction Clinic. What I noticed was that men in...

Collaborating with Urology Colleagues

"I am a Urologist by training. So I went to Johns Hopkins for my residency. I did a fellowship after residency, where I specialized in Sexual Medicine issues, and blood flow-related issues. I have a physician assistant who's working with me, Ken Mitchell. He also is a...

Close Collaboration with Endocrinology

"Another group that we refer to quite commonly and work closely with are Endocrinologists. Several reasons for this. One: Endocrinologists see a lot of diabetics and they usually see the diabetics who have the most severe problem. So it's not at all uncommon that...

The ‘Oh by the Way’ Question About ED

"One of the things that a lot of my friends in primary care tell me is, they will be doing their evaluation. They have multiple problems they to look at, and then they get I call the 'oh, by the way' handshake at the door, and you'll be getting up to leave, and as...

Nutrition Is Often Our First Treatment

"Nutrition is very important. And I'm almost embarrassed to say as a physician, that I think for years this was neglected. But my thinking now has shifted to the point where I think nutrition is probably the first form of primary care. It's almost the first treatment....

What Is ‘Sexual Medicine’?

How Is Our Practice Unique? "People often ask me, 'Why is your practice unique? How are you different from any other practice that's a Men's Health practice or is a Sexual Medicine practice?' I think there are several things. One is, if you look at, for instance,...

Treating ED with Lifestyle Changes vs. Pills

"In my 25 years of clinical practice, if you look at the pills, I'd say that the oral medications for erectile dysfunction work well in about 50% of men. They work well in about 50% of men. The other 50%, either they aren't working adequately or they don't work at...

We Work Closely with Our Partners

"The Nashville practice is really just a more innovative approach I think to what I have always been doing. It's still going to use sexual medicine to engage men. Sexual medicine will get men interested. They will come into the practice. We're going to spend a lot of...

Talking About ED Is No Longer Taboo

"Men in the past were very uncomfortable talking about Erectile Dysfunction and other sexual issues. I've found that since the oral medications came out, the door has opened up. I can be out at a social gathering and somebody will find out I'm a urologist, and they'll...

A Call for Partner Practices in Nashville

"Nashville was a great and unique opportunity for me to put a practice together the way I've been thinking about for the past 25 years. To take everything that I've learned and to put this in a package that I thought would be best for both the patients that I'm going...