News & Events

News & Events

Dr. Jonathan Clavell Introduces New Surgical Technique at SMSNA Meeting

At this year’s Sexual Medicine Society of North America (SMSNA) Annual Meeting annual scientific meeting, board-certified urologist Dr. Jonathan Clavell had the privilege of presenting his novel approaches and techniques for the management of Peyronie’s Disease and how to manage Non-Infectious Complications related to Penile Prosthesis Placement. We congratulate Dr. Clavell for being a pioneer in the field of Urologic Sexual Medicine!

Dr. Clavell presents at SMSNA annual scientific meeting

Dr. Clavell presents at SMSNA annual scientific meeting


If you missed out on this presentation, don’t worry, he will be presenting this new technique at the International Society of Sexual Medicine in Tokyo, Japan (November 2021). This seminar is virtual and will be available on-demand, so even though most will not be able to attend it live, you can still watch all sessions at your convenience

For more information about all upcoming Sexual Medicine Society of North America meeting and how you can attend, please visit the link below:

Sexual Medicine Society of North America

For more information about the International Society of Sexual Medicine’s virtual conference and how you can attend, please visit the link below:

International Society of Sexual Medicine

Schedule an Appointment With Dr. Jonathan Clavell

At Clavell Urology, you can have the certainty you will be evaluated by one of the experts in the field of Men’s Health. If you have Peyronie’s Disease or Erectile Dysfunction, call us at (713) 652-5011 and schedule an appointment with Dr. Clavell today!

Dr. Jonathan Clavell Leads Prosthetic Course Training

Throughout the months of June and July, board-certified urologist Dr. Jonathan Clavell led multiple Surgical Skills Workshops on Penile Implant Surgery across the state of Texas. Dr. Jonathan Clavell hosted the surgical skills workshops in the following locations:

  1. University of Texas Medical Branch in Galveston, TX
  2. Austin, TX
  3. Texas Tech University in Lubbock, TX

As an expert in the field of Urologic Sexual Medicine and Prosthetics, Dr. Clavell shares his expertise with residents and other urologic surgeons on how to perform the surgery and increase efficiency in order to maximize patient outcomes. He is committed to research, innovation, and sharing techniques in order to provide better care for patients.

dr. clavell does one-on-one training with workshop attendees

Workshop attendees watch procedure

penile implant workshop attendees

dr. clavell presents to workshop attendees

Have Any Additional Questions?

If you are interested in learning more about penile implant surgery or when Dr. Jonathan Clavell will host his next workshop, call our Houston urology office today at (713) 652-5011 to schedule an appointment!


Dr. Jonathan Clavell presents the Effectiveness of the Proximal Extracapsular Tunneling Technique

Board-certified urologist, Dr. Jonathan Clavell, recently published an article with Science Direct presenting the effectiveness of the Proximal Extracapsular Tunneling technique. Through his research, Dr. Clavell discodoctor working on computervered that this approach is a viable technique that may help treat distal cylinder impending erosion and floppy glans syndrome, among other corporal dilation-related complications, with minimal operative time or complexity.

This technique is simple and can be safely performed by both high and low-volume surgeons. It avoids the need for additional counter incisions on the penis and, therefore, theoretically decreases the risk of infection.

Take a deeper look into his research, and learn more about proximal extracapsular tunneling, by checking out his article on Science Direct.

For more information about how Dr. Clavell can help you treat distal cylinder impending erosion & floppy glans syndrome, contact our office in Houston, Texas, at (713) 652-5011 today!


Penile Implant: The Solution for ED?

Is the Penile Implant the “last resort” or “best option” for ED?

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Every day in clinic I meet men who complain that their erection is weaker. I repeat: every single day.  Erectile dysfunction is very common and occurs to approximately 40% of guys above 40 years old.  These men often come in to see me after they‘ve done their research online to know what their options are.  They find many alternatives which include oral medications, injections, urethral gels, vacuum therapy, shockwaves, PRP, stem cells and the penile implant. Unfortunately, some of these are experimental and have not been proven to work. Without knowing the pros and cons of each treatment option, it is hard to know what is the best option for each individual.

“My erection is getting weaker, what can I do?”

I first wish to clarify that ED is NOT an “on and off switch”.  What I mean by this is that many people think that men either have a VERY STRONG ERECTION or NO ERECTION at all.  However, those who suffer from it know that it is a spectrum. Think of it as a scale or grading system.  The erection can be anywhere between 0% (completely flaccid) and 100% (hard as a rock).

Happy couple in nature

That said, every man who notices that he is having problems with either gaining or maintaining an erection should consider going to see his primary care doctor.  They should first make sure that there is no medical condition that could be contributing to his sexual impotence.  If you are diagnosed with Diabetes, heart disease, high blood pressure, thyroid problems, low testosterone, etc : these medical conditions could be the cause of your weak erections.  The second thing they should do is:  visit a specialist!  Visit someone who knows all the treatment options and can help guide you to what is best for you.


What is the best treatment for ED?

This is a difficult question to answer because there are different causes of erectile dysfunction.  For example, men with “hormonal ED” will benefit from Testosterone Replacement Therapy. Men with psychogenic ED benefit from behavioral sexual therapy. However, men with vascular erectile dysfunction, that is problems with blood flow in the penis will not necessarily respond to Testosterone or behavioral therapy.  This is why it is important you go visit a SPECIALIST who can help guide you towards the best treatment specifically for you.

“My doctor told me the penile implant is the last resort”

Another thing we need to clarify is that the penile implant is probably the MOST EFFECTIVE therapy for ED, no matter the degree or severity of erectile dysfunction.   Multiple research studies have shown that men with penile implants are more satisfied with their sexual function than those taking pills, injections or vacuum therapy.  If you wonder, treatment satisfaction rate after the implant is more than 95% for BOTH patients AND partners.  That is more than 30% more than pills, injections and vacuum therapy!

So… why do some consider it the “last resort”?

Most of the time we offer the penile prosthesis for men with severe ED that do not respond to medications or other therapies. The inflatable penile implant is a device that is placed inside the penis. It will occupy the space and disrupt that space within the erectile tissue.  If the implant needs to get removed; then, other therapies (like Sildenafil, Tadalafil or injections) will not work. This is the reason some doctors consider it as the last resort. “….because once you have the implant there is no going back”.  However, I do not think this way and I will explain why…

Does the Penile Implant need to be replaced regularly?

There is a big misconception regarding penile implants.  Many men think that it needs to be replaced regularly, but the fact is that it does not.  In 5 years, 95% of implants still work.  Research studies have gone up to 15 years, and 70% of penile prostheses were still working!  I have seen men 18 to 20 years after their original surgery who still have a functional implant that helps them gain and maintain the erection they want.

Happy couple outside camper van

Is the penile implant the best option for me?

As previously mentioned, the inflatable penile prosthesis has been scientifically proven to be the BEST treatment option for ED and the therapy with the highest satisfaction rate. Even though it is mostly reserved for men who do not respond to medications or other therapies, there are men that get the procedure done for other reasons.  Here are some examples:

  1. Some men do not want to go through EVERY… SINGLE.. THERAPY before they find a solution.
  2. Some men do not want to take medications even though they work.  Oral medications like Sildenafil or Tadalafil are known to have side effects like headaches, back pain, flushing of the face, etc.  To be honest…. Men don’t have to “settle” for a treatment that is causing them side effects.
  3. Other men find injections and vacuum therapies are not good for their lifestyle.  Injections require timing and preparation.   Most of these injectable medications, like Trimix, need to be refrigerated and can cause long-lasting painful erections, scar tissue, among other side effects.  Vacuum therapies need lubrication and a rubber band to “keep the blood trapped” inside the penis which can cause pain and discomfort.  These inconveniences can decrease the spontaneity of the sexual encounter and be a “turn-off” for most couples.
  4. Some men have already failed everything. They still fear the penile implant because someone told them “there is no going back”.  I usually answer them with..   “you’ve already failed everything. What is it you ‘would be going back to, injections or pills that you already know don’t work?’.  Immediately, they understand that it is time to take the next step if they wish to recover their sexual life back.
So… is the penile implant the best option for guys with ED? In most cases, it actually is! Think about it.  The inflatable penile implant is inside your body, completely concealed. It will be there on demand, every.. single.. time you need it.  After you recover from the surgery, it is unlikely you will have pain or discomfort.   It will take you 30 seconds to achieve an erection and it will remain erect until YOU make it go down.

Happy couple on boat

The sexual encounter lasts exactly the amount of time you (and your partner) want it to last. 

In Summary…

Although erectile dysfunction is very common, there are many causes and severities that make treatments to be different for each individual.  Goals are very different for every man and every couple.  My goal as a specialist in Urological Sexual Medicine is to help you reach your goals.  If you think a penile implant is an option for you, come visit us.  You do not have to FAIL everything and all other treatment options to be a “candidate”.   If you have erectile dysfunction, I have great news for you:  You ARE A CANDIDATE for the penile implant. It is not the last resort. In most cases, it is the best resort and solution for ED.   We can help you reach your goals!   Call us!  I would be honored to help you.   Remember we are….  GatekeepersofMen!

This article was authored by Dr. Jonathan Clavell. Dr. Clavell is a board-certified urologist who specializes in men’s health including erectile dysfunction, low testosterone, Peyronie’s Disease and BPH. 

Why Gatekeepers of Men? 

Implante de Pene: La solución para la disfunción eréctil?

El implante de pene: la última opción para la Disfunción Eréctil, o la mejor opción?

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Todos los días veo a hombres que presentan a mi clínica con la preocupación de que su erección está “más débil”. Repito:  TODOS LOS DIAS.  La disfunción eréctil, o impotencia sexual, es bien común y ocurre en 40% de los hombres mayores de 40 años.  Muchos hombres que sufren de impotencia sexual llegan a mi clínica luego de haber investigado en el internet acerca de sus opciones de tratamiento.  Estas opciones incluyen: medicamentos orales, inyecciones, terapia de vacío (Vacuum), terapia de shock, inyecciones de plasma, células madres y el implante de pene.  Desafortunadamente, algunas de estas alternativas aún se consideran experimentales y no son recomendadas por la academia de Urología Americana o la Sociedad de Medicina Sexual.  Por lo tanto, es difícil saber cual es la mejor opción para cada individuo si no conocemos los beneficios y riesgos de cada terapia.

“Mi erección está más débil. ¿Qué puedo hacer?”

Antes que todo, quisiera clarificar una cosa:  La Disfunción Eréctil no es un encendedor que prende y apaga.   Muchas personas (hombres y mujeres) piensan que solo dos cosas ocurren en los hombres en cuanto a sus erecciones:  UNA ERECCIÓN BIEN FUERTE o CERO ERECCIÓN.  Sin embargo, aquellos hombres que sufren de impotencia sexual saben que es un espectro.

Happy couple in nature

Tómelo como si fuera una escala o sistema de notas:  la erección puede ser de 0% (completamente flácida) a un 100% (fuerte como una roca). 


Ahora bien, todo hombre que haya notado que tiene problemas con obtener o mantener una erección debe visitar a su médico primario. Usted debe de asegurarse de que una condición médica esté contribuyendo a su impotencia sexual.  Si usted tiene diabetes, la presión arterial alta, problemas de su tiroide, colesterol, baja testosterona, etc.: estas condiciones pueden ser la causa principal de sus erecciones débiles.  Lo segundo que esos hombres deben de hacer es: ¡visitar a un especialista!  Visite a alguien que conozca a fondo las opciones de tratamiento y que pueda guiarlo y proveer una solución para usted.

¿Cuál es el mejor tratamiento para la disfunción eréctil?

Esta pregunta es difícil de contestar porque hay diferentes causas para la disfunción eréctil.  Por ejemplo, los hombres con “disfunción hormonal” responden a terapia de Testosterona.  Los hombres con “disfunción psicogénica” se benefician de terapias de comportamiento sexual.  Sin embargo, los hombres con disfunción eréctil VASCULAR, eso es problemas con el flujo sanguíneo sanguíneo hacia el pene no necesariamente responderán a la Testosterona o terapias de comportamiento. Por eso es que es bien importante que visite a un ESPECIALISTA que pueda guiarlo a usted hacia el mejor tratamiento específicamente para usted como individuo.

“Mi doctor me dijo que el implante peneano es la última opción.”

Otro argumento que debemos de clarificar es que el tratamiento más eficaz para la disfunción eréctil es el implante de pene. La prótesis hidráulica de pene es el mejor tratamiento para la impotencia sexual sin importar la severidad de la disfunción.  Múltiples estudios investigativos han demostrado que los hombres con implantes de pene están más satisfechos con su función sexual que aquellos hombres que son tratados con pastillas, inyecciones y/o la terapia de bomba de vacío.  Para ser más específico, la taza de satisfacción para los pacientes con implantes peneanos y sus parejas excede un 95%.   Esto es 30% más que las pastillas, inyecciones y la bomba de vacío!

Entonces… ¿por qué algunos lo consideran el último recurso?

La mayoría de las veces nosotros ofrecemos el implante peneano a los hombres que sufren de disfunción eréctil SEVERA. Eso es, aquellos que ya no responden a otras terapias o tratamientos.  La prótesis hidráulica, conocida como “la bombita”, es un dispositivo que se inserta dentro del pene. El implante ocupa y destruye el espacio dentro del téjido eréctil del pene.  Por lo tanto, si el implante se remueve, otras terapias como las pastillas o las inyecciones intracavernosas NO van a funcionar. Por esa razón muchos doctores consideran el implante peneano como la última opción.  Muchos dicen “…una vez te pongan el implante, no hay vuelta atrás.”  Sin embargo, te explicaré porque yo no pienso de esa manera…

¿El implante de pene tiene que re-emplazarse regularmente?

El concepto más equivocado que escucho en cuanto a los implantes peneanos es el siguiente:  Muchos hombres piensan que el implante tiene que cambiarse regularmente, cuando realmente esto no es cierto.  En 5 años, 95% de los implantes aún funcionan.   Los estudios investigativos demuestran que 70% de los implantes funcionan más de 15 años!  Yo he visto hombres 20 años luego de su cirugía que aún tienen su bombita funcionando.

Happy couple outside camper van

¿La mejor opción para mi sería el implante de pene?

Como mencioné anteriormente, los estudios científicos han demostrado que el implante hidráulico de pene es la MEJOR opción de tratamiento para la disfunción eréctil y la terapia con la mayor taza de satisfacción.  Aunque se ofrece mayormente a hombres que han fallado otros tratamientos, hay hombres que se hacen la cirugía por otras razones. Aquí algunos ejemplos:

  1. Algunos hombres no quieren intentar TODAS… LAS.. TERAPIAS antes de encontrar una solución permanente.
  2. Algunos hombres no quieren tomar medicinas aún si éstas funcionan.  Las pastillas como Sildenafil y Tadalafil tienen efectos secundarios como dolores de cabeza, dolores de espalda, palpitaciones en el pecho, enrojecimiento de la cara, etc. Para serte honesto….  Los hombres no tienen que conformarse con un tratamiento que le esté causando efectos secundarios.
  3. Otros hombres encuentran que las inyecciones y la bomba de vacío no son la solución debido a su estilo de vida.  Las inyecciones funcionan en un tiempo específico y toman preparación.  La mayoría de las inyecciones tienen que mantenerse refrigeradas y pueden causar erecciones dolorosas, tejido de cicatriz, entre otros efectos secundarios. La bomba de vacío  necesitan lubricación y un anillo de constricción para “atrapar la sangre” dentro del pene que puede causar dolor e incomodidad.  Estas inconveniencias pueden disminuir la espontaneidad del acto sexual y le “quita las ganas” a muchas parejas.
  4. Algunos hombres ya han intentado y fallado todo.  Aún así temen el implante de pene porque alguien les dijo “no hay vuelta atrás”.  Sin embargo, mi contestación a ellos es la siguiente “ya has fallado todo.  ¿A qué irías de regreso? ¿Inyecciones y pastillas que ya sabes que no funcionan?”.  Inmediatamente ellos entienden que es tiempo de tomar el próximo paso hacia la recuperación de su vida sexual.
Por lo tanto, la contestación a la pregunta “el implante peneano será la mejor opción para mi?” En la mayoría de las ocasiones, sí lo es! Piénsalo.  La prótesis hidráulica de pene está escondida dentro de su cuerpo. Va estar listo para uso en… todo… momento y SIEMPRE que usted lo necesite. Luego que usted se recupere de su cirugía, es poco probable que usted tenga dolor o incomodidad.

Happy couple on boat

Le tomará 30 segundos obtener su erección y se mantendrá firme hasta que USTED lo baje. El encuentro sexual entre usted y su pareja durará exactamente el tiempo que USTED quiera que dure. 

En Resúmen…

Aunque la disfunción eréctil es bien común, hay muchas causas y severidades que hace que los tratamientos sean diferentes para cada individuo. Tanto cada hombre como cada pareja tienen metas distintas.  Mi meta como especialista en Medicina Sexual Urológica es ayudarlo a usted llegar a sus metas.  Si usted cree que el implante de pene es una opción para usted, visítenos! Usted no tiene que fallar todos los otros tratamientos para ser un “buen candidato” para el implante.   Si usted tiene disfunción eréctil, tengo excelentes noticias para usted: Usted ES CANDIDATO para el implante de pene. La bombita no es el último recurso.  En la mayoría de los casos, es el mejor recurso. ¡Nosotros podemos ayudarlo a llegar a su meta! ¡Llámenos! Sería un honor poder ayudarlo.  Recuerde que somos… GatekeepersofMen!

El autor de este artículo fue el Dr. Jonathan Clavell. Dr. Clavell es urólogo diplomático y certificado por la Academia de Urología Americana y es especialista en Salud Sexual Masculina que incluye disfunción eréctil, baja testosterona, Enfermedad de Peyronie’s y problemas de prostata agrandada. 

Why Gatekeepers of Men? 

Congenital Penile Curvature

Congenital Penile Curvature

Are all curves the same?

Curved or bent penis. This is the ONE condition in Men’s Health that generally NO ONE talks about.  Some men even wonder “can that really happen?” and, those who suffer from it think “Am I the only one with this?”.  Many years ago, men with penile curvature suffered in silence and, fortunately, now we even see it in commercials and realize we are not alone.

Penile curvatures are very common.  The penis can bend upward, downward or to the sides.  In most occasions, the curvature is mild and does not cause any problems. However, some men have more complex curves that make them more self-conscious.  Most often, a penile curvature is due to normal differences in penis anatomy, but sometimes scar tissue or another problem causes a bent penis and painful erections.

younger man playing sports

Continue reading “Congenital Penile Curvature”

Why is my penis getting shorter?

Man looking at himself under the covers.

Banana with a messaging tape around it.

Man looking in his boxer briefs.

Why is my penis getting shorter?

A very common concern for men of all ages is:SIZE.   I often see men who come in to my office concerned about the size of their penis.  Sometimes they are originally being seen for a completely unrelated complaint, such as urinary problems secondary to an enlarged prostate (BPH) or interested in a vasectomy.  Then, all of a sudden, the question comes up:  “Hey doc, now that I am here, I wanted to ask you about one more thing. I have noticed that my penis is shrinking…” or ” My penis is getting shorter”… And you can imagine the rest of the conversation.

But first let’s dig into a very popular question:

What is the average penis size?

According to a study published in the Journal of Urology, the average penis size in the flaccid state is 8.8 cm or 3.5 inches.  During the erect state, the average size was found to be 12.9cm (or 5.1 inches).    I would also like to highlight that the flaccid size, in most occasions, does not correlate with the size during the erect state.  Penises tend to “grow” from the flaccid to the erect state.

Even though there are many men who are interested in obtaining a ‘larger or longer penis’, most just want to make sure they do not lose what they already have.    I’ll explain….   The most common surgery that I perform is placement of an inflatable penile prosthesis (also known as a penile implant) and probably the most common question that men have when I talk about the procedure is “But doctor… will I keep my size?  Will the implant make me lose length?”

But….  Why is my penis shrinking?

There are two well-known conditions that can get the penis shorter:  Peyronie’s disease and erectile dysfunction.

What Are Common Reasons Why My Penis is Shortening?

Peyronie’s disease: is a condition in which the body starts forming scar tissue, known as a plaque, in the lining surrounding the corpora cavernosa, known as the tunica albuginea.  Your penis has two chambers (known as the ‘corporas’) that fill up with blood in order to give you an erection.  Those two chambers are surrounded by an ELASTIC layer called the tunica albuginea.  When that elastic tissue has an injury or a condition that develops a plaque (or scar tissue), it won’t be able to stretch out and this can lead to 3 things: pain, curvature and a… shorter penis.  These men not only have distress because they notice that their penis is now bent or curved, but now they notice it’s getting smaller!

Erectile dysfunction: can also cause the penis to lose size.  Have you ever heard the expression: “if you don’t use it, you lose it”? Well, your erections work that way, in a sense.   When our body stops having regular erections, the elastic tissue that stretches the penis from the flaccid state into the erect state can transform in a way that the penis loses its elasticity.   If the penis is not elastic, it won’t stretch when you get an erection, and you will notice you lost length.

Radical prostatectomy (RP):  Penile shortening is a common occurrence after surgical removal of the prostate in patients with prostate cancer. Research studies have reported that this can happen in 15-68% of patients after radical prostatectomy.  You may wonder: but why would that happen?   The real answer to that is: we don’t know yet, but we have theories.  Some urologic scientists proposed one mechanism:  the anatomy changes when the urethra is shortened. When the prostate gets removed, the urethra needs to be reconnected with the bladder and this makes the urethra shorter.   However, one thing that we do know for sure is that after the prostate gets removed, the nerves that help men get erections are injured.  This can lead to poor oxygenation of the smooth muscle inside the penis (cavernous body) which can lead to fibrosis (scar formation), erectile dysfunction,  loss of elasticity and, a shorter penis.

Overweight:  Weight gain can also give you the appearance of a shorter penis.  Unlike women, who gain most of their weight in their thighs, men’s bodies mostly focus their weight gain in the lower abdomen (referred to as ‘panniculus’). Accumulation of fat in this area hinders the penis and limits its visibility, giving you the appearance of a shorter penis.


What Can I Do To Optimize The Length of My Penis?

Traction therapy:   Research shows that some men with Peyronie’s disease respond to traction therapy.  This can be used alone or in combination with surgical and nonsurgical treatments such as Xiaflex intralesional therapy.   There are multiple types of traction devices available that can be used to restore length and correct penile curvature.

Vacuum therapy:  A vacuum erection works by creating negative pressure inside the penis and “suctioning” venous blood into the penile shaft. While inside the vacuum pump, the penis will maintain the erection.  I truly believe (and research has shown) vacuum therapy can help men keep their size and helps with penile rehabilitation.  My recommendation for men who don’t get erections during the night or are planning to get a penile implant in the future is:  GET A VACUUM DEVICE and use it to exercise your penis.   It will keep the tissues elastic and healthy.

Surgery: There are surgical procedures that can give the appearance of a longer penis without actually affecting your true penile size.  These include: ventral phalloplasty, dorsal phalloplasty, panniculectomy, among others.  For men with Peyronie’s disease, there are procedures that can help restore their length, but we will focus on these in another episode.

A penile implant can help you keep your size…

Penile Implant:  Yes.  A penile implant can help you MAINTAIN your length.   The inflatable penile prosthesis  is a medical device that’s placed inside the penis. We offer it to men with ED .  The implant occupies the inside of the penile shaft in its entirety (Want to see how?  Watch a video here). Earlier I described how erectile dysfunction can lead to loss of length.   If there is one thing that will “halt” that process, it would be the penile implant. By occupying the entire space inside of the penile shaft, the penis has nowhere to go.   This is why I encourage men to consider this option when ED continues to progress and oral medications fail. Why? Because… when you have a penile prosthesis, your penis will be in the “long” state at all times.  The penile implant transforms your penis from being a “grower” to a “shower”.

middle aged man relaxing


In conclusion….

Let’s go back to that original question:  Why is your penis “shrinking”?  Your inability to have a strong erection, Peyronie’s disease, history of prostate cancer and weight gain may be factors you need to look into.

And for the second question: will I lose size with the penile implant?  The answer is simple… No. The implant does not cause the penis to be shorter, erectile dysfunction does. When it comes to penile size, it is important to understand that there are many factors that can affect it.   However, I am equipped with the tools to help maximize and restore length and function.  Give us a call!  We will be honored to help you.

Is Your Penis Getting Shorter? Schedule an Penile Implant Consultation Today!

Dr. Jonathan Clavell is a board-certified urologist and men’s health specialist in Houston, Texas. Dr. Clavell is an expert in both inflatable (commonly referred to as the pump) and mechanical implants (Semi-rigid). Performing over 150 implants per year, Dr. Clavell has emerged as one of the leaders in penile prosthesis surgery and implant revision surgery in the state of Texas and the United States. Dr. Clavell can help discover the best penile implant option for you and your lifestyle. For more information about the penile implant procedure, call (713) 652-5011 to schedule a consultation with Dr. Clavell today.

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This article was authored by Dr. Jonathan Clavell. Dr. Clavell is an urologist who specializes in men’s health including erectile dysfunction, low testosterone, Peyronie’s Disease and BPH.

Why Gatekeepers of Men? 

A Men’s Health Specialist’s True Purpose

The 3 R’s of Men’s Health

People often ask me what I do as a urologist who specializes in Men’s Sexual Health.   It is simple. I sum it up in 3 words. I refer to them as the 3 R’s of Men’s Health:

1.     Rehabilitate

2.     Reconstruct

3.     Restore

younger man with beard

September is Sexual Health Awareness Month.

Continue reading “A Men’s Health Specialist’s True Purpose”

How a urologist can help men live LONGER…

Helping men live LONGER and BETTER…

A male’s life expectancy 

Every day I see men of all ages who come into our office concerned about their erections.   These range from men in their early 20s to those in their late 80s.  But what they do not know is that in many occasions, their sexual or reproductive concerns can be the effect or aftermath of something far more serious.   In our last post we discussed the relationship between erectile dysfunction and heart disease.  Today, we will dive in deeper and discuss how a we, as a men’s health specialist, can help men live longer.

Middle aged couple riding bikes

June is the official month for Men’s Health!

This week the European Urology Focus journal published a scientific article that immediately caught my attention.  The title was “Male Sexual and Reproductive Health – Does the urologist have a role in addressing inequality in life expectancy?”. [1]  We all know life expectancy for men is less (70.5 years) when compared with women (75.6 years).   This study aimed to evaluate the association between male sexual and reproductive health-related diseases and life expectancy.  In other words, if there is a correlation between these two, then a urologist (the physician who focuses in male sexual and reproductive health) can play a vital role to improve life expectancy for men. So… if you are wondering what research has shown are the leading causes of death in men, here you go:

Main contributors of Death in Men

  1. Cardiovascular disease (CVD)
  2. Cancer
  3. Diabetes
  4. Respiratory disease
  5. Injuries (Trauma)

Studies indicate men have higher premature death rates from CVD because they tend to have higher rates of all major risk factors.  These risk factors include high blood pressure, obesity, diabetes, high cholesterol and smoking.   The number one cause of respiratory disease in men is smoking.  Research has shown that men start to smoke earlier than women and smoke more cigarettes per day than women. [2] Smoking can also lead to CVD, cancer and erectile dysfunction.

Think about it.   All these can be prevented!

If you exercise regularly, eat a healthy diet and control your blood pressure and cholesterol levels, you can prevent or at least delay heart disease and diabetes.

How can we screen for CVD?

A urologist regularly evaluates men with erectile dysfunction and, as discussed in our previous post, erectile dysfunction can be a sign of CVD.  Simple screening tools for CVD include measuring your blood pressure and obtaining blood work. Important labs are a lipid profile to check your cholesterol and triglyceride levels,  and a hemoglobin A1c to screen for diabetes.

Low Testosterone: Helping men live longer

There is a strong connection between testosterone deficiency and diabetes. The American Diabetes Standards of Care recommend to check testosterone levels in every man with diabetes and decreased sexual drive (libido) or erectile dysfunction. Even more, research shows that testosterone can improve overall health and hence, help men live a longer healthier life.  Testosterone, when used appropriately, can offer MAJOR health benefits for men.    Even though there is still a controversy between testosterone replacement therapy and cardiovascular safety, most research studies and experts believe that testosterone treatment is SAFE when managed adequately.

Prostate Cancer and Survivorship

The most common cancer in men (second to skin cancer) is prostate cancer.  Given African-American and Hispanic men are more likely to not only be diagnosed with prostate cancer, but die from it, we strongly encourage prostate cancer screening.  Also, even though there is no conclusive evidence that any single diet will protect men from acquiring prostate cancer, a study published in the World Journal of Urology in 2017 reported that physical activity, controlled body weight and a diet rich in vegetables can reduce the risk of prostate cancer progression.  Therefore, we encourage men diagnosed with prostate cancer to aim to improve their diet and increased their physical activity.

We need to remember that prostate cancer therapies have increased cure rates and overall survival. When detected early, prostate cancer is CURABLE! Surgery and radiation can cure early stages of prostate cancer.   If you survived prostate cancer and now suffer from erectile dysfunction, low testosterone symptoms, urinary incontinence or changes in orgasm, an urologist specialized in sexual health is primed to help you.

In Conclusion…

Many men who come to see me haven’t even seen their primary care doctors in years.  As a urologist and Gatekeeper of Men  I pledge to help screen men to improve not only their sexual and reproductive lives but their OVERALL health. I encourage EVERYONE reading this to visit their primary care doctors and visit your local urologist. We can help and are here to serve you!


This article was authored by Dr. Jonathan Clavell. Dr. Clavell is an urologist who specializes in men’s sexual health including erectile dysfunction, low testosterone, Peyronie’s Disease and BPH.

Why Gatekeepers of Men? 

1.     Tharakan T, et al. Male Sexual and Reproductive Health – Does the Urologist Have a Role in Addressing Genter Inequality in Life Expectancy? European Urology Focus 2020; 6(4): 791-800.

2.     The WHO regional Office of Europe. The heatlh and well-being of men in the WHO European region: better health through a gender approach. 2018

3.     Peisch SF, et al. Prostate cancer progression and mortality: a review of diet and lifestyle factors. World J Urol 2017;35: 867-74.

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