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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 us 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!

 

Why is my penis getting shorter?

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? 

Section Editor AUA Core Curriculum

 

 

We are proud to announce that Dr. Jonathan Clavell has been invited to become the new

Section Editor for the Surgical Peyronie’s Chapter

in the

American Urological Association (AUA) Core Curriculum.

 

The AUA Core Curriculum is an educational section in the American Urological Association website. The Core Curriculum serves to educate urologic surgeons in training all over the world regarding the most updated guidelines and surgical techniques.  Dr. Clavell previously authored the chapter on Surgical Peyronie’s and has now been promoted to become the new Section Editor. 

Emerging Implanters Insight Panel

Emerging Implanters Insight Panel 

 

We are proud to announce that on January 21 ,2020 Dr. Jonathan Clavell was invited to be part of the Emerging Implanters Insight Panel at this year’s Boston Scientific National Sales Meeting in Denver, CO!  Emerging Implanters are a group of young urologic prosthetic surgeons who have excelled in the field of Sexual Dysfunction and Prosthetic Urology. These doctors proved to provide excellent care to men with erectile dysfunction.

Dr. Clavell shared his journey to becoming a High-Volume Penile Implant Surgeon and gave insight on how Boston Scientific can help other doctors provide better care for men all across the United States!

Estamos orgullosos en anunciar que el Dr. Jonathan Clavell fue parte del Panel de Implantadores Emergentes en la Conferencia Nacional de Ventas de la compañía Boston Scientific en Denver, CO. Los Implantadores Emergentes son un grupo de urólogos jovenes especializados en cirugía protésica (prótesis de pene) que han demostrado en proveer cuidado de excelencia a hombres con disfunción eréctil.

El Dr. Clavell compartió su trayectoria en convertirse un Cirujano de Alto Volumen para Implantes de Pene y compartió ideas en como Boston Scientific puede ayudar a otros doctores a proveer cuidado con calidad a hombres en el país.

 

 

Rezum Center of Excellence

First Center of Excellence in the State of Texas

 

We are excited to announce that on January 9,2020 Clavell Urology was recognized as the first Center of Excellence for Rezum Water Vapor Therapy in the state of Texas!

We are committed to provide quality care with compassion and EXCELLENCE to all men having urinary problems secondary to an enlarged prostate. Come visit us and find out if Rezum is the treatment for you!

Estamos honrados en anunciar que el 9 de enero del 2020, Clavell Urology fue reconocido como el primer Centro de Excelencia para el tratamiento de Rezum en el estado de Texas.

Estamos comprometidos en proveer servicios de calidad a todo hombre que padece the síntomas urinarios secundarios a prostata agrandada.  Visítanos y descubre si este es el tratamiento correcto para usted.

 

Dr. Clavell presents at SMSNA National Conference

Dr. Clavell was invited as faculty for the 2019 Sexual Medicine Society of North America (SMSNA) Annual Meeting in Nashville, TN. He was invited to share his experience as an expert in the field of Peyronie’s Disease and Men’s Sexual Health. His lecture was on the Management of Complications after Xiaflex injections and Surgery for Peyronie’s Disease.

He also contributed to 5 research studies presented at the meeting!

El Dr. Clavell fue uno de los profesores invitados a la Conferencia Anual (2019) de la Sociedad Norteamericana de Medicina Sexual (SMSNA, por sus siglas en inglés) en Nashville, TN. El fue invitado para compartir su experiencia como experto en el campo de la enfermedad de Peyronie’s y Salud Masculina. Su presentación fue sobre el Manejo de Complicaciones luego de inyecciones de Xiaflex y Cirugías para la enfermedad de Peyronie’s.

Él también contribuyó en 5 estudios de investigación que fueron presentados en la conferencia este año!

 

 

When “Not Lasting Long Enough” is the Problem

Should you be able to “last longer” in bed?

I recently saw an article published in a well-known Men’s magazine which mentioned that one of the most common Googled questions about sex was “how to last longer in bed” with more than 60,000 searches per MONTH.  Suddenly, I knew I had to write about this since there are many things that men should have clear and know.

Continue reading “When “Not Lasting Long Enough” is the Problem”

Five Most Common Complications Associated to BPH

How an Enlarged Prostate can affect your overall health

Benign prostatic hyperplasia, also known as BPH, is a prevalent condition that affects approximately 50% of men over 50 years old and up to 90% of men after the age of 85.  Many men with BPH have bothersome symptoms. Others, simply do not have bothersome symptoms, either because of lack of awareness or simply they just get used to them.  Every week I meet men in my office to whom I ask “How is your urination?”  and their response is “Normal for my age, I guess”.  Then, when I keep inquiring they have a wide array of issues and that is why I will focus today on BPH complications.

Middle Aged Man

Continue reading “Five Most Common Complications Associated to BPH”

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