madman
Super Moderator
In this episode , Dr. Geo is joined by two distinguished urologists, Dr. Raphael Carrion and Dr. Raul Fernandez Crespo, from the University of South Florida. Together, they provide a comprehensive overview of medical approaches to treating erectile dysfunction (ED). The discussion covers the effectiveness of PDE5 inhibitors like Cialis and Viagra, as well as the intricacies of penile implant surgeries, exploring both malleable and inflatable options.
Dr. Carrion and Dr. Fernandez-Crespo share their expertise on the step-by-step treatment process for ED, emphasizing the importance of personalized patient care and shared decision-making in selecting the right treatment. They also address the challenges posed by generic drugs, the significance of proper dosing, and considerations for surgical interventions. Don't miss this episode is a must-listen for anyone seeking a deeper understanding of the evolving landscape of male sexual health and the available treatment options for overcoming ED.
Chapters
00:00 Are Penile Implants Right for ED? Dr. Carrion & Dr. Fernandez-Crespo Discuss-EP-113
04:34 Discussion on Erectile Dysfunction Treatments
10:17 Patient Evaluation and Treatment Process
14:36 Pharmaceutical Preferences and Efficacy
19:56 Challenges with Generic Medications
25:00 Erectile Dysfunction in Younger Men
33:39 Managing Side Effects of ED Medications
35:15 Considering Injections for ED Treatment
38:10 Penile Implants: An Overview
39:42 Patient Demographics and Penile Implants
42:29 Surgical Considerations and Patient Guidance
55:31 Types of Penile Implants
Key Highlights:
- Introduction of Experts:
- The podcast features Dr. Raphael Carrion, Chairman of Urology at the University of South Florida (USF), and Dr. Raul Fernandez Crespo, a urologist at USF, discussing erectile dysfunction (ED) and penile implants.
- Dr. Carrion comes from a family of urologists and has mentored numerous residents. Dr. Fernandez Crespo trained in Puerto Rico and completed his fellowship under Dr. Carrion at USF.
- Treatment Approach:
- The discussion covers the standard treatment protocol for ED, starting with oral medications like PDE5 inhibitors (e.g., Cialis, Viagra), followed by more invasive options like injections, vacuum devices, and finally, penile implants for those who do not respond to other treatments.
- Penile Implants:
- Detailed discussion on penile implants, including the types (inflatable and malleable) and their functionality.
- The benefits of penile implants for severe ED cases, particularly for patients who have not responded to other treatments.
- Patient Demographics:
- The patient demographics for penile implants are diverse, with a significant number of Hispanic and Latino men seeking treatment due to cultural factors.
- Younger men are also increasingly seeking help for ED, with the podcast addressing the potential role of excessive pornography use in younger populations.
- Decision-Making Process:
- The importance of shared decision-making between the patient and the provider is emphasized. Patients are educated about all available treatment options, including the pros and cons, to make informed decisions.
- Challenges and Revisions:
- Discussion on the challenges of penile implants, including the need for revisions or adjustments over time.
- The importance of patient selection and the potential complications for those with significant comorbidities or manual dexterity issues.
- Quality and Lifespan of Implants:
- Modern penile implants have improved significantly in quality and lifespan compared to those available 10-15 years ago. However, patients are advised on proper maintenance and realistic expectations.
- LGBTQ+ Community:
- Increasing visibility and comfort within the LGBTQ+ community in seeking help for sexual health issues, including penile implants.
- Patient Education and Provider Responsibility:
- Emphasis on the responsibility of providers to offer all treatment options and ensure patients understand their choices, including the differences between inflatable and malleable implants.
- Conclusion:
- The podcast concludes with a focus on the importance of making informed decisions and the role of USF as a leading center for male reproductive health.
Last edited by a moderator:
