Tobias S. Köhler, MD, MPH

Tobias S. Köhler, MD, MPH

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Tobias S. Kohler, MD, MPH, is a urologist, with specialty interest and fellowship training in men's health (andrology). He has published more than 150 peer-reviewed scientific articles, book chapters and scientific abstracts and presented both locally and nationally on various subjects, including erectile dysfunction, low testosterone, BPH, surgical education and penile prostheses. He was co-editor for two textbooks: Contemporary Treatment of Erectile Dysfunction, Second Edition, and Surgeons as Educators: A Guide for Academic Development and Teaching Excellence. He recently authored "Wilson's Pearls, Perils and Pitfalls of Penile Prosthesis Surgery." Dr. Kohler is a physician trainer for penile prosthesis surgery in the United States and in Europe. He is a member of the Prospective Registry of Outcomes With Penile Prosthesis for Erectile Restoration (PROPPER) Study — sponsored by American Medical Systems/Boston Scientific. Dr. Kohler is the founder of the soon to be launched Erectile Restoration Outcomes Study (EROS, sponsored by Coloplast) penile implant registry. In addition to his clinical and research activities, Dr. Kohler is active in education, providing mentorship to residents and fellows. Dr. Kohler is the director for the Mayo Clinic Andrology Fellowship, which is anticipated to begin in 2019.

Articles by Tobias S. Köhler, MD, MPH

Priaprism Through a New Prism: Alternative Perspectives on the AUA Guidelines

Tobias S. Kohler MD, MPH, discuss the current AUA guidelines regarding priapism, covering proper diagnosis, sympathomimetic injections, phenylephrine use, shunt techniques, and oral medications. He then suggests changes to these guidelines, such as including proper patient counseling, minimizing proximal shunts, and early penile prosthesis. Furthermore, he proposes a new algorithm for the management of this condition.

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Men’s Health from the Heart

Tobias S. Kohler, MD, MPH, demonstrates the correlation between cardiac pathology and erectile function, other sexual function, testosterone levels, and lower urinary tract symptoms (LUTS). To illustrate this, he describes the methodology and results of his Cardio-Urologic Pathology/Prevalence Interplay Determination (CUPID) study. He also discusses ED risk factors, sex hormone binding globulin (SHBD), and the connection between testosterone levels and benign prostatic hyperplasia (BPH).

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Origins and Treatment of ED through Vascular Mechanisms

Tobias S. Kohler MD, MPH, discusses the corollary relationship between vascular disease and its treatment and erectile dysfunction (ED) and the literature supporting this relationship. He then reviews ED management approaches through a cardiovascular standpoint, including counseling patients on lifestyle modification and pudendal artery stenting.

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From PROPPER to EROS: Lessons Learned from Penile Implant Registry Erection

Tobias S. Kohler, MD, MPH, discusses limitations and biases in literature regarding inflatable penile prosthesis (IPP), and how they led to the development of the Prospective Registry of Outcomes With Penile Prosthesis (PROPPER) study and the upcoming Erectile Restoration Outcomes Study (EROS). He describes best practices when performing penile implant surgery, such as infection control, reservoir replacement, wound closure, and patient selection.

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