News & Events

News & Events

How to Increase Your Odds for a Successful Vasectomy Reversal 

Posted on by Nannan Thirumavalavan, MD

There are numerous reasons why a man or a couple decides to have a vasectomy. There are just as many reasons someone decides to reverse the procedure.

Remarriage, improved financial stability, or just a change of heart are all common reasons to decide on a vasectomy reversal procedure. If you are considering this, certain factors affect the success of a reversal, so you may want to look at how to increase your odds for a successful outcome.

Both Partners Should Be Evaluated for Fertility

The age of your partner can affect whether they will get pregnant. The closer they are to 40 years of age, the more difficult it can be to become pregnant and carry to term. If they have never had a child or if there were issues with fertility in the past, this can also be a problem. In this case, an exam by a gynecologist can help to determine the state of your partner’s fertility.

Healthy sperm is essential for a successful vasectomy reversal. You can increase your odds by:

  • Maintaining a healthy weight
  • Reducing alcohol consumption
  • Exercise
  • Stopping smoking, vaping, or chewing tobacco
  • Stopping testosterone therapy

Consider the Time Between Procedures

Almost 90% of vasectomy reversals are successful if they are done within 10 years of the initial vasectomy procedure. The success rate declines when the time between is 15 or more years.

Have You Had Other Surgeries in the Groin Area?

You are more likely to have a successful vasectomy reversal if you have NOT had any other surgeries in the groin area, like an inguinal hernia repair. Some surgical procedures increase the chances of a blockage that makes reversals more difficult.

Find an Experienced Surgeon

Vasectomy reversal is a highly specialized procedure. Find a surgeon highly trained in microsurgery techniques and fellowship trained in fertility like Dr. Nannan Thirumavalavan This should be a regular surgery they have performed successfully many times. The expertise of the surgeon may be the greatest factor in increasing your odds for a successful vasectomy reversal.

Speak with Dr. Nannan Thirumavalavan, MD is a board-certified urologist based in Cleveland if you are considering a vasectomy reversal and whether you would be a good candidate.

What to Expect During Sex with a Penile Implant

Posted on by Nannan Thirumavalavan, MD

If you’re considering a penile implant to treat erectile dysfunction (ED), you likely have one big question: What will sex be like afterward? The good news is, for many men and their partners, intimacy not only returns, it improves!
Below, we’ll walk through what to expect during sex with a penile implant, plus how the procedure works, what recovery looks like, and why satisfaction rates are so high.

First, What Is a Penile Implant?

A penile implant is a medical device placed inside the penis during a surgical procedure. It’s designed to help men with ED achieve and maintain an erection strong enough for intercourse, even when other treatments like medication haven’t worked.

There are two main types of implants:

  • Inflatable implants, which use a fluid-filled system you activate with a small pump hidden in the scrotum.
  •  Malleable (or semi-rigid) implants, which you position manually.

Both types of implants are internal, discreet, and tailored to your lifestyle and needs. Remember: Your doctor can help you determine which choice is right for you!

 What to Expect During Sex

One of the biggest advantages of a penile implant is that it offers on-demand control. When you’re ready for intimacy, you simply activate the implant—and when you’re done, you deactivate it (in the case of an inflatable device).

Here’s what many men report after healing:

  • Natural-feeling erections: The implant gives you a firm, reliable erection that feels similar to a natural one—for you and your partner.
  • No interference with orgasm or sensation: A penile implant doesn’t affect your ability to climax or feel pleasure. If anything, knowing you can perform reliably may even enhance your experience.
  •  Spontaneity returns: No waiting for pills to kick in, no worrying about timing. That freedom brings confidence back into your sex life.

What About Your Partner?

Studies show high partner satisfaction rates after a penile implant. Open communication helps, your partner may need time to adjust, but most couples appreciate the renewed sense of connection and spontaneity.

In fact, for many couples, restoring the ability to be intimate on their own terms strengthens emotional closeness. And because the implant is discreet, most partners say they can’t tell the difference!

The Procedure and Recovery

Penile implant surgery is a routine, outpatient procedure that typically takes under an hour. It’s performed under general or spinal anesthesia, and most men return home the same day or the next.

After surgery, you’ll likely experience:

  • Mild soreness, swelling, or bruising in the groin area
  • Pain that improves steadily over the first week or two
  • Restrictions on heavy lifting, sexual activity, and strenuous movement for about 4–6 weeks

Your healthcare provider will schedule follow-up visits to monitor healing and teach you how to use the device. Most men can return to normal sexual activity within 6 to 8 weeks, depending on individual healing.
While every person’s recovery is different, the vast majority find the discomfort manageable and temporary, especially when compared to the long-term benefits.

Why Satisfaction Is So High

Penile implants have one of the highest satisfaction rates of any ED treatment, both for patients and their partners. Here’s why:

  •  Long-lasting results: Once implanted, most devices work well for 10 to 15 years or longer.
  • Predictability: Unlike pills or injections, you don’t have to guess whether it’ll work. The implant gives you reliable results every time.
  • Discretion: The implant is completely internal—nothing is visible from the outside, and no one will know unless you tell them.
  • Confidence boost: Many men report feeling younger, more in control, and more connected to their partner after the procedure.  

Most importantly, it restores a part of life that feels personal, powerful, and affirming. And that can have positive ripple effects on mood, relationships, and overall well-being.

The Bottom Line

Sex after a penile implant can feel freeing, empowering, and deeply satisfying. If ED has been holding you back, this solution may be the key to a confident, fulfilling sex life.
Curious about your options? Contact Dr. Nannan Thirumavalavan   at (216) 285-5036 today to learn more about whether a penile implant is right for you!

Sex, Rx, and Rock and Roll!

Posted on by Nannan Thirumavalavan, MD

🎸 Plan your trip to #CLE for Sex, Rx, and Rock & Roll — a groundbreaking symposium on sexual medicine featuring legendary speakers like Dr. Irwin Goldstein and Ms. Sue Goldstein!

📅 September 20th
📍 @rockhall – Cleveland’s iconic Rock & Roll Hall of Fame

🎤 Cutting-edge insights
🤝 Interdisciplinary collaboration
🎟️ Tickets: https://eventbrite.com/e/sex-rx-and-rock-roll-tickets-1258418867709

Don’t miss this unique mix of medicine and music!

 

7 Advantages of Penile Implants for ED 

Posted on by Nannan Thirumavalavan, MD

Erectile dysfunction (ED) can have a significant impact on confidence, relationships, and overall well-being. If you haven’t found success with medications or other treatments, penile implants offer a long-term, effective solution.

While many benefits are well-documented, such as reliability and spontaneity, there are additional advantages that patients may not initially consider. Below, we take a look at benefits of penile implants for ED, and how you can learn more today!

1. Improved Sensation and Natural Feel

Unlike treatments that can dull sensitivity or create an unnatural experience, penile implants allow for a more natural sensation during intimacy. Since the implant is completely internal, there are no external devices to manage.

Once activated, the implant mimics the feel of a natural erection. What’s more, many men report that sexual experiences feel more spontaneous and enjoyable with an implant compared to medications or external devices.

2. Long-Term Cost Savings

In most situations, penile implants are covered by insurance. While the upfront cost of a penile implant may seem significant, it can be more cost-effective over time compared to ongoing medication or therapy. Prescription treatments for ED can be expensive and require continuous refills, whereas an implant is a one-time procedure that can last for years.

Patients who invest in an implant often save money in the long run while enjoying consistent and reliable results.

3. No Need for Pre-Planning or Timing

One of the biggest frustrations with ED treatments like oral medications or penile injections is the need for timing and planning. Pills often require waiting periods and may not always work effectively depending on the situation.

Penile implants remove this concern, allowing men and their partners to enjoy spontaneity – engaging in intimacy whenever the moment feels right.

4. Increased Confidence and Mental Well-Being

ED can take a toll on mental health, leading to anxiety, stress, and even depression. Many men feel self-conscious about their performance, which can strain relationships. A penile implant provides a sense of reliability, eliminating the worry of whether an erection will occur when desired.

This renewed confidence often extends beyond the bedroom, improving overall self-esteem and emotional well-being.

5. Discreet and Undetectable

Unlike external devices such as vacuum pumps, penile implants are entirely concealed within the body. There are no visible signs of the implant when not in use, making it a discreet solution for ED.

Many men appreciate the privacy and normalcy that an implant offers, as it allows them to feel more like themselves without needing to rely on external assistance.

6. High Satisfaction Rates for Patients and Partners

Studies have shown that men who receive penile implants report high levels of satisfaction, with many saying they wish they had opted for the procedure sooner. Partners also often express increased satisfaction, as the implant restores confidence and intimacy in the relationship.

Unlike temporary solutions, an implant provides a long-term improvement in sexual health and connection.

7. A Reliable and Permanent Solution

Unlike medications that may lose effectiveness over time or require dosage adjustments, penile implants provide a permanent and predictable solution. Once healed, men can enjoy a normal, healthy sex life without interruptions or inconsistencies.

For many, this reliability brings peace of mind and a return to a fulfilling, active lifestyle.

Is a Penile Implant Right for You?

If other treatments for erectile dysfunction have failed or fallen short, a penile implant could be a life-changing option! With benefits extending beyond function—enhancing confidence, intimacy, and quality of life—it’s a solution worth considering.

Schedule a consultation with Dr. Nannan Thirumavalavan in Cleveland to explore whether a penile implant is the right choice for you!  

The Truth About Penile Implants: Myths and Facts

Posted on by Nannan Thirumavalavan, MD

For many men, the idea of a penile implant can seem intimidating. In large part, this is due to common misconceptions and misinformation. While penile implants are a proven and effective solution for erectile dysfunction (ED), myths surrounding the procedure can still cause unnecessary hesitation.
Below, we’ll separate fact from fiction to help you make an informed, empowered decision about this life-changing treatment!

Myth 1: Penile Implants Feel Unnatural

Fact: One of the biggest concerns men have is whether an implant will feel artificial or uncomfortable. In reality, modern penile implants are created to replicate the look and function of a natural erection. Since they are completely internal, there are no visible components, and once activated, they feel similar to a natural erection.

Myth 2: The Procedure is Risky and Complicated

Fact: While any surgery comes with some level of risk, penile implant procedures are considered safe with a high success rate. The procedure is performed by experienced urologists and typically takes under an hour. Most men return to normal activities within a couple of weeks. The risk of complications is low when post-operative care instructions are followed.

Myth 3: Penile Implants Cause Reduced Pleasure and Sensation

Fact: Some men are concerned that an implant might lessen their ability to experience pleasure. However, penile implants do not interfere with sensation or orgasm. Because the implant is placed within the existing structure of the penis, it allows for normal sensitivity and function. Many men and their partners report increased satisfaction due to the restored confidence and reliability.

Myth 4: Penile Implants Are Only for Older Men

Fact: ED affects men of all ages, and penile implants are not limited to any specific demographic. Younger men who have experienced ED due to injury, medical conditions, or failed previous treatments may find implants to be a life-changing solution that restores intimacy and self-assurance.

Myth 5: Penile Implants Are Noticeable to Others

Fact: One of the advantages of penile implants is that they are entirely concealed inside the body. When not in use, they remain discreet, and no one will be able to tell that a man has an implant. Unlike external devices or medications that require planning, an implant allows for spontaneity and confidence in intimate situations.

Myth 6: Recovery Takes a Long Time

Fact: Recovery from penile implant surgery is typically faster than many patients expect. Most men can resume light activities within a few days and can return to sexual activity within 4-6 weeks, following their doctor’s guidance. Pain is generally mild and manageable with prescribed medication.

Penile Implant for Erectile Dysfunction in Cleveland, OH

If myths and misconceptions have been holding you back from considering a penile implant, it’s time to separate fact from fiction. These implants offer a safe, reliable, and discreet solution for ED, helping men regain confidence and enjoy a fulfilling intimate life.
Contact Nannan Thirumavalavan, MD at (216) 285-5036 to schedule a consultation today to learn more and see if a penile implant is the right choice for you!

Navigating the Infertility Journey: Free Virtual Event for National Infertility Awareness Week

Posted on by Nannan Thirumavalavan, MD

Navigating the Infertility Journey: Free Virtual Event for National Infertility Awareness Week
📅 Monday, April 21, 2025 | 🕛 12:00 PM – 1:00 PM
📍 Free Online Webinar | 💬 Live Q&A Included | 🎟️ Registration Required

Are you struggling to get pregnant and wondering when to seek help? You’re not alone. Infertility affects approximately 1 in 6 couples in the United States, and the path to parenthood can be filled with questions, uncertainty, and emotional challenges.

As part of National Infertility Awareness Week (NIAW) 2025, University Hospitals is hosting a free, expert-led virtual event titled:
“The Path to Parenthood: Navigating the Infertility Journey.”

This live online session will provide valuable insights from experienced fertility specialists who will explain:

The most common causes of infertility in both women and men
How fertility issues are diagnosed using advanced medical techniques
A range of infertility treatment options, including the latest cutting-edge fertility treatments available at UH
When to seek medical advice if you’re having trouble conceiving
Whether you’re just starting your fertility journey or exploring new options, this informative session will help you understand your choices and feel more confident about your next steps.

💬 The event will include a live Q&A with fertility experts, giving you a chance to ask questions in a supportive and respectful space.

✅ Who Should Attend?
Individuals and couples trying to conceive
Those recently diagnosed with infertility
Anyone interested in learning more about male reproductive health and fertility care
🖥️ Event Details:
Title: The Path to Parenthood: Navigating the Infertility Journey
Date: Monday, April 21, 2025
Time: 12:00 PM – 1:00 PM EST
Location: Online (Zoom/Webinar)
Cost: Free (but registration is required)

👉 Click here to register now

Schedule a Male Fertility Appointment in Cleveland, OH

Contact Dr. Nannan Thirumavalavan at (216) 285-5036 if you are experiencing issues with getting pregnant. Schedule an appointment at our urology clinics in Cleveland, OH today.

 

Center of Excellence for Penile Implants

Posted on by Nannan Thirumavalavan, MD

Dr. Thirumavalavan was awarded the Center of Excellence designation for Penile Implants for Erectile Dysfunction. The Center of Excellence Award acknowledges Dr. Thirumavalavan’s exceptional expertise with inflatable penile implants and his commitment to excellent patient care!

Schedule a consultation to see if a penile implant is the right option is right for you.

 

What To Expect During An Erectile Dysfunction Evaluation

Posted on by Nannan Thirumavalavan, MD

When a man is having concerns about erectile dysfunction, it may take him a while to finally address the topic with his doctor. There may be a lot of anxiety and fear about a diagnosis and even about having the erectile dysfunction conversation. We can ease some worry by giving you an overview of what to expect during an erectile dysfunction evaluation. Continue reading “What To Expect During An Erectile Dysfunction Evaluation”

Dr. Thirumavalavan Chaired a symposium at the ASRM 2024 Annual Meeting

Posted on by Nannan Thirumavalavan, MD

Dr. Thirumavalavan Chaired a symposium at The American Society of Reproductive Medicine 2024 Annual Meeting. He presented on Reproductive Considerations for Men and Women with Chronic Disease, from Getting Pregnant to Giving Birth and Beyond. He discussed male infertility concerns in cystic fibrosis, organ transplant, and spinal cord injury. Continue reading “Dr. Thirumavalavan Chaired a symposium at the ASRM 2024 Annual Meeting”

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