San Diego Sexual Medicine*

San Diego Sexual Medicine*
Program Director: Irwin Goldstein, MD

Fellowship Overview
This sexual medicine/prosthetic urology fellowship provides a unique opportunity for exposure to cutting edge medical care and research in the beautiful city of San Diego. Drs. Irwin Goldstein and Jordan Siegel offer a unique, one-year clinical fellowship in Sexual Medicine and Prosthetic Urology with the opportunity to learn management of sexual dysfunction for men and women, prosthetic urology, reconstructive urology, minimally invasive surgery and (MIS) for BPH as well as transgender care. The fellow will be credentialed in sexual medicine at Alvarado Hospital and in urology at Scripps Green Hospital. In addition, there is an option to learn infertility in men from Martin Bastuba, MD. Exposure includes multiple health care environments including San Diego Sexual Medicine, Scripps Clinic Medical Group, Male Fertility and Sexual Medicine Specialists, and hospital-based telemedicine. The fellow will be expected to attend journal club, urology and sexual medicine conferences at Alvarado Hospital and Scripps Green Hospital, and present at various urology/sexual medicine rounds throughout the year. The fellow will submit abstracts and attend the annual meetings of the Sexual Medicine Society of North America, the International Society for the Study of Women’s Sexual Health (ISSWSH), and the American Urological Association, as well as the ISSWSH Fall Course in women’s sexual health. Upon completion, the fellow will have an understanding of the continuum of care approach from clinic to surgery of both male and female sexual dysfunction, transgender hormonal care, incontinence, reconstructive urology, MIS for BPH, and optionally male infertility. This includes history taking, physical examination, laboratory tests and in office diagnostic procedures including how to perform tests and interpret results in both men and women with sexual health concerns. Innovation with Drs. Goldstein and Siegel is the theme of this uniquely collaborative fellowship with opportunities in cutting edge surgery, clinical trials, population-based medicine and telemedicine encounters.

Research Focus
The fellow will be expected to participate in clinical research at San Diego Sexual Medicine, with an opportunity to be involved in retrospective chart reviews and prospective studies including first in man research trials. SDSM has a research unit to help the fellow through the process including the development a research protocol, application for IRB approval, and regulatory requirements for conducting the investigation and recording the results. Research opportunities are available in such areas as hypogonadism, women’s sexual arousal, 5 alpha reductase inhibitor side effects, thermography and regenerative medicine. It is expected that research projects will lead to presentations at national and/or international meetings, as well as publications. Part of research process is learning how to write a manuscript suitable for publication. The amount of time devoted to research is based on the interests of the fellow. This experience serves as a training for the fellow for future research opportunities after completion of the fellowship.

Office Procedures Performed
Duplex Doppler Ultrasound
Intracavernosal Injections
Intralesional Injections
Testosterone Pellet Insertion
Cord Blocks
PRP Treatment/Stem Cell/Shockwave
Q-tip Testing
Vestibular Anesthesia Testing
Clitoral Anesthesia Testing

Surgical Procedures Performed
Penile Revascularization
Crural Ligation
Penile Fracture
Varicocele Ligation
Glans Fixation for SST Deformity
Vasectomy Reversal/Vasoepididymostomy/Vasovasostomy
Testicular Implants
Artificial Urinary Sphincter
Male Sling
Percutaneous Sperm Extraction/Electroejaculation/Penile Vibratory Stimulation
Penile Implant/Prosthesis
Complete Vestibulectomy with Vaginal Advancement Flap
Dorsal Slit
Marsupialization of Bartholin Cyst


Fellowship position open for 2024-2025

Primary Institution
San Diego Sexual Medicine
San Diego, CA

Fellowship Directors
Irwin Goldstein, MD, IF
Jordan A. Siegel, MD

Fellowship Administrator
Sue W. Goldstein, CSE, CCRC
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Candidate Citizenship Requirement
US only

Fellowship Duration
12 months

Type of Fellowship
Sexual Medicine

Research Available
Clinical research

Conference Schedule
American Urological Association (AUA), Sexual Medicine Society of North America (SMSNA), International Society for the Studies of Women’s Sexual Health (ISSWSH), ISSWSH Fall Course

Interview Schedule
October - March, candidates are invited to San Diego to spend time with Drs Goldstein and Siegel to see if the program is a good match. Formal interviews are held at the AUA annual meeting in May.

Fellowship Website

Fellowship Application
Download here

Housing Options

Prior Fellows

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