Tobias S. Kohler, MD, MPH, Author at Grand Rounds in Urology

Tobias S. Kohler, MD, MPH

Mayo Clinic

Rochester, Minnesota

Tobias S. Köhler, MD, MPH, FACS, is a Professor of Urology, Director of the Andrology Fellowship, and Head of Men’s Health at the Mayo Clinic in Rochester, Minnesota. Dr. Köhler specializes in the treatment of erectile and sexual dysfunction and benign prostatic hyperplasia (BPH).

Dr. Köhler earned his MD and MPH, with an emphasis in Epidemiology, at the University of Minnesota in Minneapolis-St. Paul.. He completed residencies in Urology and Surgery at the University of Minnesota, then went on to complete a fellowship in Andrology from Northwestern University in Evanston, Illinois.

Dr. Köhler is an active member of the American Urological Association, North Central Section, and is the President of the Sexual Medicine Society of North America. He is a Fellow of the American College of Surgeons and the founder of the Erectile Restoration Outcomes Study penile implant registry. Dr. Köhler has authored and co-authored over 470 peer-reviewed scientific articles, book chapters, and scientific abstracts and has presented both locally and nationally on various subjects, including erectile dysfunction, low testosterone, BPH, surgical education, and penile prostheses.

Talks by Tobias S. Kohler, MD, MPH

Supra-Physiologic Testosterone Supplementation: Do Body Builders Know Something We Don’t?

Tobias S. Kohler, MD, MPH | Jun 2018

Tobias S. Kohler, MD, MPH, discusses the epidemiology and associated dangers of steroid abuse. Specifically, he explains steroid-related risk of testicular atrophy, gynecomastia, infertility, and sudden cardiac death. Through an anecdote, he illustrates the psychological and sociological causes of steroid abuse.

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

Tobias S. Kohler, MD, MPH | Jun 2018

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.

Men’s Health from the Heart

Tobias S. Kohler, MD, MPH | May 2018

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).

Origins and Treatment of ED through Vascular Mechanisms

Tobias S. Kohler, MD, MPH | May 2018

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.

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

Tobias S. Kohler, MD, MPH | May 2018

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.