I have been a patient of Dr Hotaling for several years at this point and he is always very positive about helping me with my issues. My wife and I have been through a lot for the past 14 years and with Dr. Hotaling's help and skill we always seem make it through the dark times.
J A L
On Oct 4, 2018 I had an inflatable penile prosthesis implant procedure at the University of Utah. My urological health care team included Dr Hotaling (surgeon) and Ariel Black (physician’s assistant). This turned out to be my health care dream team. I am writing this for two reasons 1) A small appreciation for the support and many kindnesses this group of professionals extended to me and 2) My way of providing information and support for those who are contemplating this procedure
For those who want a quick summary of my experience: Many years suffering with ED, pills and injections failing, scared to death of the IPP and the procedure. Wonderful support and caring from those above. Result: textbook surgery, very little pain (mostly from the catheter not the surgery), very fast recovery. Size, feeling and performance exceeded expectations. Bottom line: Knowing what I know now if I had to, I would sell a kidney to get this wonderful result.
I agonized about this decision. It consumed me for approximately 8 months. If there is anything I would change it would be to lessen the stress I put myself (and my wife) through. I am hoping that by writing this I can ease the stress for others. What follows is my more detailed experience.
Just visiting the Urology department can be stressful. At the urology department there is no such thing as "Private Parts" everything you have seems like it is up for examination and review, it seems that the standard urology greeting is "Hi how are you doing... drop your pants". Not being accustomed to the world of urology I found doing this with strangers stressful and a bit embarrassing. By having the same team examine and treat me there was the comfort of familiarity. I got to know and trust them and they got to understand me and my situation. I can't stress enough how important this was to me and my wife. I will be forever grateful.
I had been dealing with ED for 18 years. I am now 67 years old. Pills, PDE5 inhibitors, worked well for a number of years. My condition progressed such that the pills were no longer effective I was referred to a local urologist. I began Trimix injections. This worked for a while; however, I was slowly increasing the necessary dosages and it was time to consider the next level treatment. My urologist introduced me to the Inflatable Penile Prosthesis (IPP). To be honest I was scared to death. I thought he was crazy. How could putting this device inside me possible be a good thing. I researched the IPP and talked to my primary care physician. My research showed over and over again that the men (and their spouses) who have had this procedure were extremely happy with the result. I was encouraged to look more closely.
I was referred to Dr Hotaling and the University of Utah by my local urologist. I made an appointment with Ariel Black my PA. Miss Ariel became my access to all things medical. She is patient, caring and I never felt rushed or discouraged from asking questions. She took my history, did an exam and analyzed my condition and situation. She explained that I had two chronic and progressive diseases, Coronary Artery Disease and Type II diabetes. Both contributing to my ED. Looking forward, my condition can be expected to worsen. She explained that the male apparatus if not exercised regularly will deteriorate and shrink. Ariel took a stretch measurement. This is what I could expect after surgery.
She asked me what my goal for the IPP was, I told her that I am 67 retiring soon and pray for 10+ years of passion with my wife of 43 years. She told me I was a prime candidate for the IPP.
I had prepared some questions about the surgery and the device. She answered my questions. She recommended that I meet with the surgeon Dr. Hotaling to discuss his surgical approach and finer details of the surgery. She arranged an appointment.
At this point I fully understood my condition, the treatment options and outcomes. The IPP would provide the best outcome. Was I ready to go ahead... Not really. The IPP solution is an irreversible permanent surgical modification. I need to know more. I was not sure this was right for me. I was still afraid.
While waiting for my appointment with Dr. Hotaling, I did more research, lots of research. I reviewed the websites and techniques of the best implant surgeons in the US, I read medical journal articles, I watched hundreds of IPP surgery videos. I wanted to learn everything I could about this procedure, particularly how to get the best results with no complications.
What I learned was that the satisfaction rate was very high, the device is extremely reliable and effective. Among the men unhappy with their result, my research indicated that by far the biggest factor was the lack of skill and experience of the surgeon. This is a specialized surgery and device. My attention turned to the surgeon. While waiting for my appointment, I put together a folder of my research and a long list of detailed questions.
I first looked closely at Dr. Hotaling’s credentials, Dartmouth undergrad double major, magna cum laude, Duke medical school, then university of Washington studying under Dr Wessel a pioneer in this field. His credentials are stellar, impeccable.
My wife came with me for our first appointment with Dr. Hotaling. Another lesson learned was that my best asset facing this was an involved loving spouse. Time with the surgeon is very precious. Having her there increased the chances that we would understand and remember what he was telling us. Looking back Dr. Hotaling was very kind and patient. I had spent a lot of time researching the issues and problems associated IPP surgery. I wanted to assure myself that this surgeon was skilled, experienced and dedicated to the very best outcome for me. Dr. Hotaling does 50 or more of these a year. He uses the latest “No touch technique”. What I remember most from that first meeting was that in our discussion of surgical complications including infection, he saw how frightened I was, he put his hand on my shoulder looked me in the eye and said “If anything happens I will be with you every step of the way.” I believed him and was very moved. - Bonnie D.
"I was so shocked and emotional when my husband and I found out that we would need medical help to conceive the children that we longed for. Dr Hotaling sat with us and explained the steps we would take and the odds that everything would work out. Dr Hotaling and his team went above their duty of letting us know how everything would work and took care of us emotionally as well.
Christie who schedules procedures followed up with us every step of the way. After we did the procedure Doctor Hotaling sat with me and shared the good news of the successful procedure and was so calm and helpful while I cried for joy and relief. His whole team rejoiced with us and I felt like it was a joint venture rather than a regular day at the office for them. Our journey continued with I.V.F. and as difficult as it was to go through the ups and down we are thrilled to be pregnant with our first child with eight more healthy embryos waiting for future transplant. We marvel every day at the mi racle of life and the advancement of science to make this possible as well as how thankful we are that there are men and women like Hotaling and his team who have the talent and knowledge to give people hope that they can have children." - Bonnie D.
We were impressed with Dr. Hotaling and his concern with our problems.
October 07, 2018
This was a very good meeting Dr Hotaling was very informative and reassuring.
September 18, 2018
The Doctor I met with initially was not the surgeon who would be doing the operation. I had very specific questions about the surgery. I finally got to meet with the surgeon. He was very knowledgeable and reassuring. My time with the surgeon was limited. I would have liked more time with him.
September 05, 2018
Great experience with Dr. Hotaling. Very professional and understanding when treating a very personal condition.
August 05, 2018
I would whole-heartedly recommend the doctor and staff to friends and family.
May 08, 2018
Dr. Hoteling was very personable. I was impressed with the care he showed me.
April 05, 2018
Dr. Hotaling was fantastic! Great bedside manner, calm, reassuring, and technically excellent.
January 07, 2018
I would have rated each question higher than 5 if those numbers were available to choose from!
January 02, 2018
Dr. Hotaling was excellent and very good about explaining all aspects of my care.
December 23, 2017
Hotaling fixed another, more seasoned, doctor's mistakes. I am impressed. Hotaling seemed genuinely invested in me as a patient with his concern and time.
October 23, 2017
This doctor was AWESOME! I've been to many doctors over the past 2 years for this issue and the majority of the time it ends with them saying, "Sorry I can't help you" or "The pain is all in your head." It's been EXTREMELY frustrating but Dr. Hotaling truly cared for my issue and presented me solutions to the issue that actually worked!
September 26, 2017
Dr Hotaling genuinely cares and it shows. He has helped me through some rough times. and was even helpful getting my insurance the info required so that I could be treated.
September 19, 2017
I doubt I could've had a more skilled and professional service anywhere else, truly confident with the expert quality of care I received.
July 30, 2017
Dr. Hotaling is a very genuine and caring doctor. We feel he gave us the very best care possible. We travelled 320 miles to have him perform the surgery and feel it was well worth it.
July 28, 2017
Dr Hotaling was a great doctor. He demonstrated excellent medical skills. Very kind and professional.
June 17, 2017
Dr. Hotaling is very good. I am really impressed with his knowledge and caring for his patients. No wonder he is always booked out. Highly recommend.
March 30, 2016