The Men’s Health Center at The Miriam Hospital provides clinical and
psychological care for sexual dysfunction. For the past five years, the
center’s co-directors, Martin Miner, MD and Mark Sigman, MD and staff of
the Men’s Health Center have been working to identify the cause of each
patient’s dysfunction, which may vary from heart disease, to hormone
deficiency to psychological issues.
Along the way, they have created a national presence for the center,
which is widely recognized for its multidisciplinary evaluations and
treatments. Miner is the president-elect of the newly established
American Society of Men's Health. Sigman is past president of the
Society of Reproductive Surgeons. Kathleen Hwang, MD is an
award-winning, board certified urologist who received fellowship
training in male reproductive medicine and surgery. John Wincze, PhD and
Risa Weisberg, PhD, a recent addition to the center’s staff, are known
internationally for their research and publications in the area of human
To accommodate a growing number of patients, the Men’s Health Center has
been renovated, adding exam rooms as well as offices for new clinicians.
Vincent Harisaran, MD joined the Men's Health Center in March. He
completed his urology training at Brown University and has expertise in
surgery for erectile dysfunction. In addition, a new internist, Mark
Paulos, MD, will join the center and work with Miner in the
cardiometabolic evaluation of men with erectile dysfunction and
testosterone deficiency. Men with erectile dysfunction and testosterone
deficiency are at greater risk for heart attacks; through a careful
examination of hormonal status, diet and exercise, the center’s
clinicians identify these men and work with their primary care
physicians to reduce their risk.
Physician assistant Beth Nelson has also joined the center; previously,
Nelson was a physician assistant in inpatient urology at The Miriam.
Physical therapist Christy Cielsa, one of the few therapists trained in
male pelvic floor problems such as incontinence that can be an unwanted
side effect of pelvic or prostate surgery, has increased her hours to
keep up with demand. And Joseph Conlan has become the center’s office
manager, orienting each new patient to the center's services and
providers and ensuring timely access and appropriate services.
The center serves as a resource for men with erectile or sexual
dysfunction, Peyronie's disease (penile curvature), male hormonal
deficiencies, and post prostate cancer therapies to ensure restoration
of sexual function. With the addition of Paulos, the center hopes to add
services specific to the evaluation and management of male bone health.
The center also conducts research on topics such as non-surgical
therapies for the treatment of Peyronie's disease and the potential use
of a new hypertensive medication, nebivolol, that may enhance male
sexual function. This is important as many blood pressure therapies
improve blood pressure but may impair sexual function, thereby reducing