San Diego Sexual Medicine is a 6000 sq ft facility dedicated to sexual medicine patient care and research. We boast 6 exam rooms, front and back waiting rooms, private offices for providers, a conference room for teaching, and dedicated space for a fellow. We have state-of-the-art equipment available for our patient management which the fellow will learn to use.

Dr. Goldstein has trained fellows in sexual medicine since 1984. Past fellows include many names that are well known and well respected such as John Mulhall, Hossein Sadeghi, Martin Bastuba and Larry Hakim, current thought leaders in the field, past and present SMSNA board members, academicians and private practitioners. Recent trainees, also leaders in the field, include Sherita King, Director of Prosthetic Urology at Augusta University, Rachel Rubin, Education Chair for the International Society for the Study of Women's Sexual Health, and Alyssa Yee, Dr. Goldstein's partner here at San Diego Sexual Medicine. Of the 36 physicians who completed fellowships under Dr. Goldstein, all but two went from this fellowship to a position involving sexual medicine.

The sexual medicine  fellowship is open to North American medical school graduates as well as foreign students who are US citizens or resident aliens who have completed a residency in urology.  You must be eligible to obtain a medical license in California to apply for this fellowship. Please note that San Diego Sexual Medicine cannot provide documentation for visas for non-US residents.

To begin the process of application, please make your interest known by emailing Sue Goldstein, the program coordinator at suewgoldstein@gmail.com. Serious applicants are asked to come to San Diego to experience SDSM for at least a day. The application is through the Sexual Medicine Society of North America. You will need to submit a personal statement of why you want to practice sexual medicine, and where you see yourself after completion of your fellowship. In addtion, please provide two letters of recommendation from your residency program including the following areas rated using the NIH nomenclature of “exceptional, outstanding, excellent, very good, good. fair and poor”: depth of your interaction with individual; potential as a sexual medicine fellow; performance on service as a resident; urologic knowledge base: appropriate as a fourth year resident; performance relative to other residents; and manual dexterity. Formal interviews are conducted at the AUA, with decisions made shortly afterward.

Sexual medicine involves medical, surgical and psychological assessment. Fellows in this sexual medicine will be trained in the medical and surgical management of men and women with sexual dysfunction.  Psychologic evaluations are performed by our staff sex therapist, Dr. Harzell, and physical therapy evaluations by providers on staff with Comprehensive Therapy Services at their SDSM branch. The trainee will have an opportunity to interface with these experts as well as all staff at San Diego Sexual Medicine.

The most common surgical procedures performed at SDSM are penile implants, vestibulectomies and Bartholin's gland marsupialization, but unique to our facilitiy is microsurgical revascularization. Dr. Goldstein has more experience performing revascularization surgery than any other surgeon, and has trained those fellows interested in this procedure. This fellowship includes assisting in the OR for all procedures and learning to perform surgeries. As a tertiary care center SDSM provides an opportunity for the young urologist to learn not only how to insert a prosthesis, but how to minimize infection rates and how to perform the difficult implant placement. Other procedures include the Nesbitt procedure, correction of penile curvature,  and dorsal slit..