How to Choose a Cosmetic Urologist: 5 Questions to Ask

Choosing a cosmetic urologist is one of the most important decisions you will make on your journey toward sexual wellness and confidence. Whether you are considering penile enhancement, erectile dysfunction treatment, or another intimate procedure, the skill, experience, and approach of your physician directly determine your safety and the quality of your results. Here are five essential questions to ask before selecting a provider, along with what the right answers should look like.

1. Are You Board-Certified in Urology?

This is the single most important question you can ask. Board certification from the American Board of Urology confirms that a physician has completed an accredited urology residency, passed rigorous written and oral examinations, and maintains continuing education requirements. Cosmetic urology involves procedures on some of the most anatomically complex and sensitive structures in the body. A board-certified urologist has the foundational surgical training and anatomical knowledge necessary to perform these procedures safely.

Be cautious of providers who are not board-certified in urology or who come from unrelated specialties. The growing popularity of cosmetic genital procedures has attracted practitioners from outside the field who may lack the specific training needed to manage the unique anatomy, physiology, and potential complications involved.

2. How Many of These Specific Procedures Have You Performed?

Volume matters in procedural medicine. A physician who has performed hundreds or thousands of a specific procedure will have developed refined technique, better aesthetic judgment, and the ability to handle unexpected situations with confidence. Ask not just about general surgical experience but about the specific procedure you are considering.

For example, if you are considering the Himplant, ask how many Himplant procedures the surgeon has performed specifically. If you are interested in penile filler enhancement, ask about their experience with that particular technique. A provider who is forthcoming about their case volume — and who has a substantial track record — is likely a safer choice than one who is vague about their numbers.

At INTIMÉ Miami, Dr. David Robbins has performed over 5,000 procedures across the full spectrum of sexual medicine and cosmetic urology, providing the depth of experience that translates directly into superior patient outcomes.

3. What Is Your Complication Rate, and How Do You Handle Complications?

Every medical procedure carries some degree of risk, and a trustworthy physician will be transparent about potential complications. Ask about the provider's specific complication rate for the procedure you are considering, and pay close attention to how they respond. A physician who claims to have zero complications either has limited experience or is not being entirely forthcoming.

More importantly, ask how the practice handles complications when they do occur. Is the physician personally available for follow-up? Is there a clear protocol for managing adverse outcomes? Does the practice have the facilities and expertise to address complications in-house, or would you be referred elsewhere? A practice that takes complications seriously and has robust systems in place to manage them demonstrates a commitment to patient safety that should give you confidence.

4. What Does Your Follow-Up Care Look Like?

The quality of care you receive after your procedure is just as important as the procedure itself. Ask about the follow-up protocol: How many post-procedure appointments are included? How soon after the procedure will you be seen? What is the process for reaching the physician if you have concerns between scheduled visits?

Excellent follow-up care should include a structured schedule of post-procedure evaluations, direct access to the physician (not just a call center) for questions or concerns, clear written instructions for recovery and activity restrictions, and long-term availability for ongoing needs or adjustments.

At INTIMÉ Miami, we believe that the relationship between physician and patient extends well beyond the procedure room. Dr. Robbins provides direct access to patients throughout their recovery and offers comprehensive follow-up to ensure optimal outcomes.

5. Can I See Before-and-After Results from Your Patients?

Visual evidence of a physician's work is one of the most reliable ways to assess their skill and aesthetic judgment. Ask to see before-and-after photographs from actual patients who have undergone the specific procedure you are considering. Look for consistency in results, natural-looking outcomes, and cases that are similar to your own anatomy and goals.

Keep in mind that patient privacy is paramount in cosmetic genital procedures. A reputable practice will have photographs available from patients who have given explicit consent, but the library may be smaller than what you would see for facial or body procedures. The quality of the results shown is more important than the quantity of images available.

Patient testimonials and reviews can also provide valuable insight, though they should be considered alongside clinical evidence rather than as a substitute for it.

Additional Considerations

Beyond these five questions, pay attention to the overall experience of your consultation. Does the physician listen to your concerns without rushing? Do they explain the procedure, risks, and expected outcomes in clear language? Do they offer honest guidance about whether you are a good candidate, including telling you if a procedure is not right for you? A physician who prioritizes informed consent and patient education is one who has your best interests at heart.

Also consider the practice environment. Is the facility clean, modern, and properly equipped? Is the staff professional and discreet? Does the practice feel like a place where your privacy and dignity will be respected?

Schedule a Consultation at INTIMÉ Miami

If you are exploring cosmetic urology procedures and want to experience the standard of care that answers all five of these questions with confidence, we invite you to schedule a private consultation at INTIMÉ Miami. Dr. Robbins and our team are committed to providing the expertise, transparency, and personalized care that every patient deserves.