+44 (0)20 7486 3830
Urology Harley Street
Men's Health
Mens HealthUrological advice is offered on men’s health issues, prostate and bladder function (including urological cancer screening), sexual function (including erectile dysfunction, loss of libido), changing quality of life with age, and the contribution of lifestyle and diet.
Many men wish to assure better health through attention to lifestyle, exercise and diet, particularly when significant medical concerns have been excluded. It is not well recognized, but these factors play a significant role in urological health. Often, advice on these matters can avert the need for medications and even surgery. Furthermore, appropriate nutritional and vitamin supplements can be beneficial.
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Quality of Life
- Men (and their families) sometimes become very concerned about the possibility of prostate cancer. Screening is promoted through the media and can be requested through a General Practitioner, but it is not offered formally through the NHS refer urological cancer screening. As a result, many men are uncertain about the risks and benefits of screening, and how this might apply to individual circumstances. The wrong decision can lead to a great deal of avoidable anxiety, and even medical interventions before the implications are fully understood.
Problems and difficulties passing water can adversely (and unnecessarily) affect men’s quality of life as they get older, and they may also affect their partners. Refer Inability to pass urine & IPSS Questionnaire. It is usually straightforward to rule out serious disease and complications. Then advice can be offered to improve both symptoms and life quality.
Quality of life in men can also be adversely affected by other more general symptoms that initially may not raise undue concern but can become detrimental in the longer term. Such symptoms include erectile dysfunction and loss of libido leading to relationship difficulties, loss of vigour, drive, and mood changes affecting work performance and quality of life, as well as other physical symptoms that include sweating, aches and pains, dry skin and difficulty sleeping. Often such symptoms are attributed to work stress, relationship difficulties, travel etc. However, they can also be due to declining testosterone levels, so called testosterone-deficiency syndrome. Refer symptom assessment questionnaire - AMS. The various symptoms relate to different degrees of deficiency, and so some symptoms may be more troublesome than others while others are absent. Regardless, many of these symptoms when due to testosterone deficiency respond well to testosterone treatment. Untreated, longer term testosterone deficiency may increase the risk of osteoporosis, cardiovascular and neurological disease. Before treatment can be recommended, general medical and urological conditions must be fully assessed, potential contraindications ruled out, and subsequently while on treatment monitoring will be necessary.
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Erectile Dysfunction
- Erection problems (erectile dysfunction) become more common with advancing age. Sometimes this is an indication of other undiagnosed diseases, which need to be investigated. Underlying conditions associated with erectile dysfunction include cardiovascular disease, diabetes and metabolic syndrome, prostate disease, and endocrine abnormalities including thyroid disease and testosterone deficiency.
Erectile dysfunction can also be caused by various medications. A variety of urological medications are available for the treatment of erectile dysfunction to suit individual needs. -
Normal Aging
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The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.