20 Questions to Ask a Private Urologist in London
Erectile dysfunction, testosterone, prostate health, urinary symptoms, semen analysis and male fertility. Understand your symptoms, your testing options and when specialist assessment may help.
73 Baker Street, London W1U 6RD
Understanding Your Urological Health
A urologist specialises in conditions affecting the urinary tract and male reproductive system. You may need advice about erection problems, low testosterone, prostate concerns, urinary symptoms, penile conditions or difficulties conceiving.
At Marylebone Diagnostic Centre (MDC), we provide relevant diagnostic investigations and help patients enquire about private urology and andrology assessments. The right next step depends on your symptoms and medical history.
Erectile Dysfunction: Understanding the Assessment
Erectile dysfunction can have vascular, hormonal, neurological, medication-related or psychological contributing factors. An assessment helps determine which investigations and treatments may be appropriate.
Explore the MDC Erectile Dysfunction Blood Profile or learn about Focused Shockwave Therapy for ED .
Private Urology: Questions 1–4
1. What does a urologist do?
A urologist diagnoses and manages conditions affecting the kidneys, bladder, urinary tract and male reproductive organs. These include prostate problems, urinary symptoms, erectile dysfunction, penile conditions and some causes of male infertility.
Explore MDC Urology & Andrology .
2. When should I see a private urologist?
Consider specialist advice for persistent erectile problems, troublesome urinary symptoms, recurrent urinary infections, fertility difficulties, penile curvature or testicular concerns.
Sudden severe testicular pain or inability to pass urine requires urgent medical attention.
3. What happens at my first urology appointment?
The specialist usually discusses your symptoms, medical history, medication and previous investigations. An examination or selected blood, urine or semen tests may be recommended.
The consultation helps establish a suitable investigation and management plan.
4. Do I need a GP referral to see a private urologist?
Many self-paying patients can arrange private appointments without a GP referral. However, individual consultants and insurance providers may have different requirements.
Contact MDC to confirm the booking arrangements.
Erectile Dysfunction & Testosterone: Questions 5–9
5. Can a urologist help with erectile dysfunction?
Yes. A urologist can investigate possible causes of erectile dysfunction and discuss appropriate treatment options.
Because ED may be associated with cardiovascular risk factors, assessment may include wider health investigations.
6. What blood tests are useful for erectile dysfunction?
Depending on your history, tests may include morning testosterone, HbA1c or glucose and cholesterol testing. Additional hormonal tests such as prolactin, LH, FSH and SHBG may be appropriate in selected cases.
View MDC ED Blood Testing .
7. Can low testosterone cause erectile dysfunction?
Testosterone deficiency can contribute to reduced sexual desire and erectile difficulties, but it is not the only possible cause.
Diagnosis generally requires compatible symptoms and appropriately timed, repeated testosterone measurements interpreted by a clinician.
8. What if Viagra or other ED tablets are not working?
A specialist can review how the medication is used, assess underlying conditions and discuss other treatment approaches.
These may include alternative medication strategies, vacuum devices, injections or other specialist treatments where appropriate.
9. Does shockwave therapy work for erectile dysfunction?
Low-intensity shockwave therapy has been investigated for selected men with erectile dysfunction, particularly where vascular factors are involved.
Evidence and professional recommendations vary. Improvement is not guaranteed, and treatment suitability requires proper assessment.
Learn about Focused Shockwave Therapy at MDC .
Prostate & Urinary Health: Questions 10–14
10. What symptoms might indicate a prostate problem?
Symptoms can include difficulty starting urination, a weak stream, frequent urination, waking at night or feeling that the bladder has not emptied.
These symptoms have several possible causes and do not necessarily indicate cancer.
11. What is a PSA blood test?
PSA stands for prostate-specific antigen. It is a protein produced by prostate tissue and measured in the blood.
PSA can contribute to prostate assessment, but it is not a definitive cancer test.
Explore the MDC Prostate Profile .
12. What does a high PSA result mean?
PSA may be raised because of benign prostate enlargement, inflammation or prostate cancer.
Your clinician considers age, symptoms, previous results and other findings when deciding whether further investigation or repeat testing is needed.
A normal PSA does not completely exclude prostate cancer.
13. Can a urine test detect a urinary infection?
Urine testing, including urine culture where appropriate, can help investigate a suspected urinary tract infection.
Symptoms may also require assessment for other causes, including STIs.
14. When is a cystoscopy or prostate assessment needed?
A specialist may recommend further assessment for persistent urinary symptoms, recurrent infections or unexplained blood in the urine.
Cystoscopy allows examination of the bladder and urethra. Whether it is necessary depends on clinical findings.
Male Fertility: What Does Semen Analysis Measure?
Semen analysis is commonly an important first investigation when assessing male fertility. It evaluates several sperm and semen parameters.
The number of sperm present per millilitre of semen.
How sperm move, including progressive movement.
The proportion of sperm with normal shape.
Results are interpreted together with the full semen report and clinical circumstances. One result alone does not establish fertility or infertility.
Learn about MDC Male Fertility Testing and the Comprehensive Fertility Profile .
Male Fertility & Penile Health: Questions 15–18
15. Can a urologist investigate male infertility?
Yes. Investigations may include medical history, physical examination, semen analysis and selected hormonal or genetic tests.
MDC offers male fertility investigations and can help patients enquire about appropriate specialist assessment.
16. What is the difference between semen analysis and sperm DNA fragmentation?
Semen analysis measures parameters including sperm concentration, movement and shape.
Sperm DNA fragmentation testing assesses damage to genetic material within sperm. It is not routinely required for every patient, and its clinical usefulness depends on individual circumstances.
17. Can a urologist treat Peyronie’s disease?
A specialist can assess penile curvature, pain and erectile function and discuss appropriate management.
Options depend on the stage and severity of the condition and may include observation, selected non-surgical treatments or surgery.
18. What treatments are available for a tight foreskin?
Treatment depends on the cause and severity. Options may include topical medication in selected cases or procedures such as preputioplasty, frenuloplasty or circumcision.
A specialist should assess for scarring or underlying skin conditions.
Appointments & Costs: Questions 19–20
19. How much does a private urologist cost in London?
Consultation fees vary depending on the specialist, appointment type and location. Tests and procedures may have separate charges.
Contact MDC to confirm current fees, what is included and the consultation location before booking.
20. Where can I arrange private urology tests and specialist assessment in London?
Marylebone Diagnostic Centre is located at 73 Baker Street, London W1U 6RD.
MDC offers relevant diagnostic testing and can help patients enquire about specialist urology and andrology appointments. The exact specialist consultation or procedure location should be confirmed when booking.
Sudden severe testicular pain, inability to pass urine, heavy bleeding or significant illness with urinary symptoms requires urgent medical assessment. Do not wait for a routine private appointment. Visible blood in urine also requires prompt medical review.
Relevant MDC Urology, ED & Fertility Services
Explore diagnostic investigations and specialist pathways relevant to your concern.
Take the Next Step with Marylebone Diagnostic Centre
Whether you are concerned about erectile dysfunction, testosterone levels, prostate health or fertility, MDC can help you explore appropriate testing and specialist assessment.
Marylebone Diagnostic Centre
73 Baker Street, London W1U 6RD
020 7724 0540
Clinical Information & References
- NHS – Erectile Dysfunction
- NHS – Infertility Diagnosis
- NHS – PSA Testing
- European Association of Urology – Sexual and Reproductive Health
Clinical review: This information is educational and does not replace individual medical assessment. Test availability, consultation arrangements and treatment suitability should be confirmed before booking.
