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As a consultant urologist and andrologist, I often meet patients whose investigations or diagnoses have left them unsure of the next step. When this happens, my role is to bring structure and clarity.

I review your symptoms, medical history, examination findings (if available), previous clinic letters, blood tests, imaging, and procedural reports. The goal is to understand what was done, why it was done, and whether anything meaningful has been missed or misinterpreted.

Where needed, I recommend a limited set of targeted investigations—carefully chosen for diagnostic value rather than volume. These help close gaps, confirm suspicions, or challenge assumptions.

You will receive a plain-English written conclusion that explains:

    • the most likely diagnosis
    • any reasonable alternatives
    • what is certain vs what remains uncertain
    • recommended next steps

Everything is structured, evidence-based, and immediately actionable.

    • Previous diagnosis clarification
    • Alternative diagnostic considerations
    • Comprehensive case review

treatment-concerns

When therapy hasn’t worked—or you want to compare options.

Many patients come to me because a treatment pathway hasn’t delivered the results they hoped for. Sometimes the right treatment was attempted under the wrong conditions; sometimes the root cause was never fully addressed. And sometimes, the available options simply weren’t explained clearly.

I analyse the appropriateness, timing, sequencing and duration of everything you’ve had so far—medications, injections, physical therapies, devices, psychosexual strategies, or procedures. This allows us to separate what genuinely didn’t work from what may have been incomplete or misaligned with your actual condition.

We then explore evidence-based alternatives, matched to your specific goals: symptom relief, functional outcomes, sexual function, fertility, or quality of life.

This process restores direction and confidence, providing a realistic, sustainable therapeutic plan.

consider ICI, vacuum devices, combination therapies, psychosexual strategies; penile implants when appropriate.

assess suitability for UroLift, Rezūm, Aquablation, TURP, or HoLEP based on prostate size/anatomy.

traction therapy, Xiapex®, or surgical straightening depending on stability and curvature pattern.

targeted hormonal review, varicocele assessment, sperm retrieval strategies.