Independent Clinical Review Service (Second Opinion)

As a consultant urologist and andrologist, I’m often asked for an independent second opinion—to confirm a diagnosis, re-evaluate treatment that hasn’t delivered, or validate a surgical plan. My role is to provide a clear, evidence-based and impartial view while respecting existing clinical relationships. You’ll leave with a structured plan, not more uncertainty.

Section 1

id: diagnostic-uncertainty
title: Diagnostic Uncertainty
summary: Clarity when results or opinions don’t align.
body (richText):

• • I review your history, lab results, imaging and prior reports in full, with attention to what might change the diagnosis or management.
• • Where appropriate, I recommend targeted tests (e.g., penile Doppler, uroflow/PVR, urodynamics, repeat PSA with free/total, scrotal ultrasound, CT urogram, STI screens, hormones, semen analysis, DNA fragmentation).
• • You’ll receive a written, plain-English conclusion with the working diagnosis and next steps.

bullets:

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

contextualLinks:

• • Penile Doppler Ultrasound → /need/test/penile-doppler-detail#overview
• • Urodynamics → /need/tests#urodynamics
• • PSA Test—Details & Interpretation → /need/test/psa-test-detail

Section 2

id: treatment-concerns
title: Treatment Concerns
summary: When therapy hasn’t worked—or you want to compare options.
body (richText):
I assess the appropriateness, sequencing and duration of prior treatments and explain evidence-based alternatives—medical, behavioural and procedural. The goal is to maximise benefit while minimising side-effects.

scenarios (bulleted):

• • ED still unresolved after PDE5 inhibitors or Li-ESWT → consider ICI, VED, combination therapy, psychosexual strategies; implant when indicated.
• • Persistent LUTS/BPH despite medication → evaluate candidacy for UroLift, Rezūm, Aquablation, TURP/HoLEP based on prostate size, anatomy and goals.
• • Peyronie’s disease plateaued on conservative measures → discuss traction/Xiapex® suitability vs surgical correction.
• • Male fertility pathway stalling → targeted work-up, varicocele repair candidacy, sperm retrieval strategies.

bullets:

• • Failed therapeutic interventions
• • Alternative treatment exploration
• • Risk–benefit reassessment

contextualLinks:

• • Erectile Dysfunction Guide → /erectile-dysfunction-guide#treatment
• • LUTS & BPH → /luts-bph#treatment-pathway
• • Peyronie’s Disease → /peyronies-disease-guide#treatment
• • Male Fertility Hub → /need/fertility#assessment

Section 3

id: pre-surgical-validation
title: Pre-Surgical Validation
summary: Confirming necessity, approach and timing before you commit.
body (richText):
I validate the indication for surgery, consider less invasive alternatives, and review the technical plan (approach, device/energy selection, preservation priorities such as ejaculation or curvature correction strategy). We’ll discuss recovery timelines, expected outcomes and how these align with your goals.

bullets:

• • Surgical necessity confirmation
• • Alternative option discussion
• • Technical approach review

contextualLinks:

• • Aquablation vs TURP—who is best suited? → /luts-bph#aquablation-detail
• • Penile straightening—grafting vs plication vs implant → /peyronies-disease-guide#surgery
• • Varicocele repair & fertility outcomes → /varicocele#treatment-options

Section 4

id: how-it-works
title: How the Independent Review Works
steps (ordered):

1. 1. Secure record sharing — upload clinic letters, lab reports, imaging (DICOM if possible) and a brief history via our encrypted portal.
2. 1. Clinical review — I synthesise your case and outline key uncertainties, missing data and decision-points.
3. 1. Consultation (virtual or in person) — we discuss findings, options and preferences.
4. 1. Written opinion — you receive a structured report you can share with your treating team.
5. 1. Follow-up plan — optional coordination with your GP/surgeon, or arrangement of any additional tests.

notes: No GP referral is required for private second opinions. International patients welcome.

Section 5

id: what-to-send
title: What to Send Before Your Review
checklist (bulleted):

• • Most recent clinic letters and discharge summaries
• • Laboratory tests (PSA/hormones/STI/seminal analysis as relevant)
• • Imaging (ultrasound, MRI, CT, penile Doppler) — DICOM + radiology report if available
• • Treatment history (drug names, doses, durations) and responses/side-effects
• • Any photos or diagrams (e.g., curvature pattern for Peyronie’s)
• • Your questions and goals for the review

privacyNote: Your data are handled in line with GDPR. The upload portal is encrypted; do not email unencrypted medical files.

Section 6

id: collaborative-ethos
title: Respectful, Collaborative, Non-Judgemental
body (richText):
This service complements your existing care. I’m explicit about my respect for colleagues’ work and I’m happy to liaise with your GP or surgeon (with your consent) to ensure continuity. My aim is clarity, safety and shared decision-making.

Section 7

id: who-this-helps
title: Who This Helps Most
pillars (bulleted):

• • Complex/lonstanding symptoms with mixed opinions
• • Borderline surgical decisions where impact on ejaculation/erection/fertility matters
• • Failed prior therapy needing a reset and roadmap
• • Time-sensitive professional or fertility goals requiring pragmatic planning

Section 8 (FAQ)

id: faqs
title: Common Questions
items:

1. 1. Will my current doctor be offended?
      I approach second opinions collaboratively. Most clinicians welcome a fresh pair of eyes when it benefits their patient.
2. 1. Do I need a referral?
      Not for private care. A GP referral is helpful but not mandatory.
3. 1. Can this be done remotely?
      Yes. Remote reviews work well if records and imaging are complete. In-person is best when examination or on-site tests are needed.
4. 1. What if you disagree with the first opinion?
      I explain why, reference the evidence, and suggest a practical plan. You choose how to proceed.
5. 1. How quickly can I be seen?
      Usually promptly. If investigations are required first, we’ll sequence these to minimise delay.
6. 1. Will you organise additional tests?
      If useful, yes—flow/PVR, urodynamics, penile Doppler, semen analysis, STI screen, PSA, or imaging—at Chelsea/Highgate/Saxon or trusted partners.
7. 1. Can you provide a written report?
      Always. You’ll receive a clear, structured opinion to share with your care team.
8. 1. Are international patients accepted?
      Yes. We regularly assist overseas patients via secure telemedicine and coordinated testing.

Section 9 (Pricing & Admin — optional)

id: fees-and-admin
title: Fees & Administration
body (richText):
Transparent fees are provided before booking. I’m recognised by major insurers where second opinions are covered; self-funded options are available. Payments and paperwork are handled securely via Carebit.

Section 10 (Next Steps / CTA Block)

id: next-steps
title: Ready to Gain Clarity?
body (richText):
Book a second-opinion consultation or send your records securely. My team will confirm the most appropriate appointment (virtual or in-person) and any preparatory tests.