Urology

Concerns involving the urinary system or male reproductive health can be uncomfortable and sometimes difficult to discuss. Symptoms such as changes in urination, swelling or discomfort may affect both confidence and physical wellbeing.

Affidea’s urology service offers specialist care for a range of conditions, with a focus on identifying the cause of your concerns and providing clear, practical options for treatment.

Overview: What is urology?

Urology is the branch of medicine that manages conditions affecting the urinary tract. This includes the kidneys, bladder and urethra, as well as aspects of male reproductive health.

These systems help remove waste from the body and support normal function. When something isn’t working as expected, it may lead to pain, changes in urinary habits or swelling.

Urology covers a wide range of conditions, including:

• Kidney stones

• Urinary tract infections

• Urinary symptoms including urinary incontinence

• Prostate enlargement and prostatitis

• Erectile dysfunction

• Scrotal swellings Varicoceles (enlarged veins in the scrotum)

• Chronic pelvic pain including Interstitial cystitis (painful bladder syndrome)

• Cancers affecting the bladder, kidneys, prostate or testicles

Some conditions develop slowly over time, while others can arise unexpectedly. Seeing a specialist early can help pinpoint the cause and ensure timely treatment.

At Affidea, our urology service brings together clinical expertise with modern diagnostic tools and minor procedures, so care can be tailored to your individual situation.

What to expect during your urology appointment

Your appointment is shaped around your symptoms and how they’re affecting you. This can include discussing any changes in urination, discomfort, swelling or other concerns.

Your specialist may carry out a physical examination and recommend further investigations if needed. Further tests may include:

• Blood tests to check your overall health and look for signs of infection or other conditions

• Urine tests to assess how your urinary system is functioning

• Ultrasound scans to provide a clear view of your organs

• Cystoscopy, where a thin camera is used to examine the urinary tract

• Uroflowmetry testing, which measures how your urine flows

• Bladder biopsy, where a small tissue sample is taken for further analysis

Once your specialist has a clear picture, they will explain the findings and talk through the most suitable options.

Urology conditions and treatments

Our team of consultants diagnose and manage a wide range of urological conditions. Where possible, treatment focuses on minimally invasive approaches to reduce recovery time and support a more comfortable experience.

Bladder problems

This includes functional bladder concerns and congenital conditions present from birth. Symptoms may affect how often you pass urine or your level of control over your bladder.

Erectile dysfunction

This is difficulty achieving or maintaining an erection. Assessment can help identify the underlying cause and guide personalised treatment.

Urinary incontinence

Loss of bladder control can range from occasional leaks to more persistent symptoms. Treatment focuses on improving control and quality of life.

Foreskin conditions

This includes a tight foreskin or recurring infections. In some cases, treatment may involve circumcision to relieve symptoms and prevent further problems.

Male infertility

Urological causes of infertility may affect sperm production or transport. Investigation can help identify any contributing factors.

Urinary tract infections

Infections can affect the bladder, kidneys or urethra and may cause discomfort, pain or changes in urination. Recurrent infections may need further assessment.

Prostate disease

This includes enlargement and inflammation of the prostate gland. Symptoms may affect urinary flow or frequency.

Hydrocele

A hydrocele is a build-up of fluid around the testicle, which can cause swelling or discomfort. Treatment may be recommended if symptoms persist.

Kidney stones treatment

Kidney stones can cause significant pain and may affect urine flow. We provide access to assessment and treatment to help relieve symptoms and manage the condition. Treatment options may include medication or procedures to remove or break down the stone, depending on its size and location.

Vasectomy

A vasectomy is a minor procedure for permanent male contraception. It involves sealing or cutting the tubes that carry sperm.

The procedure is carried out under local anaesthetic, so you will be awake but comfortable. It is usually a walk-in, walk-out appointment, meaning you can go home the same day. 

The procedure itself typically takes around 15 minutes, and most men return to normal activities within a few days.

When to see a urologist

You may wish to see a urology specialist if you notice persistent, uncomfortable or concerning changes, such as:

• Altered urinary frequency or flow

• Pain or discomfort when passing urine

• A burning sensation when passing urine

• A frequent or urgent need to urinate

• Difficulty starting or maintaining urine flow

• Blood in your urine

• Urine leakage

• Pain in your lower back, pelvis or sides

• Swelling in the scrotum or testicular area

• A lump in the testicle

• Tightness or irritation of the foreskin

Early review can help identify the cause of your symptoms and provide reassurance or timely treatment.

If you’re unsure whether a urology appointment would be helpful, your GP can guide you. Our urology team is also available to offer confidential advice and support.