Erectile Dysfunction
What is Erectile Dysfunction?
Erectile dysfunction refers to when a man has difficulty getting or keeping an erection firm enough for sexual activity. It is a common condition, affecting around one in ten men, and becomes more likely with age. Around one in three men over 40 and nearly half of men over 70 experience erectile problems.
Erectile issues can sometimes cause stress, anxiety, or relationship concerns. However, they are usually very treatable, and seeking specialist advice is a positive step towards restoring sexual confidence and well-being.
Symptoms & Causes of Erectile Problems
Erectile dysfunction can be due to a variety of medical, lifestyle or psychological factors, including:
- Smoking
- Age-related circulation changes
- Diabetes
- Peyronie’s disease
- Medications
- Pelvic surgery
- Psychological factors, such as stress or anxiety
- Hormonal or nerve problems (rare)
Often, erectile dysfunction is linked to an underlying health issue, making assessment important for both sexual health and overall wellbeing.
Assessment & Diagnosis of Erectile Problems
Assessment of erectile dysfunction is usually straightforward and can often be carried out in an outpatient setting. Your consultant will begin with a detailed medical history and discussion of symptoms, followed by a physical examination.
Basic investigations such as blood and urine tests may be performed to identify contributing factors like diabetes, cardiovascular conditions, or hormonal imbalances. In some cases, further tests may be recommended to assess blood flow or nerve function.
Treatments for Erectile Problems
Treatment depends on the underlying cause and is tailored to each individual. Where possible, reversible causes are addressed first through lifestyle changes such as improving diet, increasing physical activity, stopping smoking, or managing psychological factors.
Medical treatment options include:
- Oral medications – tablets that improve blood flow to the penis
- Injection therapies – medication injected directly into the penis
- Vacuum devices – mechanical pumps that help create and maintain an erection
- Surgical options – in rare cases, procedures such as penile implants may be considered
With the right approach, most men experience significant improvement.
Scrotal Swelling & Scrotal Conditions
What is Scrotal Swelling?
Scrotal swelling refers to an enlargement of the scrotum, which may affect one or both sides. It can develop gradually or appear suddenly, depending on the cause. Many men experience scrotal pain or swelling at some point in their lives, and most swellings are benign (non-cancerous), although they can understandably cause concern.
Causes of Scrotal Swelling
There are several common causes of swollen testicles or scrotal lumps, including:
- Hydrocele – a build-up of fluid around the testis
- Varicocele – enlarged veins in the scrotum, often feeling soft or lumpy
- Epididymal cysts – fluid-filled sacs within the epididymis
- Infection or inflammation – such as epididymal-orchitis
- Hernia – when part of the intestine pushes into the scrotum
- Testicular cancer – rare, but important to rule out
Any new lump or swelling should always be assessed by a specialist.
Assessment & Diagnosis of Scrotal Swelling
Assessment of scrotal swelling is usually simple and reassuring. It typically involves a physical examination followed by a scrotal ultrasound scan. These non-invasive tests allow for an accurate diagnosis in most cases.
Additional tests, such as blood or urine analysis, may be recommended if infection or inflammation is suspected.
Treatment for Scrotal Swelling
Treatment depends on the underlying cause of the swelling.
- Infections are usually treated with antibiotics
- Fluid build-ups or cysts may require minor surgical procedures if symptomatic
- Most procedures for benign scrotal conditions are performed as day cases
Your consultant will discuss the most appropriate treatment plan based on your diagnosis, symptoms, and overall health.
FAQs About Male Sexual Health Issues
Do I need a referral from my GP?
No referral is required. As a private urology clinic, you can book directly with us, allowing fast and discreet access to specialist care.
Are urological examinations uncomfortable?
Urological examinations are not typically painful, although some may cause mild discomfort. We understand these assessments can feel personal, and our consultants always aim to put patients at ease.
Can I discuss sensitive issues safely and privately?
Yes. All consultations are completely confidential. Our team discusses sensitive male sexual health concerns with professionalism, discretion, and empathy.
When should I see a doctor for scrotal swelling?
You should seek medical assessment if swelling is painful, appears suddenly, or is associated with redness, fever, or nausea.
Can scrotal conditions affect fertility?
Some scrotal conditions, such as infections or varicocele, can affect fertility depending on severity and duration. Treating the underlying issue often helps restore normal testicular function.
What other urology treatments do you offer?
We offer a wide range of private urology services, including fertility and family planning, vasectomy procedures, enlarged prostate treatment, and management of other common urological conditions.
