Sexual Health
Expert care for men’s sexual health — erectile dysfunction, Peyronie’s disease and low testosterone — plus vasectomy and adult circumcision.
A personalised approach
Sexual health is an important part of overall wellbeing and quality of life, yet many men feel hesitant to seek help. These concerns are very common, they are medical conditions like any other, and most are treatable. Our role is to assess what’s going on, explain it clearly, and work with you on a personalised plan.
Sexual difficulties affect men of all ages and backgrounds, and talking to a specialist is the first step towards effective treatment. Assessment is straightforward and respectful, and everything discussed is kept confidential.
Conditions we treat
Erectile dysfunction (ED)
ED is difficulty getting or maintaining an erection firm enough for satisfactory sex. It becomes more common with age but is not an inevitable part of ageing.
ED often has a physical basis — such as reduced blood flow, hormonal changes, diabetes or the effects of some medications or surgery — and psychological factors can also contribute. Importantly, ED can sometimes be an early warning sign of cardiovascular or other health conditions, so assessment is worthwhile beyond the symptom itself.
A stepped approach is common: lifestyle measures (exercise, weight, stopping smoking, managing alcohol), oral medications, vacuum devices, injections, and — where other options haven’t worked — a penile implant (prosthesis), a reliable surgical solution.
Peyronie’s disease
Peyronie’s disease involves the development of scar tissue (plaque) inside the penis, which can cause curvature, pain or difficulty with intercourse.
It is thought to follow minor injury and an individual healing response, though it often develops without a clear trigger.
Depending on severity and how long it has been present, options range from monitoring and non-surgical treatments through to surgery to correct significant curvature.
Premature ejaculation
Ejaculation that happens sooner than a man or his partner would like, causing distress. It is one of the most common sexual concerns.
Behavioural techniques, certain medications, and addressing any contributing factors can all help.
Low testosterone (hypogonadism)
Low levels of the male hormone testosterone, which can affect libido, energy, mood and erections.
Reduced sex drive, fatigue, low mood, and changes in erectile function.
Diagnosis is confirmed with blood tests. Where appropriate, testosterone therapy may be considered, with careful assessment and monitoring, often alongside attention to general health and any underlying causes.
Procedures we perform
Alongside treating sexual health conditions, we offer two of the most common procedures in men’s urology.
Vasectomy
A vasectomy is a safe, highly effective and permanent form of male contraception. It works by interrupting the tubes (the vas deferens) that carry sperm, so that sperm is no longer present in the ejaculate. It does not affect testosterone, erections, sensation or the experience of ejaculation.
It is a minor procedure that we perform under general anaesthetic, and typically takes around 20–30 minutes. Most men return to light activities within a couple of days, avoiding heavy lifting and vigorous exercise for about a week.
A vasectomy is not effective immediately — it takes time and a number of ejaculations to clear remaining sperm. A follow-up semen test confirms when contraception can be relied upon. While reversal is sometimes possible, a vasectomy should be considered permanent, so it suits men who are confident their family is complete.
Circumcision (adults)
Circumcision is the surgical removal of the foreskin, the retractable skin covering the head of the penis. In adult men it is most often performed for medical reasons.
A tight foreskin that won’t retract (phimosis), recurrent inflammation or infection of the foreskin and head of the penis (balanitis), recurrent tearing, or persistent discomfort.
Adult circumcision is a day procedure, performed under general anaesthetic. Full healing usually takes a few weeks, with specific aftercare advice provided and activity (including sexual activity) resumed once healing is complete.
In some cases of phimosis, non-surgical measures or more limited procedures may be appropriate, and your urologist will discuss the most suitable option for you.
Why see a urologist?
Beyond improving sexual function and confidence, assessing these symptoms can uncover treatable general-health issues — such as cardiovascular risk factors, diabetes or hormonal imbalances — that benefit from early attention. A specialist can sort out the cause and recommend the most suitable, evidence-based treatment for you.
This page provides general information only and is not a substitute for personalised medical advice. Please consult a urologist about your individual circumstances.