Conditions (Men)

Penile curvature

A slight bend or curvature in the erect penis is common and normal. When there is a significant curvature or sharp bend in the erect penis, it may become a cause of concern. It can be painful and cause difficulty with sexual intercourse, and may also be associated with erectile dysfunction.

Peyronie’s disease is a condition where fibrous scar tissue, called plaque, forms under the skin of the penis and causes curved and painful erections. It develops over time and occurs in two stages, acute and chronic. In the acute phase, the plaque begins to form under the skin of the penis and lasts between 6-12 months. In the chronic phase, the plaque has stabilised and stopped growing, so the curvature does not get worse. However, other problems, such as erectile dysfunction may develop.

Penile curvature may also be congenital (from birth). Congenital curvature is not caused by scar tissue and does not change over time.

At URODOC, our team is experienced in the management of the different causes of penile curvature. We offer a range of treatment options, including medical therapy, non-invasive shockwave therapy and surgery, such as penile straightening.

Phimosis & foreskin problems

Foreskin problems are relatively common in uncircumcised men.

One of the most common foreskin problems is phimosis, a condition where the foreskin is too tight to be retracted over the head of the penis (glans). Phimosis can occur for several reasons, including trauma, infection and inflammation.

At URODOC, our team is highly experienced in the medical and surgical management of foreskin problems, including circumcision.

Erectile dysfunction

Erectile dysfunction (ED) is the inability to achieve or maintain a strong enough erection for penetration or sexual activity. It is the most common sex problem that men report to their doctor. While it is not rare for a man to have some problems with erections occasionally, ED that is progressive or happens routinely with sex is not normal, and should be treated.

ED can occur for many reasons, and may also be a sign of an underlying health condition or risk factor for heart disease. There are a number of treatment options available for ED, and sometimes treating an underlying condition is enough to reverse it. In other cases, direct treatments or medical therapy might be needed.

At URODOC, our team is highly experienced in the management of erectile dysfunction. We offer a range of treatment options, including medication, injection therapies and surgery, such as penile prosthesis. Newer non-invasive treatments, such as shockwave therapy, are also available.

Low testosterone

Low testosterone, also known as hypogonadism or testosterone deficiency syndrome, is a condition in which the body does not produce enough testosterone. Testosterone is the male sex hormone primarily made in the testes and plays an important role in bodily function.

Low testosterone has many symptoms that can affect your quality of life. In adult males, it can cause low energy, fatigue, depression, low libido, erectile dysfunction, loss of muscle and weight gain.

Sometimes, the cause of low testosterone can be corrected. In other instances, testosterone needs to be replaced with testosterone supplements.

At URODOC, our team is experienced in investigating the causes of low testosterone and managing testosterone supplementation when necessary.

Male infertility

When a couple experiences difficulty conceiving, both partners should be assessed for low fertility. Male factors are responsible in about 40% of infertile couples and include low sperm count, poor sperm quality, varicocele, ejaculatory disorders or hormonal imbalance. Depending on the causes of infertility, different treatment options are available. There is also the option of sperm retrieval for use in assisted reproductive techniques.

At URODOC, our team is experienced in the assessment and management of male infertility. We utilise a range of investigations, including semen analysis, blood tests, ultrasound imaging and genetic analysis, to evaluate each individual’s condition.

Varicocele

A varicocele is a collection of enlarged veins in the scrotum, similar to the varicose veins you can get in your leg. Often this can be felt as a mass in the scrotum. Varicoceles are relatively common and are seen in about 15 out of 100 men. Most of the time, they cause no problems and are harmless.

Varicocele tend to grow larger over time. Sometimes, they can cause pain and heaviness in the scrotum, which worsens over the course of the day. Varicocele is also a common cause of decreased sperm quality and production, which can cause male infertility. If a varicocele causes symptoms, it often can be repaired surgically.

At URODOC, our team is experienced in the assessment and management of varicoceles. Investigations include a physical examination and ultrasound. When required, we offer microsurgical varicocele repair, carried out with the use of an operating microscope.

Scrotal masses and swelling

Swelling and masses in the scrotum are common, and can be caused by a number of conditions, including:

• Hydrocele
Varicocele
Inguinal hernia
• Epididymal cyst
• Scrotal infections (epididymitis and orchitis)
Testicular cancer

While most scrotal masses are not serious or dangerous, it is important to see a doctor to investigate any new or growing scrotal masses, as well as swelling.

At URODOC, our team are experts in the investigation and management of scrotal problems. We perform surgeries to correct and treat scrotal masses, such as hydrocele, varicocele and hernia repair.

Testicular cancer

Testicular cancer is an uncommon but serious condition, and it requires urgent assessment and treatment. It most often presents as a painless lump or swelling on either testicle. With early detection and diagnosis, testicular cancer is highly treatable and can be completely cured.

Surgery is the main treatment for testicular cancer and most often involves an orchidectomy.

At URODOC, our team is experienced in management and treatment of testicular cancers. We can arrange urgent appointments with a urologist for men suspected of having testicular cancer.

Inguinal hernia

A hernia occurs when tissue, such as a part of the intestines, protrudes through a weakness in the muscle wall. An inguinal hernia is the most common type of hernia, located in the groin area.

While an inguinal hernia is usually not dangerous, it does not improve on its own. As a hernia enlarges with time, its contents may become trapped and can lead to hernia strangulation and life-threatening complications.

Inguinal hernia repair is a common surgical procedure with very few risks. At URODOC, we offer minimally invasive hernia repair, and our team is experienced in the management and treatment of inguinal hernias.

Urethral stricture

Urethral stricture is a narrowing of the urethra, the tube that carries urine out from the bladder. The narrowing is caused by scar tissue in the urethra. A stricture restricts urinary flow and can cause urinary tract problems, such as inflammation and infection.

Signs and symptoms of urethral stricture can include slow urine stream, straining to urinate, pain during urination and ejaculation, and urinary tract infection.

At URODOC, our team is experienced in the investigation and management of urethral strictures. We offer on site investigations, including urine flow studies and flexible cystoscopy, and treatment options, such as urethral dilatation.