Urology Services at Nottingham Road Clinic provide specialist assessment and management of conditions affecting the urinary tract and male reproductive system. Urological conditions are common and can affect bladder function, kidney health, prostate health, sexual function and overall quality of life. Symptoms may be embarrassing, sensitive or disruptive, leading some patients to delay seeking assessment despite significant clinical impact.
Urological problems may arise from infection, obstruction, inflammation, benign enlargement, malignancy, neurological disease or age-related change. Early and accurate assessment is important, as some conditions are readily treatable when identified promptly, while others require long-term monitoring or coordinated specialist care.
The service is consultant-led, with expertise spanning both functional and structural urological disorders. Care is delivered within a structured clinical framework that prioritises accurate diagnosis, evidence-based management and clear communication with patients and referrers. Assessment is tailored to symptom pattern, risk factors and clinical context, with access to imaging, laboratory diagnostics and onward referral where indicated.
Urology Services work within a multidisciplinary environment, recognising the interaction between urological health, general medical conditions, mental wellbeing and functional outcomes. Where appropriate, care interfaces with NHS pathways to support continuity and escalation of treatment.
Urology Services at Nottingham Road Clinic provide specialist assessment and management of conditions affecting the urinary tract and male reproductive system. Urological conditions are common and can affect bladder function, kidney health, prostate health, sexual function and overall quality of life. Symptoms may be embarrassing, sensitive or disruptive, leading some patients to delay seeking assessment despite significant clinical impact.
Urological problems may arise from infection, obstruction, inflammation, benign enlargement, malignancy, neurological disease or age-related change. Early and accurate assessment is important, as some conditions are readily treatable when identified promptly, while others require long-term monitoring or coordinated specialist care.
The service is consultant-led, with expertise spanning both functional and structural urological disorders. Care is delivered within a structured clinical framework that prioritises accurate diagnosis, evidence-based management and clear communication with patients and referrers. Assessment is tailored to symptom pattern, risk factors and clinical context, with access to imaging, laboratory diagnostics and onward referral where indicated.
Urology Services work within a multidisciplinary environment, recognising the interaction between urological health, general medical conditions, mental wellbeing and functional outcomes. Where appropriate, care interfaces with NHS pathways to support continuity and escalation of treatment.
Urology Services are suitable for adults presenting with urinary, prostate, kidney or male genital concerns that require specialist assessment beyond primary care.
Typical presentations include lower urinary tract symptoms such as frequency, urgency, nocturia, hesitancy or poor urinary stream, recurrent urinary tract infections, visible or non-visible haematuria, flank pain or testicular discomfort. Men may present with concerns relating to prostate health, erectile dysfunction, ejaculatory symptoms or fertility assessment. Patients may also be referred for abnormal imaging findings or blood test results, including raised prostate-specific antigen levels.
Specialist input is often required where symptoms are persistent, progressive or associated with red-flag features, or where initial management in primary care has not led to adequate improvement. Urological assessment is also appropriate when diagnosis is uncertain, risk stratification is required or further investigation is needed to exclude serious pathology.
The service supports both self-pay and insured patients. Referrers include GPs and other specialists seeking diagnostic clarification, treatment planning or shared care arrangements.
Urology Services manage a broad range of urological conditions, recognising that symptoms may overlap between benign and more serious causes.
Lower urinary tract symptoms and bladder disorders
Patients may experience frequency, urgency, nocturia, incontinence, hesitancy or incomplete emptying. Causes include benign prostatic enlargement, bladder dysfunction, overactive bladder and neurological influences.
Prostate conditions
This includes benign prostatic hyperplasia, prostatitis and assessment of prostate cancer risk. Symptoms may involve urinary obstruction, pelvic discomfort or abnormal PSA results, requiring careful evaluation and monitoring.
Urinary tract infections and haematuria
Recurrent or complex urinary tract infections, visible or non-visible haematuria and associated urinary symptoms require structured investigation to exclude underlying pathology.
Kidney and ureteric conditions
Flank pain, renal colic, kidney stones and incidental imaging findings affecting the kidneys or ureters are assessed, with attention to renal function and risk factors.
Male sexual and reproductive health
Erectile dysfunction, ejaculatory disorders, testicular pain or swelling and fertility-related concerns may be evaluated, recognising the physical and psychological impact of these conditions.
Red-flag features
Symptoms such as visible haematuria, unexplained weight loss, persistent pain, urinary retention or rapidly worsening urinary symptoms are prioritised for timely investigation and onward referral where appropriate.
Assessment begins with comprehensive history taking, focusing on symptom onset, duration, severity and progression. Urinary patterns, pain characteristics, sexual function and impact on daily activities are explored, alongside relevant medical history, medication use and family history.
Physical examination may include abdominal, genital and prostate assessment where clinically appropriate, conducted sensitively and in accordance with patient preference and clinical guidance.
Diagnostic pathways are aligned with national standards. Investigations may include urine analysis, blood tests such as renal function and PSA, and imaging including ultrasound, CT or MRI when indicated. Further tests are requested selectively based on symptom profile and risk assessment, avoiding unnecessary investigation.
Diagnostic reasoning integrates clinical findings with investigation results to support accurate diagnosis, risk stratification and appropriate management planning.
Management is individualised and evidence based, reflecting diagnosis, symptom severity, patient priorities and overall health status.
Conservative and medical management
Many urological conditions are managed initially with lifestyle measures, bladder training, medication optimisation or targeted pharmacological therapy. Hormonal treatments may be relevant in selected prostate or reproductive conditions.
Procedural and interventional pathways
Where symptoms do not respond to conservative measures or further intervention is indicated, referral for procedural assessment is arranged. This may include cystoscopy, biopsy or surgical opinion, often through NHS pathways where appropriate.
Monitoring and follow-up
Ongoing review ensures symptom control, treatment tolerability and safety monitoring. Shared care with primary care is supported through clear communication and follow-up planning.
Urology Services work closely with radiology to support diagnostic imaging and surveillance. Collaboration with physiotherapy may be relevant for pelvic floor dysfunction or continence management.
Mental health support may be appropriate for patients affected by the psychological impact of chronic urinary symptoms or sexual dysfunction. Pain management input is considered where persistent pain influences function and wellbeing.
Primary care remains central to long-term management, prescribing and monitoring. Where advanced investigation or intervention is required, referral to NHS secondary or tertiary urology services is coordinated to ensure continuity of care.
Appointments are structured to allow detailed discussion in a private and supportive environment. Patients are encouraged to bring relevant test results, imaging reports and a current medication list.
During the consultation, symptoms and medical history are reviewed, followed by appropriate examination where indicated. Findings and diagnostic considerations are explained clearly, and any proposed investigations or management options are discussed.
A personalised care plan is developed, outlining next steps, follow-up arrangements and involvement of other services where required. Written correspondence is shared with the referrer and GP.
Do urinary symptoms always indicate a serious problem
Many urinary symptoms are caused by benign conditions, but assessment is important to exclude more serious causes.
Is prostate assessment only relevant for older men
Prostate conditions are more common with age, but younger men may also require assessment depending on symptoms and risk factors.
Will investigations be uncomfortable
Most tests are straightforward and well tolerated. Any procedures are explained in advance, including potential discomfort and alternatives.
Can lifestyle changes improve urinary symptoms
In some cases, fluid management, bladder training and medication adjustment can significantly improve symptoms.
Are erectile problems always psychological
Erectile dysfunction often has physical, medical and psychological components, all of which are considered during assessment.
Will I need surgery
Many urological conditions do not require surgery. Decisions are based on diagnosis, symptom severity and response to other treatments.
To book an appointment or discuss which clinician you should see first:
Phone: 01623 624137
Location: Nottingham Road Clinic, 195 Nottingham Road Mansfield NG18 4AA
