London Urologica investigates a range of urinary and bowel symptoms to give a diagnosis.

Read more about common symptoms and concerns below, including what to look out for and next steps.

Urinary problems (LUTS – lower urinary tract symptoms)

Both men and women may face urinary problems. These could be:

  • going to the toilet very often
  • waking up at night to pass urine
  • unable to pass urine
  • passing small quantities of urine each time
  • straining to empty the bladder
  • incomplete emptying of the bladder
  • urgency to run to the toilet to pass urine
  • some leakage of urine at the end of passing urine
  • urine leakage when coughing or sneezing
  • urine leakage before getting to the toilet

These complaints are common and can be improved with simple measures, drugs or surgery. In any case, although not an emergency, an assessment of your symptoms and some basic tests are required before managing these complaints.

Blood in the urine (Visible or Non-visible Haemeaturia)

This may be either blood seen in the urine by an individual or blood found in the urine when tested but not visibly seen. If you have visibly seen blood in the urine then you should seek urgent medical attention for investigations. If blood is found in the urine on testing, it may be because of a urine infection, a kidney stone or a more significant problem. In any case you should seek your GP’s advice.

Unable to pass urine (Acute Urinary Retention)

This is a medical emergency particularly if you have not passed urine for many hours and have lower tummy pain and swelling. If this is the case, you should seek urgent medical attention and would probably require drainage of the urine and investigations. 

Sudden onset of pain in your flank/back (Renal/ureteric colic)

This sudden pain which tends to be intermittent but very painful when it does start could be because of a kidney stone which you may be passing. You may also have some blood in the urine at the time together with nausea, sickness, fever or sweats. You should seek urgent medical attention for investigations and treatment.

Scrotal or groin pain (Testicular torsion/Epidydimo-orchitis)

This complaint if sudden and very painful in a young male could represent a medical emergency as it may be due to twisting of the testicle which requires urgent attention and possibly surgery. If however it is a dull gradual ache and intermittent, it could represent an infection or inflammation, that would require rest, pain-killers and antibiotics. In any case, if you are concerned, please seek medical advice.

Scrotal lump/swelling (Testicular Tumour / Epidydimal cyst / Varicocele / Hydocele / Infection / Inflammation)

If you have suddenly notice a hard lump/swelling in your testicle, you should seek urgent medical advice and would need an urgent ultrasound of the area. If the lump is separate from the testicle then it could be a hernia, a cyst, a bloated blood vessel or a fluid collection. If you are uncertain, please seek medical advice.

My PSA (Prostate-specific antigen) blood test is raised

There is an increasing awareness and investigation for men with urinary symptoms. One test that is performed as part of the investigation is PSA. This is a blood test that assesses the prostate and a raised level could suggest either a large prostate or potentially prostate cancer. If you wish to have this test (close friend or relative has had it) or if your test is found to be abnormal, please feel free to contact us for a consultation.

Curved/Bent penis

If you have developed this condition and wish to seek medical advice, please contact us for a consultation. This could represent a chronic condition known as Peyronie’s Disease and is usually secondary to trauma following intercourse or a sporting injury. This can be corrected if severe with surgery.

Recurrent Urine Infections

This is a common condition in women. Sometimes there is an underlying condition that if corrected can help stop these infections. We would therefore recommend an assessment. 

Problems with erections and ejaculations

Some men young or old may encounter these problems. These problems may occur right from the start or may develop or worsen over a period of time. These problems may also occur after surgery or starting a new medication or after an injury. We would recommend a review with us to identify any medical or surgical reversible factors that could help improve or complete resolve these conditions. 

Fertility Problems

If a couple have been trying for a child and are unable to do so, it is advisable to seek medical advice. Sometimes there are conditions in men that can be corrected to improve fertility. If there are no correctable conditions, then there are medical and surgical methods that we can provide to help the couple conceive.

Bowel problems and abdominal pain

If you are suffering with abdominal pain, change to your bowel habit such as diarrhoea or constipation, blood in the stool or tummy bloating, you may wish to contact us to book a consultation for investigations and medical advice.

Urologica London on Harley Street


Call us on 020 7935 5606 or 020 3219 3524.

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The London Urologica consultants