Men's Health · Urology
Men's Health &
Minor Procedures
Erectile dysfunction, testosterone deficiency, male fertility, vasectomy and circumcision — managed with full discretion, professionalism and complete consultant accountability.
When Should a Man See a Urologist?
Many men delay seeking help for urological and sexual health concerns out of embarrassment. Early assessment almost always leads to better outcomes — and many conditions are far more common and treatable than men expect.
Erectile Dysfunction as a Health Warning
ED affects approximately 50% of men between 40 and 70 to some degree. More importantly, it is frequently the first sign of underlying cardiovascular disease, diabetes or hormonal imbalance. A thorough urological assessment treats the symptom and identifies the cause. Do not accept ED as an inevitable part of ageing — it is usually treatable and sometimes an early warning of something more serious that warrants investigation.
Testosterone: The Under-Diagnosed Problem
Testosterone levels decline by roughly 1–2% per year from the age of 30. Many men spend years with symptoms of low testosterone — fatigue, low mood, weight gain, poor concentration, reduced libido — without ever being tested. A simple blood test can confirm a diagnosis. Testosterone replacement therapy (TRT), when correctly indicated and monitored, is safe, effective and life-changing for appropriately selected men.
Minor Procedures: Vasectomy & Circumcision
Vasectomy is the most effective form of long-term contraception for men — over 99.9% effective. It is performed under local anaesthetic in a day-case setting. Adult circumcision is performed for medical indications including phimosis, recurrent infection and lichen sclerosus. Both procedures are conducted personally by Mr Ameen with full pre- and post-operative care included in the consultation fee.
Urological Assessment of Male Fertility
Male factors account for approximately 50% of fertility difficulties in couples. A urological review can identify correctable structural or hormonal causes.
What a fertility assessment includes
A comprehensive male fertility review begins with a detailed history, semen analysis (volume, concentration, motility and morphology) and a hormonal panel including FSH, LH, testosterone and prolactin. Where structural problems are suspected — such as varicocele or obstructive azoospermia — scrotal ultrasound and further investigation is arranged. Mr Ameen works closely with fertility specialists and IVF units across London.
Treatable causes of male infertility
Varicocele (dilated veins in the scrotum) is present in 35–40% of men presenting with infertility and is surgically correctable. Hormonal causes respond to medical treatment. Obstructive azoospermia — where sperm production is normal but the ductal pathway is blocked — may be addressable surgically. Even where conception naturally is not possible, urological optimisation can significantly improve outcomes with assisted reproduction.
What to Expect at a Men's Health Consultation
The consultation process
All men's health consultations are conducted privately and confidentially by Mr Torath Ameen personally — never a junior doctor or specialist nurse. The consultation typically lasts 30–45 minutes. You will be asked about your symptoms, medical history, medications and lifestyle. A physical examination is performed where clinically indicated. A clear written plan is provided at the end of every consultation.
Investigations such as blood tests, urine tests or ultrasound scans can often be arranged the same day or within 48 hours at the clinic location of your choice.
Consultation fees
Initial men's health consultations start from £350. Follow-up appointments are typically £200. Most major private health insurers cover urological consultations — please check your policy for outpatient benefits. Self-pay patients receive a clear breakdown of all costs upfront. There are no hidden charges.
Appointments are available at the Wellington Hospital (St John's Wood, NW8), 9 Harley Street (W1), Chase Lodge Hospital (N14) and West Hertfordshire NHS Trust. Evening and weekend availability is offered at select locations.
Men's Health FAQs
ED is common but it is not inevitable. While the prevalence increases with age, ED at any age should be assessed rather than accepted. It is frequently caused by treatable conditions — vascular disease, low testosterone, medication side effects, diabetes or psychological factors. A thorough assessment determines the cause and the most effective treatment.
TRT is safe when correctly prescribed and properly monitored. It is not appropriate for all men — in particular those wishing to preserve fertility in the short term, or those with certain hormone-sensitive conditions. Mr Ameen will assess your suitability comprehensively and monitor your response with regular blood tests including haematocrit, PSA and testosterone levels.
A vasectomy is typically completed in 15–20 minutes under local anaesthetic as a day-case procedure. Most men return to sedentary work within 2–3 days and to manual work or exercise within 7–10 days. You should use alternative contraception until a semen analysis at 12 weeks confirms absence of sperm. Vasectomy reversal is possible but should not be relied upon — it should be considered permanent.
No referral is required to book a private consultation. You can contact the clinic directly and book an appointment, often within a few days. If your insurer requires a GP referral letter for reimbursement purposes, your GP can provide this after you have made your appointment. A letter from your GP with relevant history is always helpful but never essential.
Erectile Dysfunction
ED is a medical condition — not a personal failing. It is often an early vascular marker and may indicate cardiovascular risk. Mr Ameen provides a thorough, discreet assessment including hormonal profile and vascular history, with the full range of treatment options: PDE5 inhibitors, vacuum devices, penile injection therapy and, where appropriate, surgical implant options. From £350 initial consultation.
Testosterone Deficiency (TRT)
Low testosterone (hypogonadism) is under-diagnosed in men of all ages. Symptoms include fatigue, low mood, reduced libido, weight gain and cognitive fog. Mr Ameen arranges a full hormonal panel and discusses testosterone replacement therapy (gel, injections or implants) with a thorough risk-benefit discussion. From £350 initial consultation.
Vasectomy & Circumcision
Vasectomy from £2,000 (no-scalpel technique available under local anaesthetic). Circumcision from £3,000 under local or general anaesthetic. All procedures performed by Mr Ameen personally with a written pre-operative assessment and aftercare plan. Same-day discharge.
Male Fertility
Male factor infertility accounts for around half of all fertility difficulties in couples. Mr Ameen provides specialist assessment of male fertility including semen analysis review, hormonal evaluation, and investigation of structural causes. He works alongside fertility teams to ensure a joined-up approach for couples undergoing treatment.
Men's health matters. So does your privacy.
Discreet, consultant-led care across Central London. All correspondence handled confidentially.