The 7 questions to ask your urologist before agreeing to surgery

August 17, 2026 in Uncategorized

No urological surgeon of genuine expertise will be unsettled by a patient who asks good questions. In fact, the opposite is true: the best surgeons welcome informed patients, because shared decision-making leads to better outcomes. Here are the seven questions that matter most.

Being told you need urological surgery — whether for prostate cancer, a kidney tumour, bladder cancer, kidney stones, or another condition — can be overwhelming. The temptation is to defer entirely to your surgeon’s recommendation, particularly when you are anxious and the diagnosis is serious.

But understanding your options, the risks, and the alternatives is not just your right — it is clinically important. Patients who understand their treatment make better decisions, recover more confidently, and are more adherent to follow-up. Here are the seven questions every patient should ask before proceeding.

1. Is surgery definitely the right treatment for me?

Surgery is not always the only option, and it is not always the right first step. For prostate cancer, active surveillance is appropriate for many low-risk patients. For small kidney tumours, surveillance or ablative techniques may be alternatives. For kidney stones, medical management or less invasive procedures may be preferable to surgery.

Ask your surgeon to walk you through the full range of options for your specific situation, including non-surgical alternatives and their respective outcomes. A confident surgeon will do this without defensiveness.

2. How many times have you performed this specific procedure?

Surgical outcomes in urology correlate strongly with volume. Ask specifically: not ‘are you experienced?’ but ‘how many of these operations do you perform each year, and how many have you performed in total?’

For robotic prostatectomy, partial nephrectomy, and radical cystectomy, look for surgeons performing these procedures regularly at significant volume. For stone procedures such as ureteroscopy or PCNL, high annual case numbers similarly reflect maintained skill and familiarity with variation.

3. What are your personal complication rates for this procedure?

Published national complication rates are useful context, but they tell you nothing about the surgeon sitting in front of you. Ask for their personal outcomes data: complication rates, readmission rates, and — for cancer surgery — margin positivity rates and recurrence data.

A surgeon who cannot or will not answer this question with specific data should prompt careful reflection. A surgeon of genuine excellence will have this information to hand.

4. What happens if we don’t operate?

Understanding the natural history of your condition without surgery is essential context for any treatment decision. What are the risks of watchful waiting? How quickly is this likely to progress? What symptoms or signs would trigger intervention if we choose not to operate now?

This question also reveals how your surgeon thinks — whether they default to surgical intervention or whether they genuinely weigh each option against the individual patient’s circumstances and values.

5. Is there a minimally invasive option?

Robotic and laparoscopic approaches to urological surgery have transformed recovery times, complication profiles, and functional outcomes for many procedures. However, not all surgeons are trained in minimally invasive techniques, and not all hospitals have the necessary equipment.

If your surgeon recommends open surgery, ask specifically whether a robotic or laparoscopic approach is feasible for your case — and if not, why not. If you are unsure, a second opinion from a surgeon with robotic training may be valuable.

6. What does recovery actually look like?

Ask for realistic, specific information: how long will you be in hospital? When can you drive, return to work, resume exercise, and resume sexual activity? What symptoms are normal in the recovery period, and what should prompt you to seek urgent attention?

Vague reassurances (‘you’ll be up and about in no time’) are not sufficient. You need specific, honest information to plan your recovery and set appropriate expectations.

7. Who will actually perform the surgery?

In some private hospital settings, a consultant surgeon may be present but not the primary operating surgeon — trainees or registrars may perform parts of the procedure under supervision. Ask directly: will you be performing the entire operation? If trainees will be involved, to what extent, and how will this be supervised?

At Urology Clinics Manchester, our consultant surgeons perform their own operations. You are not consenting to a named surgeon and receiving a trainee.

A surgeon of genuine confidence and expertise will welcome every one of these questions. If asking them makes you feel unwelcome or unreasonable, that tells you something important about whether this is the right surgeon for you.

At Urology Clinics Manchester, our consultants expect and encourage informed patients. Visit urologyclinics.co.uk to book a consultation — and bring your questions.

Why do doctors choose private urologists for their own care?

August 3, 2026 in Consultants, Uncategorized

When a doctor needs specialist care for themselves or a family member, they do not simply follow the standard referral pathway. They call a colleague they trust. Understanding who they call — and why — tells you everything about what genuinely excellent specialist care looks like.

There is a well-known saying in medicine: doctors make the worst patients. They know too much to be reassured by platitudes, and they know exactly what they should be receiving — which makes them demanding, informed, and occasionally difficult to manage. But when they need specialist care, they also know exactly where to go.

The fact that Urology Clinics Manchester is the trusted choice of professional colleagues — including doctors, GPs, and fellow surgeons — is not a marketing claim. It is the result of a reputation built by outcomes, by the quality of the consultation, and by the standard of care that medical professionals recognise immediately when they experience it.

What doctors look for that most patients don’t know to ask for

When a doctor refers a colleague to a specialist, they are not reading Google reviews or looking at clinic websites. They are asking: who has the deepest experience with this specific condition? Who has the best outcomes data? Who will give an honest answer even if it is not what the patient wants to hear?

The criteria they apply — and that you should too — include:

  • Surgical volume: how many times each year does this surgeon perform the specific procedure their patient needs?
  • Subspecialty depth: is this surgeon a genuine expert in the relevant area, or a generalist who also does this?
  • NHS base: does the surgeon maintain a high-volume NHS practice that sustains their operative skills and exposes them to complex cases?
  • Academic currency: is this surgeon up to date with the latest evidence, or practising on guidelines that are years behind the research?
  • Honest communication: will this surgeon tell their patient the truth about prognosis, options, and realistic outcomes?

These are not questions most patients think to ask. But they are the questions that determine the quality of your care.

The private sector advantage — and its limits

Private urology care offers genuine advantages that well-informed patients value: prompt access to investigations, no waiting for consultant appointments, unhurried consultations where there is time to ask every question, and the ability to choose the specific surgeon who is most expert in your condition.

But these advantages are only meaningful if the surgeon you access is genuinely excellent. Private healthcare does not automatically mean better care — it means faster access, which is only valuable if you are accessing the right expertise.

Doctors understand this distinction. They do not go private simply for speed. They go private — to specific consultants, at specific clinics — because those consultants are the best available option for their specific problem.

Continuity and accountability

In NHS urology, patients can find themselves managed by a team rather than a named consultant — seen at different appointments by registrars, specialist nurses, and consultants who have varying levels of familiarity with their case. This is not a criticism of the NHS, which operates under extraordinary demand. But it is a structural reality.

In private practice, the consultant who sees you at your first appointment is the consultant who reviews your investigations, discusses your results, performs your surgery, and follows you up. That continuity of named, accountable care is something that medical professionals value highly — and it is a standard that Urology Clinics Manchester maintains for every patient.

The measure of a clinic: who refers their colleagues there

GPs, physicians, and surgeons who recommend Urology Clinics Manchester to their professional colleagues are making a statement. They are saying: this is where I would go if it were me. That endorsement is not given lightly by people who understand exactly what it means.

It reflects nine consultant urologists who are, without exception, NHS-trained, fellowship-qualified, and practising at the very top of their specialty. It reflects a consultation standard that is unhurried, honest, and evidence-based. And it reflects a track record of outcomes that professionals have observed, trusted, and recommended to the people they care most about.

If you want the care that well-informed medical professionals choose for themselves, visit urologyclinics.co.uk to book a consultation with our team.

Professor of urology vs Consultant urologist: What’s the difference for your care?

July 20, 2026 in Consultants, Uncategorized

Most private urology practices offer access to consultant urologists. Very few can offer a Professor of Urology. Understanding the difference — and what it means for your care — is worth your time.

When you look at the team at Urology Clinics Manchester, you will notice that one of our consultants carries a different title: Professor Vijay Sangar is listed as Consultant Urological Surgeon and Professor of Urology. Patients sometimes wonder what this distinction means in practice — whether it is simply an academic honour, or whether it has real implications for the quality of care they receive.

The answer is: it matters considerably. Here is why.

What does it take to become a Professor of Urology?

A professorship in surgery is not a title that comes with years of service or seniority. It is awarded — by a university, subject to rigorous peer review — on the basis of an individual’s contribution to their field through original research, postgraduate teaching, and the advancement of clinical knowledge.

To hold a professorship in urology, a surgeon must typically have:

  • Published extensively in high-impact, peer-reviewed journals — contributing original research that changes or advances how the specialty is practised
  • A sustained record of securing competitive research funding
  • A significant postgraduate teaching portfolio — training the next generation of urologists at registrar and consultant level
  • National and international recognition from peers in the specialty, demonstrated through invited lectureships, committee membership, and editorial roles
  • A clinical practice of the very highest standard, since academic appointment does not replace surgical excellence — it must exist alongside it

In short, a professorship signifies that an individual is not just an excellent clinician — they are a leading figure in the development of the specialty itself.

What this means for patients: the research advantage

The most immediate benefit for patients of an academic urologist is access to the most current clinical evidence. A professor who is actively generating research — designing trials, analysing outcomes, interpreting new data — knows what the evidence shows before it appears in clinical guidelines.

Standard clinical guidelines in urology are updated periodically, but the evidence that underpins them often exists for years before guidelines are revised. An academic urologist at the forefront of that evidence can offer patients access to treatment approaches and decision-making frameworks that have not yet filtered into routine clinical practice.

For complex cases — advanced cancer, rare conditions, treatment-refractory disease — this academic advantage can make a material difference to the options available and the quality of the decision made.

Teaching and training: a mark of sustained excellence

Professors of surgery are, by definition, teachers. Professor Sangar will have trained many of the consultant urologists now practising across the UK — and that teaching responsibility demands a standard of clinical practice that can withstand the scrutiny of trainees, examiners, and academic peers.

Surgeons who teach are also surgeons who reflect — on technique, on outcomes, on what the evidence says versus what current practice assumes. That reflective practice is one of the markers of sustained surgical excellence.

Consultant urologists: equally essential, equally expert

It is important to note that a consultant urologist without a professorship is not a lesser surgeon. The eight other consultants at Urology Clinics Manchester are fully qualified, fellowship-trained NHS consultant urologists of the highest calibre. Their expertise in their respective subspecialty areas is deep, evidence-based, and validated by years of high-volume practice.

The distinction is one of role and focus. Consultant urologists bring operational clinical excellence. Professor Sangar brings that same clinical excellence alongside an academic contribution that shapes how the specialty evolves. Both benefit patients — in different but complementary ways.

When to consider seeing Professor Sangar

Patients who may particularly benefit from Professor Sangar’s academic expertise include those with:

  • Complex or advanced urological cancers where treatment decisions are nuanced and evidence is rapidly evolving
  • Cases where standard treatment has not achieved the expected outcome and a broader evidence perspective is needed
  • A desire for a second opinion from one of the UK’s most academically distinguished urologists
  • Rare urological conditions where published research is limited and clinical experience at the frontier of the specialty is particularly valuable

To book a consultation with Professor Vijay Sangar or any member of our consultant team, visit urologyclinics.co.uk. Academic distinction, clinical excellence, and genuinely expert care — all under one roof.

Second opinion for bladder or kidney cancer: When to seek one and how

July 6, 2026 in Bladder, Kidney, Uncategorized

A cancer diagnosis is one of the most significant moments in a person’s life. You are entitled to be certain that your diagnosis is correct, your staging is accurate, and your treatment plan represents the best available option. A second opinion is not a sign of distrust — it is a sign of informed, engaged patient care.

Bladder cancer and kidney cancer are among the most common urological malignancies in the UK. Both are treatable — often highly so when caught early — but the range of treatment options, the implications of each choice, and the importance of surgical expertise make expert specialist review essential.

If you have been diagnosed with bladder or kidney cancer, or if you are unsure whether the treatment plan you have been offered is optimal, seeking a second opinion from a specialist urological oncologist is not just reasonable — it is recommended by leading cancer organisations worldwide.

When should you seek a second opinion?

Consider a specialist second opinion if any of the following apply:

  • You have received a cancer diagnosis and want to confirm it before proceeding with treatment
  • The proposed treatment plan involves major surgery (radical cystectomy, nephrectomy) and you want to explore all options
  • You have been told your cancer is complex, rare, or high-grade and you want to be seen by a surgeon with specific expertise
  • You feel your questions were not fully answered at your initial consultation
  • A significant waiting time for surgery has been recommended and you want to understand whether this is appropriate
  • You have been offered a treatment pathway and want to understand whether minimally invasive or kidney-sparing alternatives are available
  • Your cancer has recurred and you want to review current options with a fresh pair of expert eyes

What a specialist second opinion involves

A second opinion consultation at Urology Clinics Manchester is a comprehensive specialist review, not a cursory look at your notes. It typically involves:

  • A detailed review of your imaging — CT, MRI, or PET scans — by a consultant urologist experienced in oncological staging
  • Review of your pathology reports and, where appropriate, independent re-analysis of biopsy or TURBT (transurethral resection of bladder tumour) samples
  • A thorough clinical history and examination
  • An honest, evidence-based assessment of your diagnosis, staging, and the full range of treatment options
  • Time to ask questions and receive clear, plain-English answers

At the end of the consultation, you will have either confirmation that your current plan is the right one — which is reassuring and valuable in itself — or a different perspective that may open up alternative treatment pathways.

Bladder cancer: why expert review matters

Bladder cancer management is a rapidly evolving area. The role of intravesical treatments (BCG, chemotherapy instilled directly into the bladder), the timing and technique of radical cystectomy, the emerging role of immunotherapy, and the decision between open and robotic surgery all require careful, individualised consideration.

The quality of the initial TURBT (the diagnostic and initial therapeutic procedure for bladder cancer) also significantly influences subsequent management and outcomes — a fact that makes expert review of the original pathology particularly important.

Kidney cancer: kidney-sparing options and the importance of surgical expertise

For kidney cancer, one of the most important questions is whether partial nephrectomy (removal of the tumour while preserving the kidney) is technically feasible. This operation — particularly when performed robotically — requires significant subspecialty expertise and is not available from all urological surgeons.

A second opinion from a surgeon experienced in robotic partial nephrectomy may reveal that a kidney-sparing approach is possible where a radical nephrectomy (complete kidney removal) had been proposed elsewhere. Preserving kidney function has significant long-term implications for cardiovascular health and quality of life.

How to arrange a second opinion at Urology Clinics Manchester

Contact our patient team and let us know you are seeking a second opinion. We will ask you to bring or send your existing imaging, pathology reports, and clinic letters — all of which will be reviewed in advance of your appointment.

We see patients promptly. A cancer diagnosis should not mean weeks of waiting for a specialist opinion.

To arrange a specialist second opinion with one of our consultant urological surgeons, visit urologyclinics.co.uk. You deserve certainty — and we are here to provide it.

Robotic prostate surgery in the UK: Why your surgeon’s experience is everything

June 15, 2026 in Consultants, Prostate, Uncategorized

Robotic prostatectomy is now the gold standard surgical treatment for localised prostate cancer. But the robot does not perform the operation — the surgeon does. And experience makes a measurable, documented difference to your outcome.

If you have been diagnosed with prostate cancer and surgery has been recommended, you are likely researching robotic prostatectomy — the minimally invasive, robot-assisted removal of the prostate gland that has transformed outcomes for thousands of men in the UK each year.

What is less well understood is that the outcomes of robotic prostatectomy vary significantly between surgeons. The technology is enabling, but it is the surgeon’s skill, training, and volume that determine whether you retain urinary continence, preserve sexual function, and achieve clear cancer margins. Here is what you need to know.

What is robotic prostatectomy?

Robotic-assisted radical prostatectomy (RARP) uses a surgical robotic system — most commonly the da Vinci platform — to remove the prostate gland through several small incisions in the abdomen. The surgeon controls the robotic arms from a console, viewing a magnified 3D image of the operative field with far greater precision than is achievable with the human hand alone.

Compared to open surgery, robotic prostatectomy offers:

  • Significantly less blood loss and a much lower transfusion rate
  • Smaller incisions and reduced post-operative pain
  • Shorter hospital stay — typically one to two nights compared to four to seven for open surgery
  • Faster return to normal activity
  • Superior visualisation of the neurovascular bundles that control continence and erections

Why surgeon experience is the critical variable

The evidence on this is unambiguous. Multiple large studies have demonstrated that surgeons who perform higher volumes of robotic prostatectomies achieve significantly better outcomes across all key metrics:

  • Positive surgical margin rates — the likelihood that cancer cells reach the edge of the removed tissue — decrease substantially as surgeon volume increases
  • Continence recovery at 12 months is measurably better in high-volume surgeon series
  • Erectile function preservation rates are higher when the surgeon has refined nerve-sparing technique through repeated practice
  • Complication rates, including anastomotic leaks and readmission rates, fall with experience

The learning curve for robotic prostatectomy is steep — most data suggests that surgeons reach a performance plateau only after 150 to 250 cases. A surgeon performing 20 to 30 cases per year is still on that curve years into their practice. A surgeon performing 80 to 100 cases per year reaches mastery far sooner.

What fellowship training adds

Robotic surgery fellowship training — structured post-consultant subspecialty experience at a dedicated robotic centre — compresses the learning curve significantly. Fellows train under high-volume surgeons, observe advanced techniques, and build case numbers in a supervised environment before operating independently.

A fellowship-trained robotic urologist is not simply a consultant who has attended robotic training courses. They have invested a year or more in structured immersion in the technique — and that investment is reflected in their outcomes.

Questions to ask your robotic surgeon

Before consenting to robotic prostatectomy, ask the surgeon directly:

  • How many robotic prostatectomies have you performed in total, and how many each year?
  • Do you hold fellowship training in robotic surgery?
  • What are your personal 12-month continence and potency preservation rates?
  • What is your positive surgical margin rate for tumours of my stage?
  • Which hospital do you operate at, and does it have a dedicated robotic surgery programme?

A surgeon of genuine expertise will answer these questions with specific data. Vague reassurances — ‘I have done many of these’ — are not sufficient.

Robotic prostatectomy at Urology Clinics Manchester

Mr Aziz Gulamhusein, Consultant Urological and Robotic Surgeon at Urology Clinics Manchester, holds dedicated fellowship training in robotic-assisted urological surgery and maintains an active, high-volume robotic surgery programme. He is among the most experienced robotic prostate surgeons available to private patients in the UK.

His practice encompasses robotic prostatectomy, robotic partial nephrectomy (kidney-sparing cancer surgery), and other robotic procedures — supported by state-of-the-art facilities and a multidisciplinary team.

To discuss robotic prostatectomy with Mr Gulamhusein or another member of our team, contact us to arrange a consultation. Early assessment means more surgical options and better outcomes.

What does a world-class Urologist look like? The credentials that actually matter

June 2, 2026 in Consultants, Uncategorized

In a market full of private clinics and impressive-sounding titles, how do you know whether a urologist is genuinely excellent — or simply well-marketed? Here is what to look for.

When you need specialist urological care, the choice of surgeon is the single most consequential decision you will make. Yet most patients have no framework for evaluating surgical expertise. They rely on a clinic’s website, a Google review, or a GP’s referral — all of which may be accurate, but none of which tells you what you really need to know.

This guide sets out the credentials and markers of excellence that genuinely distinguish world-class urologists from the merely competent.

1. GMC Specialist Register — the non-negotiable baseline

Every surgeon practising as a urological consultant in the UK must hold a licence to practise from the General Medical Council (GMC) and be listed on the GMC Specialist Register in Urology. This register confirms that the surgeon has completed the full training pathway and met the competency standards required for independent specialist practice.

You can verify any UK surgeon’s registration at gmcuk.org. If a surgeon operating as a ‘consultant’ does not appear on the Specialist Register, that is a serious red flag.

2. FRCS (Urol) — the gold standard surgical qualification

Fellowship of the Royal College of Surgeons in Urology (FRCS Urol) is the examination that marks the end of formal surgical training in the UK. It is sat only after completion of the national urology registrar training programme and tests both clinical knowledge and operative competence to an exacting standard.

Not all surgeons who perform urological procedures hold this qualification. Those who do have demonstrated their expertise to an independent examining body — not simply to their own employer or marketing team.

3. Subspecialty fellowship training

After achieving consultant status, many of the best urologists undertake further fellowship training in a specific area — robotic surgery, urological oncology, reconstructive urology, stone disease, or female and functional urology. These fellowships, often undertaken at leading centres in the UK, Europe, or North America, represent a significant additional investment in expertise.

A surgeon with fellowship training in your specific condition has seen and treated it many more times than a generalist — and outcomes in urology correlate strongly with surgical volume.

4. Active NHS consultant post

The best private urologists in the UK maintain active NHS consultant posts at major teaching hospitals. This matters for two reasons. First, NHS work sustains surgical volume — the number of procedures a surgeon performs each year directly affects the quality and consistency of their outcomes. Second, NHS teaching hospital environments drive continuous learning: peer review, multidisciplinary team meetings, and exposure to complex cases that keep clinical skills sharp.

A surgeon who operates exclusively in the private sector, without an NHS base, may have lower operative volumes and less robust peer scrutiny of their outcomes.

5. Academic and research engagement

International recognition in urology is built through research, publication, and peer acknowledgement. Surgeons who present at the European Association of Urology (EAU) or American Urological Association (AUA) congresses, publish in journals such as European Urology or BJU International, or hold academic positions at universities are operating at the frontier of the specialty.

For patients, this translates into care informed by the most current evidence — including emerging treatments and techniques that have not yet filtered into routine clinical practice.

6. Surgical volume and outcome transparency

For complex procedures — robotic prostatectomy, percutaneous nephrolithotomy, radical cystectomy — surgical volume is one of the strongest predictors of outcome. Ask your surgeon how many of your specific procedure they perform annually. A confident, experienced surgeon will answer clearly. Outcome data on complications, continence rates, and cancer control should be available on request.

The standard at Urology Clinics Manchester

Every consultant at Urology Clinics Manchester holds GMC Specialist Register listing, FRCS (Urol) qualification, and an active NHS consultant post. Several hold subspecialty fellowships and academic positions. Professor Vijay Sangar is a Professor of Urology — among the most rigorous academic distinctions in the specialty. Mr Aziz Gulamhusein holds dedicated robotic surgery fellowship training.

When you book at Urology Clinics Manchester, the credentials are not a promise — they are verifiable facts. Visit urologyclinics.co.uk to meet our consultant team and book your appointment.

Holiday season & diet: Urological health tips for festive indulgence

December 15, 2025 in Uncategorized

The holiday season is a time for celebration, family gatherings, and, of course, festive indulgence. From rich foods and sugary treats to extra glasses of wine or beer, the festive period can be a challenge for maintaining good urological health. At Urology Clinics Manchester, we want to help you enjoy the season while protecting your kidneys, bladder, and overall urinary health.

Mind Your Hydration

Cold weather often leads people to drink less water, relying on hot drinks instead. Dehydration can increase the risk of urinary tract infections (UTIs) and kidney stones. Aim to drink at least 1.5–2 litres of water per day, even if you’re consuming tea, coffee, or festive beverages. Keeping a water bottle handy and alternating alcoholic drinks with water can help maintain proper hydration.

Moderate Alcohol and Caffeine

Alcohol and caffeine are diuretics, which can increase urine production and contribute to dehydration. Excessive alcohol can irritate the bladder and worsen existing urinary problems. Enjoy festive drinks in moderation, and balance them with water to protect your urinary tract.

Watch Salt and Processed Foods

Many festive foods are high in salt, which can raise blood pressure and put extra strain on your kidneys. Processed meats, cheeses, and snacks may also contribute to fluid retention. Opt for fresh vegetables, lean proteins, and seasonal fruits to balance your meals.

Be Mindful of Sugar Intake

Sugary treats and desserts are a hallmark of the holidays. However, high sugar intake can increase the risk of obesity, diabetes, and urinary tract infections. Moderation is key—enjoy seasonal treats without overindulging, and try to include sugar-free or lower-sugar alternatives when possible.

Keep Active

Shorter days and colder weather can make it tempting to stay indoors, but regular physical activity supports circulation, kidney function, and overall urinary health. Even light walks after meals or stretching routines at home can make a difference.

Seek Advice if Symptoms Arise

If you experience pain, difficulty urinating, frequent urges, or unusual changes in urine, don’t wait until after the holidays. Early consultation with a urologist can prevent complications and ensure timely treatment.

By keeping these simple tips in mind, you can enjoy festive indulgences without compromising your urological health. At Urology Clinics Manchester, our specialists are here to provide expert advice, guidance, and treatment to help you maintain urinary wellbeing all year round.

Book a consultation today to discuss your urological health.

PSA test

September 26, 2024 in Prostate, Uncategorized

Prostate cancer is killing more Black men.

GPs in the UK have denied prostate cancer tests to one in four Black men, despite their heightened risk of developing the disease, according to a recent survey. The findings reveal that Black men are twice as likely to develop prostate cancer compared to the general male population, yet 24% of those surveyed reported being refused a PSA (prostate-specific antigen) test by their GP in the past year.

The survey, conducted by Prostate Cancer Research and involving 2,000 Black men, also highlighted that 25% of respondents felt racial discrimination played a role in being denied testing. Nearly half (47%) doubted they would receive the same quality of care from the NHS as white men. In the 45-54 age group, 22% of Black men who requested a PSA test were told by their GP that the test wasn’t necessary.

Black men are 2.5 times more likely to die from prostate cancer than white men.

The report further revealed that 84% of Black respondents believe more medical research should focus on Black people, with 83% agreeing that more participation in research would lead to better health outcomes. Prostate cancer poses a particularly high risk for Black men in the UK, with one in four expected to be diagnosed during their lifetime, compared to one in eight for men overall.

Globally, more than a million men are diagnosed with prostate cancer annually, with a survival rate of 78% if diagnosed early. In the UK, the disease is the most common cancer among men, with 55,100 new cases each year, according to Cancer Research UK.

A combination of biology, societal factors, and a lack of targeted research and action mean that Black men face greater risks from prostate cancer.

Oliver Kemp, CEO of Prostate Cancer Research, described the statistics as alarming and called for urgent action from the government, NHS, and other stakeholders. He stressed the need to raise awareness among healthcare professionals about Black men’s increased risk, and urged the government to introduce screening for high-risk groups. According to the data, 82% of Black men would participate in such a program if implemented, highlighting the potential for saving lives.

Urology Clinics Manchester offers PSA and prostate tests, backed by extensive experience in providing these services. Call to book your consultation here.

Men’s Health Week PSA testing

June 24, 2024 in Uncategorized

Men’s Health Week is a crucial time to focus on the health and well-being of men, encouraging them to take proactive steps towards a healthier life. Whether through education, awareness, or direct action, everyone can contribute to this important cause.

In this blog we look at Prostate-Specific Antigen testing

Prostate-Specific Antigen (PSA) testing is a blood test used to screen for prostate cancer and monitor prostate health. PSA is a protein produced by prostate gland cells, and elevated levels in the blood can indicate prostate cancer, benign prostatic hyperplasia (BPH), or prostatitis.

Purpose and Benefits

PSA testing helps detect prostate cancer early, often before symptoms appear, improving treatment outcomes. It’s also used to monitor men diagnosed with prostate cancer, tracking the effectiveness of treatments and checking for recurrence.

Interpretation

  • Normal Range: Generally, PSA levels below 4.0 ng/mL are considered normal, though this varies with age and risk factors.
  • Elevated PSA: Levels above the normal range warrant further investigation, such as a digital rectal exam (DRE), imaging, or a prostate biopsy, to determine the cause.

Factors Affecting PSA Levels

Age, prostate enlargement, inflammation, recent medical procedures, and certain medications can affect PSA levels.

Recommendations and Considerations

Guidelines for PSA testing vary. The American Cancer Society recommends men discuss PSA screening with their healthcare provider starting at age 50, or earlier for high-risk groups. The US Preventive Services Task Force suggests individualised decisions for men aged 55-69. Routine screening is generally not recommended for men over 70.

Conclusion

PSA testing is a useful tool for early detection and management of prostate cancer, but it requires careful consideration of its benefits and limitations. Men should discuss with their healthcare providers to make informed decisions based on individual risk factors.

If you are concerned about anything or need advice then please do contact us here.

Men’s Health Week 2024

June 10, 2024 in Uncategorized

Men’s Health Week is an annual event aimed at raising awareness of health issues specific to men and promoting healthy lifestyle choices. It is typically observed during the week leading up to Father’s Day, which means it falls in the middle of June each year. Here are some key points and themes associated with Men’s Health Week:

Goals and Objectives for the week include:

  • Raising Awareness: Highlight the importance of men’s health and wellness.
  • Encouraging Early Detection and Treatment: Promote regular check-ups and screenings for early detection of diseases such as prostate cancer, testicular cancer, and heart disease.
  • Promoting Healthy Lifestyles: Encourage men to adopt healthier habits, including a balanced diet, regular exercise, quitting smoking, and reducing alcohol consumption.
  • Addressing Mental Health: Bring attention to mental health issues, encouraging men to seek help for conditions like depression, anxiety, and stress.

In this blog we look at Lower urinary tract symptoms and Erectile Dysfunction.

Lower urinary tract symptoms (LUTS) refer to a range of symptoms involving urination difficulties, commonly affecting the bladder and urethra. These symptoms are divided into three categories:

Storage Symptoms:

Frequency: Needing to urinate more often than usual.

Nocturia: Waking up at night to urinate.

Urgency: A sudden, intense urge to urinate.

Incontinence: Unintentional urine leakage.

Voiding Symptoms:

Weak Stream: Reduced urine flow strength.

Hesitancy: Difficulty starting urination.

Intermittency: Interrupted urine flow.

Straining: Needing to push to urinate.

Incomplete Emptying: Feeling the bladder isn’t fully emptied after urination.

Post-Micturition Symptoms:

Dribbling: Leakage of urine after urination.

LUTS can be caused by conditions such as benign prostatic hyperplasia (BPH), urinary tract infections (UTIs), overactive bladder (OAB), and prostatitis. Diagnosis typically involves a medical history review, physical examination, urinalysis, and possibly imaging or urodynamic tests. Treatment options include lifestyle changes, medications, minimally invasive procedures, and surgery, depending on the underlying cause and severity of symptoms. Managing LUTS effectively improves quality of life and prevents complications.

Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It affects men of all ages but is more common in older men. ED can result from a variety of physical, psychological, and lifestyle factors.

Causes of Erectile Dysfunction

Physical Causes:

Cardiovascular Diseases: Poor blood flow due to atherosclerosis.

Diabetes: Can damage blood vessels and nerves.

Obesity: Associated with cardiovascular diseases and diabetes.

Hormonal Imbalances: Low testosterone levels.

Medications: Certain drugs can affect erectile function.

Psychological Causes:

Stress: Work or personal life stress can interfere with sexual arousal.

Anxiety: Fear of sexual failure can contribute to ED.

Depression: Affects libido and sexual performance.

Lifestyle Factors:

Smoking: Damages blood vessels and restricts blood flow.

Alcohol: Excessive consumption can affect erectile function.

Sedentary Lifestyle: Lack of physical activity can contribute to ED.

Diagnosis and Treatment

Diagnosis involves a thorough medical and sexual history, physical examination, and tests such as blood tests and penile ultrasound. Treatment options include lifestyle changes (exercise, diet), medications (e.g., PDE5 inhibitors like sildenafil), psychological counselling, and in some cases, surgical interventions. Managing underlying conditions and making healthy lifestyle choices can significantly improve ED.

Men’s Health Week is a crucial time to focus on the health and well-being of men, encouraging them to take proactive steps towards a healthier life. Whether through education, awareness, or direct action, everyone can contribute to this important cause.

If you are concerned about anything or need advice then please do contact us here.