Your Private GP and Sexual Health Clinic in Canary Wharf

NURSE

Dr Wayne Cottrell will be back in the clinic from 18 October and the clinic will be open every weekday from that date

A non-judgemental environment to discuss your concerns

From sexual health to general health, we can help

Inflammation and swelling of the prostate gland
Can be non-bacterial in origin
If the cause is bacterial, the presentation can be acute with systemic symptoms such as fever
A large proportion of men develop chronic prostatitis with symptoms lasting over 6 months
Chronic prostatitis can lead to Chronic Pelvic Pain Syndrome

Due to the position of the gland, prostatitis symptoms can be very vague
Deep perineal discomfort, sensitivity at the back of the legs, lower back pain, penile tip pain, feeling that something is “not quite right down there”, are common presentations
It can also be very uncomfortable or painful and effect urinating and ejaculation

The prostate gland is a small gland found in men that helps with the production of semen
It creates a fluid which is mixed with sperm (produced in the testes) and together it creates sperm
The normal prostate is about the size of a walnut and sits between the neck of the bladder and the penis, with the urethra (the pipe that brings the pee out) running through it
It is normal for the prostate to get bigger as men age, benign prostatic hyperplasia (BPH)
As it gets bigger, it can press on the bladder causing frequency of urine and because it squeezes the urethra, it can lead to weak urinary stream
Sometimes however, the enlargement can be caused by a cancerous growth in the prostate
This is the most common cancer in men, it is the cause of about 25% of all newly diagnosed cases of cancer in men
Most cases of prostate cancer develop in men aged 70 or older
It is more common in men of African-Caribbean or African descent, and less common in men of Asian descent

Erectile Dysfunction is when you have difficulty getting or maintaining an erection
It can be very distressing to patients and cause a huge amount of anxiety, which often makes the problem worse
The most common physical cause of ED is a narrowing of the arteries that supply blood to the penis, usually caused by fatty deposits
Other common causes are diabetes, cardiovascular disease, low testosterone, side effects of certain medications
In a lot of patients however the cause is psychological, such as performance anxiety , depression and relationship issues
Most men will occasionally have a problem getting an erection, whether this is due to alcohol drugs, tiredness and so forth
In some men it becomes a more long-term problem and requires treatment
ED can occur at any age, even in young men in their twenties, although it is much more common in middle age
As many as 50% of men between the ages of 40-70 suffer with ED.