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Urology · Specialist Urologist · Whitechapel, London

Men's Urology London

Specialist urology assessment for prostate concerns, urinary symptoms, pelvic pain and sexual dysfunction — with focal shockwave therapy available where clinically appropriate.

Delivered byDr Kishore Bahl, Specialist Urologist
ConsultationAssessment before any treatment
Session timeTypically 15–30 min
DowntimeNone
Back to Men’s HealthAll Services

Educational information — not a substitute for clinical assessment

This page describes men's urology in general terms to help you decide whether an assessment may be useful. It is not a diagnosis and does not promise a particular result. Suitability, the number of sessions and whether treatment is appropriate at all are decided at consultation. Outcomes vary between individuals and treatment is not suitable for everyone.

Why people come to us about this.

Urological symptoms are common and often ignored. Many men assume urinary changes are an inevitable part of ageing, or that pelvic pain has to be lived with. Some are; many are treatable, and some are signs of something that needs investigating.

What this condition actually is.

Men's urology at Tower Bridge Hospital London covers the assessment and management of prostate concerns, lower urinary tract symptoms, pelvic and perineal pain, and sexual dysfunction.

Dr Kishore Bahl is a GMC-registered Specialist Urologist with over 30 years of medical experience. He assesses the whole picture rather than the presenting symptom alone.

Where focal shockwave therapy is appropriate — most often in erectile dysfunction, Peyronie's disease and chronic pelvic pain — it is offered as part of a plan.

What you might be noticing.

  • Urinary frequency, urgency or getting up at night to pass urine
  • Weak stream, hesitancy or a feeling of incomplete emptying
  • Pain or burning on passing urine
  • Blood in the urine or semen
  • Pelvic, perineal, testicular or lower abdominal pain
  • Erectile difficulty or changes in ejaculation
  • A raised PSA result, or a family history of prostate cancer

What tends to cause it.

  • Benign prostatic enlargement, which becomes more common with age
  • Prostatitis and chronic pelvic pain syndrome
  • Urinary tract infection
  • Bladder dysfunction
  • Vascular and metabolic disease affecting erectile function
  • Structural causes such as urethral narrowing
  • In a minority of cases, urological cancer — which is why assessment matters

How treatment helps.

Focal shockwave is used in urology principally for erectile dysfunction, Peyronie's disease and chronic pelvic pain syndrome.

It is non-invasive and requires no anaesthetic, so it can be given as an outpatient treatment.

It does not treat urinary obstruction, infection or prostate enlargement — those need their own management.

Its role is decided at assessment, not assumed.

Why we use focal shockwave.

We use focal shockwave because it delivers energy to a defined depth — up to approximately 12 cm — allowing accurate treatment of deeper structures. Radial devices spread energy outwards from the applicator and lose intensity quickly, which limits them to more superficial targets.

Why focal reaches what radial cannot.

Pulses travel from the probe and converge on a target at depth. The dashed line marks where radial devices stop.

036912 cm Radial device range ► stops here Focal probe Target SkinFat layerMuscleDeepmuscle
Focal shockwave · depth of penetration

What treatment can offer.

Direct access to a Specialist Urologist withou

Direct access to a Specialist Urologist without a referral

Same-week appointments in most cases

Same-week appointments in most cases

Investigation available on site, including blo

Investigation available on site, including blood tests and ultrasound

Clear explanation of findings and options

Clear explanation of findings and options

Onward referral arranged promptly where specia

Onward referral arranged promptly where specialist surgical care is needed

What to expect during treatment.

  1. Step 1

    A detailed history covering urinary, sexual and general health.

  2. Step 2

    Examination, which may include abdominal, genital and where indicated prostate examination. A chaperone is always available.

  3. Step 3

    Investigations arranged as needed — urine tests, blood tests including PSA where appropriate, and imaging.

  4. Step 4

    A clear explanation of what has been found and what it means.

  5. Step 5

    A management plan, which may include treatment here, watchful waiting, or referral.

Questions people usually ask.

Do I need a referral to see a urologist?

No. You can book directly.

Will I need a prostate examination?

Only if it is relevant to your symptoms, and only with your consent. A chaperone is always available.

Can I have a PSA test here?

Yes. It is discussed first, because a PSA result needs interpreting in context rather than in isolation.

What if I need surgery?

We do not perform major urological surgery here. If you need it, we arrange onward referral promptly with the investigations already done.

Is shockwave used for prostate enlargement?

No. Shockwave is not a treatment for benign prostatic enlargement. That is managed differently.

Related treatments.

Shockwave Therapy for Prostatitis

Specialist assessment of prostatitis, with focal shockwave therapy available for chronic non-bacterial prostat…

Learn more →

Chronic Pelvic Pain Syndrome (CPPS)

Assessment and focal shockwave therapy for chronic pelvic pain syndrome — a condition that is common, poorly u…

Learn more →

Shockwave Therapy for Erectile Dysfunction

Non-invasive, drug-free focal shockwave therapy for erectile dysfunction of vascular origin — offered after as…

Learn more →

Before you book.

Referral

No GP referral needed. You can book directly.

First appointment

An assessment with Dr Kishore Bahl, Specialist Urologist. Treatment follows only if the assessment supports it.

Where

Whitechapel, East London. Whitechapel station is on the Elizabeth line, District, Hammersmith & City and Overground.

Fees

Published in full on our price list.

Privacy

Consultations are private and confidential. You are entitled to a chaperone at any appointment, at no cost.

Speak to a specialist.

Speak to Dr Kishore Bahl, Specialist Urologist, about whether this treatment is appropriate for you.

Book a consultation Call 020 7916 0029 See full pricing on our price list
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