Prostate Health2021-07-30T14:20:33+00:00

Prostate Health

Every man has a prostate gland, but not every man goes on to develop prostate disease.   The longer we live, the more likely we are to experience problems with our prostate and urinary flow.

Get in touch now to find out how we can help you

Appointments can be made via our contact team, who will be happy to arrange either a face to face or online appointment.

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What is the prostate?

The prostate gland is something we tend to ignore in our youth, and become obsessed with as we get older.  It is a walnut-sized gland situated in the male pelvis, responsible for the production of semen, and highly sensitive to the male hormone, testosterone.  The urethra (the tube we pass urine through), also runs through the middle of it. Therefore, if swelling occurs in the prostate gland, it tends to affect the way we pee, hence the common assumption that problems with the urinary system in men must be related to the prostate gland.  

There are basically 3 things that can go wrong with the prostate gland: 

  1. It can get infected or inflamed (prostatitis)
  2. It can grow as we get older and make it harder to pass urine (Benign Prostatic Hyperplasia (BPH)
  3. It can become cancerous.  

This should make diagnosing and treating any prostate problems relatively straightforward, but medicine is rarely as simple as it should be, and the prostate gland is no exception.  We all worry about getting cancer, and in reality, prostate cancer is more common than we think.  In fact, if we were to live long enough, all men will have cancerous cells found in their prostate.  

About prostate cancer

There are around 130 new cases of prostate cancer every day in the U.K. However, more than 84% of men will survive for 10 or more years under current treatment regimes, and this number is improving year on year.  

What are the symptoms of prostate disease? 

  • Poor urinary flow 
  • Hesitating starting 
  • Going more frequently 
  • Getting up at night to pass urine  
  • Feeling as if you have not emptied completely 
  • Dribbling afterwards 
  • Blood in the urine – more commonly seen with cancer  
  • Ejaculation pain 

Obviously not all patients who are diagnosed with prostate cancer are symptomatic, and ideally the sooner we detect an illness, the better we can treat it.  We do not have a national screening programme for prostate cancer. This is because a random PSA on its own is not accurate enough in most cases to determine if someone has prostate cancer or not.  However, by discussing with your doctor the symptoms and signs to look out for, addressing any risk factors, and by using blood tests and scans appropriately, we can significantly improve your odds.  

For all our patients on testosterone replacement therapy, as well as those undergoing health checks, we check for prostate and urological health, and in those patients where an abnormal result is found, we work closely with a specialist hospital urologist who can assess and treat you as needed.

Can I reduce my risk of prostate cancer? 

The short answer is yes.  There are various measures we can take to reduce our risks of developing prostate cancer, and most of them are easy to adopt.  

Lifestyle and weight 

We know that being overweight or obese increases your risk of aggressive prostate cancer. A balanced diet and regular exercise can help you stay a healthy weight, and can help to lower your risk.  Men in Western countries, such as the U.K., are more likely to develop prostate cancer than men in east Asian countries such as China and Japan. When Asian men move to Western countries, their risk of prostate cancer increases. It has been suggested that this is largely down to the influence of the typical Western diet, which contains less fruit, vegetables and fish, and more meat, dairy, sugar, fat and processed foods. 

Exercise 

Men who exercise are likely able to reduce their risk of prostate cancer, and this fits with evidence that obesity can increase the risk of prostate cancer.  In addition to prostate disease, exercise also has many other health benefits and can reduce your risk of heart disease and other cancers.   

Dairy and calcium 

Interestingly, there is some evidence that diets very high in dietary calcium may result in a small increase in the risk of developing prostate cancer.   Current advice is to have no more than four servings of dairy products a day (a serving is some milk with porridge, in tea and coffee, a matchbox-sized serving of cheese or a small pot of yoghurt). 

Cholesterol 

We know that high cholesterol tends to be seen in people with prostate cancer, but determining whether it is the cholesterol that increases prostate cancer risk or its association with a poor diet is unclear. Whilst prostate cancer has been detected in higher numbers of men with raised cholesterol, it’s hard to establish which came first, the cholesterol or the cancer. Interestingly, there is some evidence that men with raised cholesterol are at greater risk of developing high-grade prostate cancer, the rapidly growing type, but not at an increased overall risk of prostate cancer. 

Smoking and alcohol 

It should come as no surprise that smoking significantly increases the risk of developing high-grade prostate cancer.  However, moderate use of alcohol has not been linked with an increase in the risk of prostate cancer  

Should I take supplements? 

There are a range of supplements that claim to help reduce the risks of developing prostate cancer.  However, there are no credible studies that have shown any benefit from over the counter medications in reducing prostate cancer risk.  

What should you do if you are worried about your risk of prostate disease?

  • Lead a healthy lifestyle that reduces your risk of prostate disease.
  • Do not just get a PSA test.  
  • Speak to a doctor about symptoms, appropriate screening and testing, and how to interpret the tests we have available.
  • If you have had an abnormal PSA in the past, symptoms consistent with prostate disease, or would like to know more – book in – we work closely with a leading local urologist who can determine the best course of action if an abnormal result is obtained. 

Meet some of our medical team

Dr Jeff Foster
Dr Jeff FosterMedical Director & Male Health Lead
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Jane Anderson
Jane AndersonConsultant Urological Surgeon
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Dr Varad Baskar
Dr Varad BaskarConsultant Endroconologist
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Dr Nish Wiratunga
Dr Nish WiratungaMen's Health Doctor & General Practitioner
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Dr Jethro Turner
Dr Jethro TurnerMen's Health Doctor & General Practitioner
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Dr Quentin Oury
Dr Quentin OuryMen's Health Doctor & General Practitioner
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Frequently Asked Questions about our Prostate Health service

Can I get repeat prescriptions?2021-07-30T12:56:49+00:00

When it is safe to do so and you are stable on your medication, we can issue a set quantity, or allow you to order your medication as needed.  Some medication requires monitoring, such as blood tests, and you will be reminded of this. Failure to complete these monitoring requirements will mean we will not be able to issue your prescription for safety reasons.

Can I have an appointment remotely (via telephone or video)?2021-07-30T12:58:54+00:00

If you are already known to the clinic or if you have had your ID confirmed through other contacts with us, for example during a home visit for bloods and other physical tests, then yes.

Can my GP surgery do my blood tests?2021-08-01T23:58:29+00:00

We have partnered with a national phlebotomy service, Nationwide Pathology, who offer accredited blood tests all over the U.K. As such, we would request that, where possible, you do not obtain blood tests elsewhere. For those patients that have already had blood tests, we are happy to use them provided they were obtained from a reputable source, such as your NHS GP. However, we ask that you do not expect your NHS surgery to do further testing for you as you have chosen to seek private health care.  If you do obtain blood tests from other clinics, they may need to be repeated (especially if via finger prick).

Do I need a GP referral letter?2021-06-28T17:27:37+00:00

No, a GP letter is not needed.  However, you are welcome to send us a letter, or a summary, if you feel it would help.

Do you treat patients living overseas?2021-06-28T17:25:11+00:00

Unfortunately, we can only see and treat patients who are residing in the UK.  We are unable to treat anyone who lives, or is temporarily, overseas.

How do I book a consultation?2021-06-28T18:36:13+00:00

You can call 03309120769 (national rate) to speak to one of our team or use the online web contact form.  You can also email hello@h3health.co.uk

Alternatively, a number of our services can be booked online – you’ll see a Book Now button on the appropriate service pages.

How do I make a complaint?2021-06-14T18:06:59+00:00

Please see https://www.h3health.co.uk/about-us/making-a-complaint/ – we take all complaints very seriously and will investigate your issues in a customer-centric way.

How much are prescriptions?2021-08-02T00:03:23+00:00

The cost of the prescription varies depending on what you need.   Charging is very different from NHS treatments where the prices are subsidised and you only pay £9.35 per drug regardless of how many packs you need. Some items are more expensive – Female Testosterone, for example, is £80 per tube, but this will last 3-4 months.

How much do blood tests cost?2021-08-02T00:00:20+00:00

The cost of blood tests vary. We will recommend the most appropriate group of tests to suit your requirements.  We can test for one thing alone, or a group.

For example, a single testosterone blood test is £35 and a full well man screen is £190.

How will I get my prescription?2021-08-02T00:04:10+00:00

We send your prescriptions via electronic prescribing to our pharmacy partner, CloudRx. They will prepare them for you, and deliver the medication to your door within 72 hours, and often sooner.

How will I get my results?2021-06-28T18:55:20+00:00

It can take up to 7 days for the processing of your blood tests and for us to receive notification from our partner, Nationwide Pathology.  Once we have received them your doctor will be notified, and they will review them.  Your doctor will then email them to you with any comments, via a secure link.

Depending on your chosen service, you may have a follow-up consultation to discuss your results.

If I need to contact you, how do I do it?2021-06-28T18:52:17+00:00

You can call 03309120769 (national rate) to speak to one of our team or use the online web contact form.  You can also email hello@h3health.co.uk

Please note that we do not provide urgent care or assistance, and in these cases, you need to contact NHS 111, or 999 if an emergency.  Or contact your own GP for other matters.

Is H3 Health regulated?2021-06-28T17:40:25+00:00

H3 Health is regulated by the Care Quality Commission who are the independent regulator of health and social care in England – you can find out more about the CQC at their website.

Is there anyone you don’t treat?2021-08-02T00:01:49+00:00

We do not treat anyone under the age of 18 years.

We do not provide urgent care or treatment of acute conditions.

If you have a medical emergency we request you call 999 or urgent care service via your NHS GP or 111 service.

What does the cost of the consultation include?2021-06-28T17:46:08+00:00

The consultation costs include the appointment with the GP only.  It does not cover prescriptions, follow up appointments, or monitoring blood tests or further investigations.

General health appointments are charged at £175 for up to 30 minutes.

First female health appointments are £250 for up to 1 hour.

All follow up appointments are £175.

If you think you might need a longer appointment, you can book an hour for £250.

What happens after my appointment?2021-06-28T18:50:30+00:00

After you have seen the doctor, they will send a letter to your normal GP advising of any new diagnosis, treatments and plans.

What other costs might there be?2021-06-28T21:05:21+00:00

You might need further blood tests or investigations, or a referral to a specialist.  We will explain the cost prior to undertaking any work.

You will be charged £30 per email to the clinical team after your consultation if you require further time.

Where do I get my blood tests done?2021-07-30T13:02:45+00:00

After you have your pre-appointment assessment, if you require a blood test we will arrange a convenient time and location for one of our trained healthcare specialists to visit you to take bloods and carry out any other physical tests that may be required.

Where will my face-to-face appointment be?2021-06-28T17:17:05+00:00

If you are seen in person, then this will be at Warwick Nuffield Hospital,  The Chase, Old Milverton Lane, Leamington Spa, CV32 6RW.

Who will I see at my appointment?2021-08-01T23:56:40+00:00

All of our consultations are doctor-led. You will see a practicing GP, all of whom work within the NHS also, and have a dedicated interest in either Men’s or Women’s Health. For example, for testosterone deficiency you will see a male GP who has a specialist interest and understanding of this condition. For menopause, we have female GPs who have a specialist interest in Women’s Health. Where additional support or treatment is required, we can also refer you to our other specialists such as hospital consultants.

Why do I need to provide my GP details?2021-06-28T17:38:28+00:00

We want to practice as safely as we can and involve your normal GP.  We will notify your GP of treatments we provide so that they can update their systems and ensure that there are no concerns highlighted over other treatment you might be receiving from them.  For example, some medications cannot be taken alongside others, or you might need more monitoring with some.

For that reason, we ask that you provide your GP’s details before your first appointment using the hello@h3health.co.uk email address.

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