The first consultation makes it possible to understand the patient’s clinical condition, address questions and define next steps based on a specialized, individualized clinical assessment.

Even when they notice changes in their sexual life, many men delay seeking help.

Fear of diagnosis, embarrassment and uncertainty about how a first urology consultation works can increase anxiety. However, seeking a urological assessment is important to understand what may be happening.

The first discussion during a urology consultation primarily enables the doctor to understand the patient’s symptoms, medical history, previous treatments and expectations, contributing to an individualized diagnosis and the definition of a therapeutic plan.

Who Can Benefit From a Specialist Consultation?

A consultation may be indicated for men who have symptoms compatible with Peyronie’s disease, erectile dysfunction, penile deformities or complications resulting from previous treatments, such as:

• Penile curvature;
• Pain during erection;
• Difficulty achieving or maintaining an erection;
• Changes in penile length, girth or stability;
• Presence of plaques or hardened areas;
• Difficulty or discomfort during sexual intercourse;
• Dissatisfaction with the results of previous treatments or surgeries;
• Worsening of symptoms over time.

 

A consultation may also be sought by people who wish to clarify questions about penile surgery, a penile implant or obtaining a second opinion in urology.

How to Schedule Your First Urologist Consultation in Lisbon?

To schedule a consultation, the patient should contact the team responsible for appointments through the contact form available on the website or by email. Available dates, consultation formats and the guidance needed to confirm the appointment will be provided.

Before the consultation, the patient receives practical information about the appointment, location and any need to send prior clinical information, such as test results or medical reports. Availability should be confirmed directly with the team.

A private urologist consultation in Lisbon is intended to enable a detailed functional assessment, without creating expectations about diagnosis or treatment before the medical examination.

Where Do Consultations Take Place?

Consultations may take place in person in Lisbon or remotely through telemedicine. The most appropriate format depends on the purpose of the assessment and the need for a physical examination or imaging studies.

In-person consultations are held in Lisbon, close to public transportation. The office is accessible via several transportation routes.

A remote consultation may be useful for an initial review of medical documentation, answering questions or preparing for an in-person consultation. When a physical examination is needed, the doctor will guide the patient regarding the next steps.

How to Prepare for a Urologist Consultation in Lisbon?

Before your first urologist consultation in Lisbon, it may be helpful to gather:

• Previous tests, such as penile ultrasound or blood tests;
• Medical reports;
• A list of medications being used;
• A record of previous surgeries or treatments;
• Periodic photographs of the penis;
• Questions you would like to clarify.

This information helps the doctor better understand how the case has evolved. A complete medical history may potentially avoid unnecessary repetition of tests and facilitate the urological assessment.

How Does the First Urology Consultation Work?

The consultation usually begins with a clinical interview. The doctor seeks to understand the symptoms, when they began, how they have progressed and how they affect sexual function or quality of life.

Next, the available tests and treatment history are reviewed.

When clinically indicated, the consultation may include:

• Physical examination of the penis: may help identify plaques, hardened areas, narrowing, changes in shape and other features associated with Peyronie’s disease.
• Palpation of plaques: may help assess the location, extent and consistency of fibrous tissue.
• Penile measurement: recording dimensions such as length and girth.
• Erection test: after pharmacological induction of an erection, the urologist may assess rigidity and potentially identify deformities.

 

Depending on symptoms and the findings of the urological assessment, additional examinations may be requested, such as penile Doppler ultrasound, which may help assess blood flow, rigidity quality and possible vascular changes after induction of an erection.

Blood tests, which may include blood glucose, lipid profile and total testosterone to potentially investigate metabolic or hormonal factors associated with erectile dysfunction.

At any point during this urological assessment, the patient has the opportunity to raise concerns and ask questions.

After the urological assessment, the doctor may present possible explanations or confirm the diagnosis, indicate conservative or surgical treatments, guide the patient on sexual life and define the need for medical follow-up, according to the characteristics of each case.

The ultimate purpose of the consultation is to provide a clear understanding of the clinical condition, the available options and the next steps, so that the patient better understands their situation and can participate actively in decisions about their personalized treatment.

How Long Does the First Consultation Take?

Duration depends on the complexity of the case, the number of test results presented and the need for a more detailed physical assessment.

Most importantly, there should be sufficient time to gather clinical information, answer questions and discuss the next steps.

What Happens After the Medical Assessment?

The first consultation is when the doctor gathers all information needed to understand the patient’s clinical condition and individually define the next steps in investigation or treatment.

After leaving the office, the next steps depend on each patient’s diagnosis, symptoms and needs.

The doctor may recommend starting a therapeutic plan, request additional tests or indicate specific measures to monitor the clinical condition over time.

A follow-up consultation is usually scheduled to review test results, assess response to treatment and address new questions.

When surgery is indicated, the doctor explains the benefits, risks, limitations and different stages of surgical planning. From that point, the patient should set aside time to consider the decision, clarify all questions and, if necessary, contact their health insurer. This period may also include the need for preoperative assessments.

The procedure is scheduled only after the patient understands it, accepts the proposed plan and meets the necessary clinical and administrative requirements.

A Urologist Consultation in Lisbon Is the First Step Toward a Personalized Plan

A urologist consultation in Lisbon should be a safe, respectful and non-judgmental space where the patient can explain what they are experiencing and address all questions.

The patient can receive a structured medical assessment, understand the diagnosis, learn about possible approaches and define the next steps individually.

If you are seeking an assessment in male sexual medicine, Peyronie’s disease, erectile dysfunction, penile reconstruction or other urological conditions, you may schedule a consultation for a specialist assessment.

Contact the clinic to schedule a specialist consultation.