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Testicular and penile conditions

Discreet private care for testicular lumps and swelling, hydrocele, epididymal cysts, Peyronie's disease and ejaculation problems in London.

Mr Vinod Nargund provides specialist private urology consultations for men with testicular and sexual health concerns. This includes testicular pain, lumps, scrotal swelling, erectile dysfunction, ejaculation problems, curvature of the penis, and low testosterone. His approach is discreet, clear, and focused on identifying the underlying cause and recommending the most appropriate treatment.

Patients often see a urologist if they notice:

  • Pain, discomfort, or heaviness in the testicles or scrotum.
  • A lump or swelling in the scrotum.
  • Hydrocele, epididymal cyst, or undescended testes.
  • Erectile dysfunction or difficulty maintaining an erection.
  • Ejaculation problems or pain during ejaculation.
  • A noticeable curve or bend in the penis (Peyronie’s disease).
  • Low sex drive, low energy, or possible low testosterone.

Conditions covered

  • Hydrocele and epididymal cysts.
  • Undescended testes and testicular position issues.
  • Erectile dysfunction (ED).
  • Ejaculation problems and pain during ejaculation.
  • Peyronie’s disease and penile curvature.
  • Low testosterone and male hormone-related symptoms.

Dedicated pages

For the conditions men most often search for, there is a dedicated page with a fuller explanation and the investigation and treatment pathway:


Erectile dysfunction

Erectile dysfunction is common, almost always treatable, and often the first sign of a circulation problem, which is why it deserves a proper assessment rather than a prescription alone. It has its own page: erectile dysfunction treatment.


Peyronie’s disease

Peyronie’s disease is a condition where scar tissue forms inside the penis, which can lead to curvature, pain during erections, softer erections, and difficulty with sexual intercourse. In some cases, it can also be associated with erectile dysfunction. Assessment and treatment depend on how long the condition has been present and how it is affecting the patient’s life.


Testicular and scrotal conditions

Scrotal and testicular problems should always be taken seriously. Persistent pain, lumps, swelling, or a feeling of heaviness should be assessed by a urologist, because some causes can be benign while others need urgent investigation. Mr Nargund offers a calm, discreet setting for men who want a clear explanation and a sensible way forward.

Low testosterone

Tiredness, low mood and a fading sex drive can be a low testosterone level, which is measurable and treatable. See tiredness and low testosterone.


Why patients choose this service

Mr Nargund’s experience in testicular and sexual health, fertility, and general urology makes this a strong option for men who want:

  • A non-judgemental and confidential discussion of sexual health concerns.
  • A clear understanding of possible causes and realistic treatment options.
  • A discreet, consultant-led environment in central London.

Reviewed by Mr Vinod Nargund, MBBS, PhD, FRCS(Urol), FEBU. Last updated 12 September 2026.

More on sexual health and testicular problems

Speak to the practice today

Call 07735 000 903 and you will speak to a person, not a queue. Consultations are on Wednesdays at The Harley Street Clinic, Marylebone, and you can also book online through the HCA system.

Prefer to write? Send a message and the practice will call you back.

Call 07735 000 903 Book online