Expert Care for Prostate Health and Male Lower Urinary Tract Symptoms (LUTS) London
Dr Elsie Mensah, is a highly respected Consultant Urological Surgeon in London with expertise in prostate health and Male LUTS. She provides expert assessment, diagnosis and treatment of benign prostatic enlargement (BPH), prostatitis, and evaluation of suspected prostate cancer using advanced, minimally invasive techniques to ensure precision, comfort and optimal outcomes.
Introduction
Dr Elsie Mensah offers specialist care for a wide range of prostate and male LUTS, combining extensive clinical experience with evidence-based management.
Benign Prostatic Hyperplasia (BPH)
BPH is a non-cancerous enlargement of the prostate, causing urinary symptoms such as weak flow, urgency and incomplete bladder emptying. Dr Elsie Mensah is highly skilled in the full spectrum of BPH treatment including Minimally invasive procedures such as REZUM (steam ablation), Prostate Aquablation (water jet therapy) and holmium laser enucleation of the prostate (HOLEP).
Prostatitis
She manages both acute and chronic prostatitis, providing tailored treatment plans including antibiotics, lifestyle guidance and symptom-management.
Prostate Cancer
Dr Elsie Mensah offers expert screening, PSA testing, imaging and transperineal prostate biopsy, followed by personalised treatment planning and ongoing follow-up for early detection and optimal outcomes.
Other Prostate and Urinary Conditions
She also treats urinary tract infections, urethral strictures and other prostate disorders, ensuring accurate diagnosis and prompt, effective care.
Conditions Treated
Storage Symptoms
- Urinary frequency: needing to urinate often during the day.
- Urinary urgency: a sudden, need to urinate- may be worse when near your front door or when there is running water.
- Nocturia: waking up at night to pass urine.
- Urinary incontinence: involuntary leaking of urine.
Voiding Symptoms
- Hesitancy: having to wait for the urine flow to start.
- Weak or intermittent stream: a poor or stopping/starting urine flow.
- Straining: needing to push to pass urine.
- Incomplete emptying: a feeling that the bladder hasn’t fully emptied after urination.
- Terminal dribbling: dribbling at the end of urination.
Other symptoms
- Blood in the urine (haematuria).
- Pain or discomfort when urinating.
- Recurrent or persistent urinary tract infections (UTIs).
- Sudden inability to urinate (acute urinary retention).
- Suspected urological cancer (e.g., a hard or irregular prostate found during examination, or unexplained weight loss).
- Renal impairment suspected to be caused by lower urinary tract dysfunction.
- Blood in the semen
- Pelvic low lower back discomfort
Causes
Age-related prostate enlargement – Bacterial infections (prostatitis) – Genetic predisposition – Hormonal changes – Lifestyle factors or chronic inflammation, undiagnosed malignancy
Symptoms and Causes
Who Should Have a LUTS
Assessment?
- Anyone experiencing bothersome urinary tract symptoms.
- Routine prostate assessment is beneficial for men over 50 (or 45 in black populations as higher risk), even without symptoms.
- Those experiencing urinary difficulties, pelvic pain or blood in urine require urgent assessment.
- Men with unexplained abnormal renal function tests.
- Men who have had a urinary tract infection.
Assessment & Diagnosis Process
Dr Elsie Mensah provides a thorough and patient-focused assessment process to ensure prompt diagnosis and treatment initiation.
- Thorough review of symptoms, medical history and lifestyle and clinical assessment
- Tests may include: PSA tests, urine analysis, Imaging & Functional Studies: Ultrasound, uroflowmetry, post-void residual measurement, cystoscopy, MRI/CT if indicated
- Personalised Treatment Plan: Clear explanation of results and discussion of treatment options tailored to the individual
Why Choose Dr Elsie Mensah?
- Renowned Expertise: A well-respected consultant urologist with specialist skills in BPH surgery, bladder cancer and prostate assessment
- Advanced Surgical Skills: Highly experienced in REZUM, HOLEP and aquablation, as well as other endoscopic techniques
- Academic and Teaching Excellence: Regular speaker at national conferences and faculty member in numerous educational workshops teaching BPH surgery and bladder cancer
- Patient-Centered Care: Committed to personalised, compassionate care with clear communication at every stage
- Research and Innovation: Principal investigator and contributor to international studies, ensuring evidence-based practice
FAQs
Lower Urinary Tract Symptoms (LUTS) include problems with urine storage, voiding or post-voiding. Common examples include frequent urination, urgency, difficulty starting to urinate, weak urine flow and the sensation of incomplete bladder emptying. LUTS are often associated with benign prostatic hyperplasia (BPH) in men over 50.
BPH is a non-cancerous enlargement of the prostate gland. As the prostate grows, it can compress the urethra and lead to urinary symptoms such as weak flow, increased frequency, nocturia (waking at night to urinate) and urgency. BPH is very common in men as they age.
BPH is primarily age-related. Hormonal changes, particularly involving testosterone and dihydrotestosterone (DHT), contribute to prostate growth. Genetics, lifestyle factors and chronic inflammation may also play a role.
Diagnosis involves a combination of: – Medical history review and symptom assessment – Physical examination, including digital rectal examination (DRE) – Urine tests to rule out infection or blood – Blood tests, including PSA (Prostate-Specific Antigen) – Imaging or functional studies, such as ultrasound or uroflowmetry
Treatment depends on symptom severity, prostate size and patient preference. They include lifestyle and medical management or bladder outflow surgery. Elsie Mensah has expertise in several procedures including REZUM, HOLEP and Aquablation.
BPH itself is not cancerous and does not cause cancer. However, BPH and prostate cancer can coexist, so accurate evaluation and regular monitoring is important.
Men should consider assessment if they experience: – Difficulty starting or stopping urination – Weak or interrupted urine flow – Frequent urination, especially at night – Urinary urgency or inability to fully empty the bladder – Blood in urine or semen
Early evaluation can improve outcomes and allow less invasive treatment.
Yes. Modern BPH treatments, including minimally invasive procedures and surgery, are safe and effective when performed by an experienced urologist. Dr Elsie Mensah uses advanced techniques such as REZUM, HOLEP and aquablation to minimise risks and enhance recovery.
Recovery depends on the procedure and patient factors. Dr Elsie Mensah provides personalised guidance to ensure safe and comfortable recovery.
Yes. Simple lifestyle measures can help manage symptoms: – Reducing caffeine and alcohol intake – Limiting fluid intake before bedtime – Regular physical activity – Maintaining a healthy weight These measures may complement medical or surgical treatment.
Contact Us
Elsie Mensah’s secretary:
Ms Tamara Cenadi
Address:
- HCA UK at The Shard, St Thomas Street, London, SE1 9BS
- 1 Welbeck Street, Marylebone, London, W1G 0AR