Conditions & Treatments
Mr Dreyer offers expert assessment and treatment of the full range of urological conditions at The Canmore Clinic, Dunfermline.
Comprehensive assessment and management of prostate enlargement using the full range of minimally invasive and surgical options including HoLEP, ejaculatory-sparing HoLEP, Rezūm, laser bladder neck incision, TURP, Greenlight laser, and Prostatic Artery Embolisation. Treatment is tailored to prostate size, anatomy, symptoms, and personal priorities such as preserving sexual function.
Learn moreComprehensive prostate health screening including PSA testing, digital rectal examination, and multiparametric MRI where indicated. Mr Dreyer also delivers Prostate Smart Screening in collaboration with The London Clinic — an advanced, risk-stratified assessment for men who want clear, evidence-based answers about their prostate.
Active surveillance and follow-up for men with low-risk prostate cancer, including planned PSA monitoring, repeat imaging, and targeted biopsy when required. Mr Dreyer provides clear guidance on when surveillance can safely continue and when treatment should be considered.
Visible or microscopic blood in the urine warrants prompt urological assessment. Mr Dreyer offers rapid one-stop evaluation including imaging and flexible cystoscopy to exclude bladder, kidney, and prostate causes, and to reach a diagnosis efficiently.
Diagnosis, medical management, and surgical treatment of kidney and ureteric stones, including ureteroscopy and laser fragmentation. Treatment is matched to stone size and location, with advice on preventing recurrence through dietary and metabolic assessment.
Diagnostic flexible cystoscopy under local anaesthetic to evaluate the bladder and urethra. Used routinely for investigation of haematuria, recurrent UTIs, voiding symptoms, and bladder cancer follow-up.
Evidence-based assessment of erectile dysfunction including cardiovascular risk evaluation, hormonal screening, and a stepped treatment plan from oral therapy through to specialist interventions when required.
Specialist assessment of penile curvature and Peyronie's plaques, with discussion of conservative, medical, and surgical options to address pain, deformity, and functional impact.
Assessment and management of testicular lumps, epididymal cysts, hydroceles, varicoceles, and chronic scrotal pain. Urgent evaluation is provided for any new or changing testicular lump.
Assessment and treatment of phimosis, recurrent balanitis, and frenular problems, including conservative measures, preputioplasty, and adult circumcision when indicated.
Structured investigation and long-term management of recurrent urinary tract infections in men and women, including imaging, cystoscopy where appropriate, and personalised preventive strategies to reduce future episodes.
Assessment and treatment of stress, urge, and mixed urinary incontinence in both men and women. Management spans lifestyle and pelvic floor strategies, medication, and surgical options where clinically appropriate.
Assessment of urinary urgency, frequency, and nocturia with a stepped management approach: behavioural strategies, bladder training, medication, and advanced therapies including bladder Botox where indicated.
Multimodal assessment and long-term care for bladder pain syndrome and interstitial cystitis, including cystoscopic evaluation, bladder instillations, and integrated medical management.
Structured evaluation of acute and chronic prostatitis and chronic pelvic pain syndromes, with a tailored treatment plan combining medical therapy, lifestyle measures, and onward referral where helpful.
Specialist care for women with urinary symptoms including recurrent UTI, incontinence, overactive bladder, voiding dysfunction, haematuria, and bladder pain syndrome — delivered in a private, comfortable setting.