When men experience problems such as erectile dysfunction, urinary issues, or infertility, it’s not always clear which specialist to see — a urologist or an andrologist.
In Bangkok, both types of doctors treat men’s health conditions, but they have different areas of expertise. Understanding the distinction helps you choose the right professional for your needs.
This guide explains the difference between urologists and andrologists, what each treats, and how Bangkok clinics like Menscape integrate both for complete male care.
What Is a Urologist?
A urologist is a medical doctor who specializes in the urinary tract and male reproductive system.
Urologists Treat:
Urinary problems: frequent urination, burning, infections
Prostate disorders: enlargement (BPH), prostatitis, prostate cancer screening
Kidney issues: stones, infection, or poor function
Surgical procedures: circumcision, vasectomy, frenuloplasty
Sexual dysfunction: erectile dysfunction, Peyronie’s disease
Urologists are surgeons, meaning they can perform operations when needed. In Bangkok, urologists often manage both urinary and sexual health in one consultation.
What Is an Andrologist?
An andrologist is a subspecialist within urology who focuses exclusively on male reproductive and sexual health.
Andrologists Treat:
Erectile dysfunction and premature ejaculation
Low testosterone and hormonal imbalance
Male infertility and sperm disorders
Penile curvature (Peyronie’s disease)
Sexual performance and aesthetic concerns
While all andrologists are urologists, not all urologists specialize in andrology. Andrologists work closely with endocrinologists, sexual medicine experts, and fertility specialists.
Urologist vs Andrologist: Key Differences
Aspect | Urologist | Andrologist |
Scope | Urinary tract, kidneys, prostate, male reproductive organs | Male sexual, hormonal, and fertility health |
Main Focus | Urination, infections, stones, prostate issues | Libido, erectile function, hormones, fertility |
Surgical Expertise | Yes – can perform circumcision, vasectomy, prostate surgery | Often non-surgical focus, sometimes performs penile or fertility procedures |
Hormonal Expertise | Basic (refers to endocrinology if complex) | Strong focus on testosterone and hormone therapy |
Common Conditions Treated | BPH, UTI, kidney stones, prostate disorders | ED, low libido, infertility, low testosterone |
Typical Tests | Urine tests, PSA, ultrasound | Hormone panels, semen analysis, blood flow tests |
Average Consultation Cost (Bangkok) | THB 1,500–3,000 | THB 2,000–3,500 |
Who Should You See First?
See a Urologist if you have:
Urinary symptoms (burning, weak flow, frequent urination)
Prostate or kidney concerns
Pelvic or testicular pain
Blood in urine or semen
Need for surgical procedures
See an Andrologist if you have:
Erectile dysfunction or performance issues
Low libido or hormonal imbalance
Fertility concerns or low sperm count
Premature ejaculation
Peyronie’s disease (penile curvature)
If symptoms overlap, most clinics in Bangkok have dual-certified doctors who practice both urology and andrology — ensuring you get full-spectrum care.
How Bangkok Clinics Combine Both Specialties
Men’s health centers like Menscape integrate urologists and andrologists under one roof, offering a unified approach that covers:
Hormone optimization (TRT and peptides)
Sexual performance (ED, PE, PRP, shockwave)
Prostate and urinary health
Fertility and testosterone balance
Minor surgeries and regenerative medicine
This holistic model ensures no referral delays, faster diagnosis, and personalized treatment in one discreet setting.
Costs of Consultation in Bangkok
Service | Average Cost (THB) |
Urology consultation | 1,500–3,000 |
Andrology consultation | 2,000–3,500 |
Hormone testing (testosterone, thyroid, cortisol) | 2,000–5,000 |
Ultrasound / semen analysis | 2,000–4,000 |
Most men’s clinics bundle consultations and tests into all-inclusive diagnostic packages starting from THB 5,000–10,000.
Frequently Asked Questions (FAQ)
1. Can a urologist treat erectile dysfunction?
Yes — but an andrologist specializes more deeply in sexual and hormonal causes.
2. Do I need a referral?
No. You can book directly with either specialist in Bangkok.
3. Can both treat prostate issues?
Prostate conditions are managed by urologists, not andrologists.
4. Are consultations confidential?
Yes. Men’s health clinics maintain strict privacy for all patients.
5. Can foreigners book easily?
Absolutely. English-speaking doctors are available and accustomed to international patients.
Key Takeaways
Urologists treat urinary, kidney, and prostate problems — they’re surgical specialists.
Andrologists focus on male hormones, fertility, and sexual function.
In Bangkok, men’s clinics often combine both specialties for complete care.
At Menscape, consultations are confidential, personalized, and designed for men’s unique health needs.
Not sure who to see? Book a private consultation at Menscape Bangkok — our medical team will connect you with the right specialist for your concern.

