Clinical Team & Standards
This is a practitioner-led specialist urology service for adult men with hormone-related, sexual-health, and metabolic concerns. Care is structured around proper assessment, diagnosis, treatment suitability, follow-up, and onward referral where needed.
The practice is designed for structured specialist review, not casual telemedicine or emergency care.

Dr Rui Graça
Specialist Urologist
MBBCh • FRCS (Edinburgh) • FCS Urology (SA)
Special Interest - Obesity Medicine
• Specialist Urologist – Health Professions Council of South Africa MP 0366390
• 30+ years international experience
(UK, South Africa, Portugal, EU)

Dr Rui’s clinical work focuses on structured assessment and treatment for adult men with low testosterone symptoms, erectile dysfunction, low libido, and metabolic dysfunction affecting energy, body composition, and performance.
Key Qualifications
27/11/1990
MBBCh (Wits)
Bachelor of Medicine and Bachelor of Surgery from the University
of the Witwatersrand, South Africa
15/11/1996
FRCS (Edinburgh)
Fellow of the Royal College of Surgeons of Edinburgh, United Kingdom
23/04/1998
FCS (Urology)
Fellow of the College of Surgeons of South Africa in Urology
Professional Registrations
Registered Specialist Urologist:
HPCSA Number: MP 0366390
Meet Cecilia
Practice Manager • Metabolic Support
Cecilia supports the operational and patient-experience side of the practice.
She helps coordinate day-to-day clinic flow, patient communication, onboarding, and follow-up, and also provides structured support within our metabolic care pathway.
Within the metabolic care pathway, she also provides structured non-medical support around adherence, behaviour change, and day-to-day implementation.
Her role is supportive and operational within a doctor-led specialist service. She does not replace independent medical assessment, diagnosis, prescribing, or specialist psychological care.

BA Hons Psychology (Counselling) - University of South Africa
B.Ed (Senior Phase & FET) - University of South Africa
Sexual Health & Intimacy Training – The Buehler Institute (PLISSIT-R Model)
Accredited Member of ACCPH (Association for Counsellors, Coaches, Psychotherapists and Hypnotherapists) – Registration No. 00003796
Our Clinical Approach
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assessment first
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symptoms reviewed with appropriate laboratory testing
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careful diagnosis before treatment
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attention to the overlap between hormones, sexual health, weight, sleep, and stress
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onward referral when needed

How the Practice Works
This is a South African specialist urology service for adult men with hormone-related, sexual-health, and metabolic concerns. Initial consultations are online.
Care is structured around assessment, diagnosis, treatment suitability, follow-up, and onward referral where needed.
The practice is designed for structured specialist review. It does not provide general medical care or emergency treatment.
Scope
Dr Rui Graça provides doctor-led online care for adult men in South Africa with low testosterone symptoms, erectile dysfunction, low libido, and metabolic dysfunction affecting energy and weight.
Care is structured around specialist assessment, diagnostic clarification, treatment where appropriate, follow-up, and onward referral when needed.
