I don't know how it varies by country, but it varies enormously in the UK.
Some centres have no support for andrology and not even an ED nurse, whereas a very few others feed all their patients through andrology as a matter of course. Even most of those that do have the appropriate department only feed in those patients who ask for the support. Most patients don't even know to ask, and wouldn't be that comfortable doing so even if they did, and don't find themselves in front of a clinician where they feel comfortable raising the subject.
Some recent research where clinicians were questioned about raising the issue with patients, even in urology departments, it often doesn't happen. For patients in oncology, most clinicians don't even think it's their job to raise this, but neither do they refer the patient anywhere else to get the appropriate support.
Clearly not all urologists or oncologists are going to be comfortable or competent dealing with the subject, but they should all know to refer the patient to someone who is.
Another complication is that some GP's won't prescribe the medications the consultants require for recovery.