Prostate Cancer London

Complete Prostate Assessment

Everything you need in one visit

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One morning at Harley Street
2.5 hours
To your results consultation
5 to 7 days
All in, fixed price
£2,500
Named, examination to results
One consultant

What you get for £2,500

Everything in one Harley Street visit

  • Consultation, PSA, examination and MRI in one day

    Instead of separate appointments at different sites over weeks, the full diagnostic workup happens in a single Harley Street visit.

  • MRI at Harley Street included

    Booked on its own, a prostate MRI is billed separately by the imaging centre, with the specialist report often charged on top. Here it is part of the package, scanned and read by a specialist team.

  • Written report and follow-up consultation

    You receive a full written report within a week, and a follow-up appointment with the consultant to discuss findings and next steps.

  • Coordinated end to end, fixed price

    Our PA team arranges every part of the visit and is available throughout. £2,500 covers everything; no surprise invoices.

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Your assessment, start to finish

One morning at Harley Street, then a results consultation later the same week.

  1. Before you arrive

    Wear something comfortable

    Loose clothing with no metal zips, studs or underwires makes changing for the MRI easy. Leave heavy watches and jewellery at home.

    No fasting needed

    Eat normally and drink water as usual. Take all your regular medications.

    Hold your urine sample

    Try not to urinate just before arriving. We collect a mid-stream urine sample when you check in.

  2. Your clinic morning

    Arrival and triage

    Check in, settle into the consulting lounge, then a nurse collects your urine sample and takes blood for PSA and a kidney check (needed for the MRI contrast).

    Consultation and examination

    An unhurried review of your symptoms, family history and concerns with your consultant, followed by a physical examination. The rectal examination takes under 30 seconds, and you can decline it since you are having an MRI.

    The MRI scan

    A 35 to 45 minute multiparametric MRI. You wear headphones with music of your choice and hold a call button that stops the scan instantly. Nothing goes inside you.

    Home by lunchtime

    Cannula out, discharge pack in hand, back to your normal day.

  3. During the week, behind the scenes

    Specialist radiology review

    A consultant uro-radiologist reads your MRI slice by slice, measures your prostate volume and grades any areas of interest on the international PI-RADS scale (1 to 5).

    Your numbers in context

    The lab completes your PSA analysis, and your PSA is indexed against your exact prostate volume to calculate PSA density, a far more precise risk measure than PSA alone.

  4. Your results consultation

    Within 5 to 7 days

    In person or by video, your consultant walks you through your scan on screen alongside your PSA, PSA density and urine results.

    A clear plan either way

    A clear scan with reassuring PSA density means discharge or a simple monitoring plan. If a target is seen, you discuss next steps calmly, typically a precision targeted biopsy as a planned separate step. A biopsy is never done on the day.

Reading the scan

What the scan report says

A consultant uro-radiologist grades your MRI from 1 to 5 on the international PI-RADS scale. Think of it not as a cancer grade or a percentage, but as a five-point probability scale. Read alongside your PSA density, that score shapes the conversation at your results consultation: a 1 or 2 usually means no biopsy at all, while a 3, 4 or 5 is discussed with you on screen before anything is arranged.

What each PI-RADS score means
The PI-RADS scale, 1 to 5A consultant uro-radiologist grades the MRI on the international PI-RADS scale from 1 to 5. A score of 1 or 2 is reassuring and usually means no biopsy. A score of 3, 4 or 5 means a targeted look is discussed with you.PI-RADS SCORE12345ReassuringUsually no biopsyA target is seenA targeted look is discussed
A biopsy is never done on the day. If a target is seen, it is planned as a separate step after you have talked it through.

Two routes compared

One coordinated morning, or weeks of separate appointments

The tests are the same ones the NHS uses, so what you are paying for is coordination: everything in one visit, read together, by one named consultant.

Getting in
With the Complete Assessment Self-refer directly. No GP referral needed.
The standard route GP referral required, and it must meet specific risk thresholds before a hospital will see you.
Who looks after you
With the Complete Assessment One named consultant urologist from examination through to results.
The standard route Different clinicians across primary and secondary care.
How results are read
With the Complete Assessment Your PSA is linked to your exact MRI-measured prostate volume on day one, so the number is read in context and unnecessary biopsies are avoided.
The standard route PSA is often interpreted in isolation before imaging is arranged.
What the wait feels like
With the Complete Assessment One predictable assessment morning, then a dedicated review later the same week.
The standard route Fragmented appointments, scheduling letters and weeks of waiting between each step, with nobody joining up what the results mean until the end.

Worth reading first

A raised PSA is not a diagnosis

If a blood test is what brought you here, start with our consultant's guide to what the number means, the harmless reasons it rises, and who genuinely needs a scan.

Read the guide

Guides written by our consultants

Self-pay or insured

Self-pay

No referral needed. Book the package directly and everything is arranged for the same day. £2,500 covers the lot: consultation, examination, bloods, urine analysis, the MRI with contrast, specialist reporting and your results consultation. No hidden hospital or radiologist charges.

Insured

Most major insurers (Bupa, AXA, Aviva and others) cover the individual components if you have outpatient benefit and a referral. You will need authorisation from your insurer before your visit, which usually means seeing your GP and having a PSA first. Tell your insurer and our team early and we will try to arrange everything for a single visit, though same-day scheduling cannot always be guaranteed for insured patients.

Not sure which applies to you? The team will walk you through it.

Ask the team to call you back

Four consultant urological surgeons, all with substantive NHS posts at UCLH. You see the same consultant throughout your care.

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Questions, answered

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The £2,500 is a fully inclusive diagnostic package. It covers your in-depth consultation and physical examination with your consultant, your on-site blood tests including total and free PSA and kidney function, a mid-stream urine analysis to rule out infection, a high-definition multiparametric MRI with contrast on the day, the formal sub-specialist uro-radiology reporting, and a dedicated results consultation later in the week to review the images and findings together. The fee is fixed. There are no surprise invoices.
Yes, absolutely. The NHS provides multiparametric MRI and PSA testing. The difference is the speed and structure. On the NHS you must meet specific referral criteria, see your GP, wait for hospital triage, book bloods and imaging across separate appointments, and wait up to 28 days for an outcome under the Faster Diagnosis Standard. Here, all your tests happen in one single 2.5 hour visit, and you have complete answers within a week from a single named consultant.
No, you do not need a GP referral. You can self-refer directly into the clinic. If you have previous blood tests or medical records, you are welcome to bring them, but we manage everything from the baseline tests upward from your first visit.
Most major private medical insurers cover the individual components, the consultation, MRI scan and pathology tests, provided you have an outpatient benefit and a GP referral letter or open referral. If you are self-paying, the £2,500 fixed package wraps everything into a single, transparent fee with no hidden hospital or radiologist facility charges.
A PSA blood test alone cannot tell us if you have prostate cancer; it only indicates prostate activity. An enlarged prostate, inflammation or an infection can raise PSA, while some significant cancers produce very little PSA. Pairing an advanced mpMRI with your PSA on day one allows us to calculate your PSA density, matching your blood number to your exact gland volume, giving you accurate clarity straight away and avoiding unnecessary biopsies.
No. A biopsy is never done on day one. In fact, performing a high-quality mpMRI first means that if your scan shows no suspicious areas (PI-RADS 1 or 2) and your PSA density is low, you can safely avoid having an invasive biopsy altogether. If a targeted area is seen, we discuss scheduling a precision, image-guided biopsy as a planned separate step.
No. A multiparametric MRI of the prostate is non-invasive and does not use an endorectal coil. You lie flat on a cushioned scanner bed. A small cannula is placed in your arm to administer standard contrast dye and a gentle relaxant so your bowel stays still. You are given headphones with music of your choice to dampen the acoustic sounds.
We use modern, wide-bore scanners designed to give you plenty of space and airflow. You are in continuous two-way communication with the radiographer via headphones, and you hold a squeeze-bulb call button that stops the scan immediately if you feel uncomfortable. If you have severe claustrophobia, let us know beforehand and we can arrange mild oral sedation.
It is not painful, though it can feel slightly strange or give a brief urge to pass water. It takes less than 30 seconds. It is strongly recommended because it gives immediate tactile information about the texture and symmetry of the prostate, but every examination is done with your consent, at your own comfort level. If you are having an MRI scan we can safely leave it out. Please just let us know.
Your complete results review takes place within 5 to 7 days. This window ensures your scans are dual-read and formally scored by an expert consultant uro-radiologist using the international PI-RADS protocol, and your blood pathology is fully integrated. We then sit down in clinic or over video to review the imaging and numbers together.
If your scan identifies a focal area scored PI-RADS 3, 4 or 5, or if your PSA density is elevated, we do not leave you in limbo. We discuss the findings calmly and look at the images on screen together. The next step is typically a targeted transperineal prostate biopsy, a day-case procedure using MRI-fusion guidance to sample only the exact target area. We arrange it and explain the cost before anything is booked.
If your MRI is clear (PI-RADS 1 or 2) and your PSA density is reassuring, you get definitive peace of mind. If you were attending because of urinary symptoms like a weak stream or getting up at night, we use your scan volume to tailor a benign management or medication plan. We also establish a personalised, long-term monitoring schedule so you know exactly when to check your PSA next.
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