Concierge urology · London
Private flexible cystoscopy in London, office-based, under local anaesthetic.
A same-visit office cystoscopy under local anaesthetic — with a urology consultation and (if needed) biopsy in the same appointment.
Why patients choose us
- 01
Consultant urologists only
We route to BAUS-accredited consultant urologists doing a high volume of office-based flexible cystoscopies.
- 02
Same-visit consult and scope
A urology consultation and the flexible cystoscopy in one visit — no separate trip, no re-clerking.
- 03
We chase the biopsies
If a biopsy is taken, histology comes back in 7–10 days — we make sure it is read and explained.
Indicative pricing
What a private flexible cystoscopy costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
A standard flexible cystoscopy in our network: £400–£800, with findings on the day.
| Procedure | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| Standard flexible cystoscopy | £400–£800 | 20 min | Same visit |
| Flex cysto + urology consult | £550–£1,100 | 60 min | Same visit |
| Flex cysto + biopsy | £700–£1,400 | 30 min | 7–10 days |
| Follow-up cancer surveillance | £400–£800 | 20 min | Same visit |
| Urgent same-week appointment | £600–£1,200 | Half-day | Same-week |
| Post-treatment surveillance | £400–£800 | 20 min | Same visit |
Prices vary by unit, whether a consult is bundled, and whether a biopsy is added on the day. We come back with a firm quote within one working day.
The problem
Blood in the urine is a two-week-wait — but waiting is what happens.
Visible haematuria is a red flag under NICE NG12, but NHS haematuria clinics are backed up and the anxiety is real. We arrange a consultant urologist and an office-based flexible cystoscopy within days, in the same visit as your consultation.
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Blood in the urine?
We book a consultant urologist and, where indicated, a same-visit flexible cystoscopy under local anaesthetic.
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Recurrent UTIs?
A flexible cystoscopy can find a treatable cause when antibiotics keep being needed.
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Follow-up after a tumour?
We keep your surveillance cystoscopies on schedule — 3, 6 and 12 months, as your protocol requires.
The journey
From enquiry to report — what happens, in order.
One clinician from first message to results — including the bit after the procedure.
Phase 1 · Before your procedure
Concierge, off-stage for you
Phase 2 · On the day
~an hour at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Symptoms, timeline, referral or insurer if you have them.
- 02
Before
We come back with a recommendation
Within one working day: the right consultant urologist, which unit, indicative price. If a scan is the better first step, we say so.
- 03
Before
We arrange the appointment
Usually within a week; a same-week slot is possible for red-flag symptoms. Anticoagulation usually continues.
- 04
On the day
Arrival and preparation
You arrive, empty your bladder, change, and meet your consultant. Local anaesthetic gel is instilled and given a few minutes to work.
- 05
On the day
The procedure itself
The flexible scope is passed in about 20 minutes. You can watch the screen if you would like.
- 06
On the day
Recovery, then home
Straight home afterwards. A brief stinging on your next void and a small blood streak on the first day are normal.
- 07
After
Findings and next steps
Your consultant explains what they saw on the day. Any biopsy results follow in 7–10 days, and we make sure they are explained.
Typical end-to-end: 1–2 weeks. Urgent cases: days.
What it shows
Find the reason that matches your symptom.
Flexible cystoscopy answers questions no scan can — it looks directly at the lining. These are the reasons people come to us.
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Haematuria (blood in urine)
The definitive test for visible or persistent microscopic blood in the urine — the reason most people are referred.
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Recurrent UTIs
Investigates women and men whose urinary infections keep coming back, to look for a treatable cause.
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Persistent lower urinary tract symptoms
Poor flow, urgency, hesitancy, or incomplete emptying when tablets and lifestyle changes have not settled things.
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Post-cystoscopy surveillance
The planned interval check after a previous cystoscopy, biopsy or resection — timed to your protocol.
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Suspected bladder cancer
Direct visualisation of the bladder lining, with biopsy in the same visit if a lesion is seen.
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Urethral stricture
Assesses narrowing of the urethra when the flow is poor and imaging is inconclusive.
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Mesh complications
Looks for mesh erosion or exposure inside the bladder or urethra after previous continence or prolapse surgery.
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Red flag — haematuria with weight loss
Blood in the urine with unexplained weight loss is a two-week-wait cancer pathway. Do not sit on it.
Procedure types
Not all flexible cystoscopies are the same.
What each option on your referral is actually for.
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Standard flex cystoscopy
A thin, bendy camera passed under local anaesthetic gel in clinic. About 20 minutes, then home.
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Flex cysto + urology consult
A full consultation and the scope in the same visit — one appointment instead of two.
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Flex cysto + biopsy
A small tissue sample is taken from a suspicious area and sent for uropathology.
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Follow-up surveillance
The planned interval check after a bladder tumour — typically 3-, 6- and 12-monthly.
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Urgent same-week
A prioritised half-day slot for red-flag symptoms, when waiting is not the right answer.
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Post-treatment surveillance
Interval checks after a resection, BCG course or intravesical chemotherapy.
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Mesh assessment
Focused look for mesh erosion or exposure after continence or prolapse surgery.
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Paediatric-adolescent (specialist)
Referred to a paediatric-urology partner — arranged separately, with age-appropriate consent.
Our vetted London network
A small panel of clinics, we picked them.
Partners across central, north, west and south London. Not listed publicly — introductions are made privately, once we understand your case.
Selection criteria
How we choose every clinic in our network.
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Consultant urologists (BAUS-accredited)
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High-definition flexible scope
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Local anaesthetic only — no sedation or GA required
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Onward rigid-cystoscopy or TURBT pathway if needed
Safety and eligibility
Very safe — but there is real planning to do.
Flexible cystoscopy under local anaesthetic is very safe. What matters is what you take beforehand and how you look after your bladder afterwards.
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Local anaesthetic gel
Lidocaine gel is instilled and given a few minutes to work — no injections, no sedation, no fasting.
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Brief discomfort
A stinging pressure for a minute or two as the scope passes the sphincter. Most people describe it as uncomfortable rather than painful.
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Minor stinging on next void
A short sting the first time you pass urine after the procedure is expected and settles quickly.
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Possible small blood streak first day
A pink tinge or a small streak in the urine on the first day is normal. Drink plenty of water.
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UTI risk is small
Infection risk is low; antibiotic cover is used only for higher-risk patients. Fever or shivers means call us or 999.
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Driving safe
You can drive yourself home and back to work — no sedation is used.
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Sexual activity fine after 24 hrs
Wait 24 hours as a matter of comfort, then resume normally.
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Anticoagulation usually continues
Warfarin, DOACs and clopidogrel usually continue for a diagnostic flexible cystoscopy. If a biopsy is planned we coordinate any pause with your prescriber.
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Pregnancy
Flexible cystoscopy under local is generally avoided in pregnancy unless urgent — a general anaesthetic path is chosen instead.
Reading your report
A flexible cystoscopy report can look intimidating. It isn’t.
However much was examined, the report keeps to the same four parts.
A quiet reminder
You will be told the headline on the day — biopsy detail takes a little longer.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Your details and the indication
Your details, the reason for the procedure, and any relevant history — haematuria, recurrent UTI, surveillance.
- 02 Technique
Scope and local anaesthetic
Which flexible scope was used, lidocaine gel volume and dwell time, and any biopsy taken.
- 03 Findings
Urethra, prostate, bladder, ureteric orifices
A segment-by-segment description — urethra, prostate or bladder neck, trigone, ureteric orifices, lateral walls and dome — with photographs where relevant.
- 04 Impression
Read this first
The conclusion — normal, findings, biopsy plan and follow-up interval. Histology follows separately if a sample was taken.
Recognised by major UK insurers
Most policies cover flexible cystoscopy when clinically indicated; we confirm cover and pre-authorisation before booking.
Frequently asked
Everything we get asked about flexible cystoscopy.
Quick answers on pain, cost, referral, recovery, pregnancy and results.
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What does a flexible cystoscopy show?
It looks directly at the urethra, prostate or bladder neck, and the whole bladder lining — including the ureteric orifices. It is the definitive test for blood in the urine, recurrent UTIs, persistent lower urinary tract symptoms and for surveillance after a bladder tumour.
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Does a flexible cystoscopy hurt?
It is uncomfortable rather than painful — a stinging pressure for a minute or two as the scope passes the sphincter. Local anaesthetic gel is used and no sedation is needed.
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How much does a private flexible cystoscopy cost in London?
A standard flexible cystoscopy in our network is typically £400–£800. Combined with a urology consultation it is £550–£1,100, and with a biopsy £700–£1,400. We confirm a firm figure within one working day.
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Do I need a referral?
Not always. We can arrange a consultation with a consultant urologist quickly, with or without a GP letter, and the flexible cystoscopy in the same visit if it is indicated.
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What is the recovery like?
Straight home afterwards. Expect a brief sting on the next void and possibly a small blood streak on the first day. Drink water freely, drive yourself home, and back to work the same day.
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Can I have a flexible cystoscopy in pregnancy?
Flexible cystoscopy under local is generally avoided in pregnancy unless urgent. A general anaesthetic path is chosen instead so the procedure can be done under obstetric supervision.
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What is the difference between flexible and rigid cystoscopy?
Flexible cystoscopy is done in clinic under local anaesthetic gel in about 20 minutes. Rigid cystoscopy uses a straight metal scope under general or spinal anaesthetic — needed for biopsies of a bigger lesion, resection (TURBT) or bladder botox.
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How quickly will I get the results?
The urologist tells you what they saw on the day — you leave with your impression. If a biopsy is taken, histology usually takes 7–10 days, and we make sure it is explained.
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Will you take a biopsy on the day?
Only if there is something to biopsy and you have consented. A small pinch biopsy through the flexible scope is well tolerated and takes a few extra minutes.
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When should I see my GP or A&E urgently?
Call 999 or attend A&E if you develop a fever, shivers, or heavy bright red bleeding with clots. Persistent visible blood in the urine, especially with weight loss, is a two-week-wait cancer pathway — do not sit on it.
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