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.
-
Blood in the urine?
We book a consultant urologist and, where indicated, a same-visit flexible cystoscopy under local anaesthetic.
-
Recurrent UTIs?
A flexible cystoscopy can find a treatable cause when antibiotics keep being needed.
-
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.
-
Haematuria (blood in urine)
The definitive test for visible or persistent microscopic blood in the urine - the reason most people are referred.
-
Recurrent UTIs
Investigates women and men whose urinary infections keep coming back, to look for a treatable cause.
-
Persistent lower urinary tract symptoms
Poor flow, urgency, hesitancy, or incomplete emptying when tablets and lifestyle changes have not settled things.
-
Post-cystoscopy surveillance
The planned interval check after a previous cystoscopy, biopsy or resection - timed to your protocol.
-
Suspected bladder cancer
Direct visualisation of the bladder lining, with biopsy in the same visit if a lesion is seen.
-
Urethral stricture
Assesses narrowing of the urethra when the flow is poor and imaging is inconclusive.
-
Mesh complications
Looks for mesh erosion or exposure inside the bladder or urethra after previous continence or prolapse surgery.
-
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.
-
Standard flex cystoscopy
A thin, bendy camera passed under local anaesthetic gel in clinic. About 20 minutes, then home.
-
Flex cysto + urology consult
A full consultation and the scope in the same visit - one appointment instead of two.
-
Flex cysto + biopsy
A small tissue sample is taken from a suspicious area and sent for uropathology.
-
Follow-up surveillance
The planned interval check after a bladder tumour - typically 3-, 6- and 12-monthly.
-
Urgent same-week
A prioritised half-day slot for red-flag symptoms, when waiting is not the right answer.
-
Post-treatment surveillance
Interval checks after a resection, BCG course or intravesical chemotherapy.
-
Mesh assessment
Focused look for mesh erosion or exposure after continence or prolapse surgery.
-
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.
-
Consultant urologists (BAUS-accredited)
-
High-definition flexible scope
-
Local anaesthetic only - no sedation or GA required
-
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.
-
Local anaesthetic gel
Lidocaine gel is instilled and given a few minutes to work - no injections, no sedation, no fasting.
-
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.
-
Minor stinging on next void
A short sting the first time you pass urine after the procedure is expected and settles quickly.
-
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.
-
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.
-
Driving safe
You can drive yourself home and back to work - no sedation is used.
-
Sexual activity fine after 24 hrs
Wait 24 hours as a matter of comfort, then resume normally.
-
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.
-
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.
-
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.
-
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.
-
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.
-
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.
-
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.
-
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.
-
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.
-
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.
-
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.
-
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.
Related tests
Looking for a different test?
-
Cystoscopy
The full cystoscopy overview - flexible and rigid options.
Learn more -
PSA & prostate check
PSA blood test and prostate assessment for men.
Learn more -
Urodynamic studies
Bladder pressure and flow studies for voiding problems.
Learn more -
All tests & procedures
Browse the full concierge network.
Learn more -
Prostate Enlargement BPH
Related condition guide.
Learn more -
Kidney Disease CKD
Related condition guide.
Learn more -
Cystectomy
Related treatment option.
Learn more -
Cystoplasty
Related treatment option.
Learn more
In practice, in London
How flexible cystoscopy tends to unfold when you go private
With flexible cystoscopy, the London question is usually about report turnaround and the radiologist reading it - not whether the scan is available. Public provision for flexible cystoscopy is competent but constrained by capacity. Private London clinics tend to have shorter diaries and longer appointment slots, so you get the same specialists with more time. For people who’ve been going round in circles with primary care, that first proper conversation is often what shifts things.
A private flexible cystoscopy pathway in London usually looks like this: an initial consultation, any diagnostics booked at a nearby facility (most within Zone 1 or 2), and a written report sent to you and your GP within a few days. The consultants we work with hold NHS posts alongside their private lists, which keeps the standards consistent across both settings. For flexible cystoscopy specifically, the difference between a routine report and a sub-speciality read is where private care earns its keep.
Fit matters more than people expect. For flexible cystoscopy, the right consultant depends on what you actually need - a second opinion, a definitive diagnosis, a bridge into treatment, or reassurance that nothing’s being missed. We match on that, not on who has the biggest brochure. If a test isn’t the right next step, we’ll say so before you book anything.