Concierge prostate care · London
Private PSA & prostate check in London, interpreted by a consultant urologist.
A blood test with a proper conversation — modern prostate care starts with PSA (in context) and, where needed, prostate mpMRI before any biopsy is discussed. Interpreted by a consultant urologist.
Why patients choose us
- 01
A blood test with a proper conversation
PSA numbers are only useful in context — we make sure you get one, not just a PDF.
- 02
mpMRI before biopsy
When further work-up is needed, we follow the modern NICE pathway — imaging first, biopsy only if warranted.
- 03
Consultant urologists, GMC-registered
Results interpreted by a specialist, not a lab printout with reference ranges.
Indicative pricing
What a private PSA and prostate check costs in London.
Indicative ranges across our partner clinics and laboratories. Send the details and we quote firm figures across two or three options.
In short
A PSA blood test in our network: £75-£150, with results in 24-48 hours.
| Test or pathway | Indicative range | Appointment time | Results turnaround |
|---|---|---|---|
| PSA blood test only | £75–£150 | 5–10 min | 24–48 hrs |
| PSA + free PSA ratio | £150–£300 | 5–10 min | 24–48 hrs |
| PSA + urology consultation & DRE | £350–£650 | 30–45 min | Same visit |
| PSA + prostate mpMRI bundle | £750–£1,400 | Multi-visit | 3–5 days |
| Full men's prostate screen (PSA + testosterone + kidney) | £220–£450 | 10–15 min | 3–5 days |
| PHI (prostate health index) | £250–£450 | 5–10 min | 3–5 days |
Prices vary by which assays are used, whether a consultant urologist consultation is included, whether prostate mpMRI is added, and how quickly you need results. We come back with a firm quote within one working day.
The problem
A PSA number, on its own, is not an answer.
Plenty of places will run a PSA and email you a value with a reference range. Knowing whether to reassure, repeat, image or refer — that is the part that matters. That is what we do.
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Borderline PSA?
We interpret against age-adjusted ranges and, where useful, add free PSA ratio or PHI before anyone talks about biopsy.
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Family history worry?
A father or brother with prostate cancer changes the timing and cadence of screening. We build a personal plan.
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Symptoms and unsure?
Urinary symptoms are usually benign — but worth a consultant urologist, not a Google search.
The journey
From enquiry to results — what happens, in order.
One clinician from first message to explained results — usually within a few days.
Phase 1 · Before your test
Concierge, off-stage for you
Phase 2 · On the day
~10 minutes for the draw
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Age, family history, any symptoms, and what prompted the enquiry.
- 02
Before
We recommend the right pathway
Within one working day: PSA alone, PSA + free PSA ratio, PSA + urology consultation, or a fuller work-up.
- 03
Before
We book the appointment
Clinic or home phlebotomy, often same or next day. We tell you about the 48-hour preparation window.
- 04
On the day
The blood draw (and DRE, if agreed)
A few minutes with an experienced phlebotomist. If a urologist consultation is booked, DRE happens after the blood draw.
- 05
On the day
Off to the lab
Your sample goes to a UKAS-accredited laboratory the same day.
- 06
After
Results reviewed
Results are interpreted by a consultant urologist against age-adjusted ranges, usually within 24-72 hours.
- 07
After
We explain them — and any next step
Reassure, repeat, or arrange prostate mpMRI. Biopsy is only ever discussed after imaging.
Typical end-to-end: 3-7 days. Urgent cases: same day.
What it shows
When PSA and a prostate check are worth doing.
The prostate assessment answers very different questions depending on your age, symptoms and history. These are the indications people come to us with.
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PSA baseline
A first PSA from age 50 for average risk, or age 45 if you are Black or have a family history.
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Age-related risk
Prostate cancer risk rises steeply from the mid-fifties. Age-adjusted ranges matter more than a single number.
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Family history & BRCA carriers
A father or brother with prostate cancer — or a known BRCA1/2 mutation — warrants earlier and closer monitoring.
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Urinary symptoms in men
Weak stream, hesitancy, nocturia or frequency — usually benign enlargement, but worth checking properly.
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Digital rectal exam (DRE)
A brief examination in context — done after the PSA blood draw, not before, so the number is not falsely raised.
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When mpMRI comes before biopsy
NICE now recommends prostate mpMRI first, so any biopsy is targeted — not blind — and often avoided altogether.
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Active surveillance
For low-risk disease, careful monitoring with PSA and MRI often replaces immediate treatment.
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Red flags
Visible blood in the urine, new bone pain or unexplained weight loss — see a urologist urgently, not just for a PSA.
Pathways
The pathways we arrange most.
What each option is actually for.
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PSA test alone
A single blood marker — cheap, quick, and only useful in context of age and history.
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PSA + free PSA ratio
Adds a second reading that helps distinguish benign enlargement from something needing further work-up.
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PSA + PHI (Prostate Health Index)
A three-marker calculation that refines the risk of significant cancer beyond PSA alone.
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PSA + DRE
PSA with a consultant urologist consultation and a brief physical examination for context.
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PSA + prostate mpMRI (modern pathway)
The NICE-endorsed pathway — imaging before any biopsy is even discussed.
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Repeat / velocity monitoring
A borderline PSA is often best rechecked in six to twelve weeks rather than acted on immediately.
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Active-surveillance protocol
For confirmed low-risk disease — scheduled PSA, MRI and consultant review, not immediate treatment.
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Full men's health panel
PSA alongside testosterone, kidney, liver, lipids and HbA1c for a fuller picture.
Our vetted London network
A small panel of clinics, labs and urologists, we picked them.
Partners across central London for PSA, urology consultation and prostate mpMRI. Not listed publicly — introductions are made privately, once we understand your case.
Selection criteria
How we choose every clinic, laboratory and urologist in our network.
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CQC-registered clinics across central London
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PSA tests run in UKAS-accredited laboratories
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Consultations with GMC-registered consultant urologists
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Direct-referral pathway to prostate mpMRI when indicated
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Results explained in plain English, not a printout with reference ranges
Preparation and practicalities
The 48 hours before matter as much as the test itself.
PSA is easily nudged up by things that have nothing to do with cancer. A little preparation gives a truer number — and avoids unnecessary worry.
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Avoid sex or ejaculation for 48 hours
Recent ejaculation can raise PSA. Abstaining for two days before the blood test gives a truer reading.
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Avoid heavy exercise or cycling
Vigorous exercise and cycling for 48 hours before the test can transiently raise PSA.
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DRE can raise PSA — bloods first
If a digital rectal exam is planned, we always take the blood sample first so the number is not falsely elevated.
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Recent UTI or catheter
Urinary infection, prostatitis or a recent catheter can falsely raise PSA. Wait four to six weeks after treatment.
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Age-adjusted reference ranges
Normal PSA rises gently with age. We interpret against age-adjusted ranges, not a single arbitrary cut-off.
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mpMRI before any biopsy
NICE now recommends a multi-parametric MRI before biopsy is considered. Biopsy is not the first step.
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Informed screening only
PSA screening carries a real risk of over-diagnosis. We only screen after a proper conversation about the trade-offs.
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Repeat before you react
A single slightly-raised PSA usually warrants a repeat in six to twelve weeks — not immediate biopsy.
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Over-70 screening is individualised
Above age 70, the balance of benefit and harm shifts. Screening becomes a personal, not automatic, decision.
Reading your report
A PSA report can look intimidating. It isn’t.
However simple or complex the pathway, the report follows the same four parts.
A quiet reminder
A single PSA is a snapshot — context, trend and imaging are what matter.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Your details and the reason for testing
Your age, family history, symptoms and the question behind the test.
- 02 Technique
Which assays, timing, DRE if done
The PSA assay used, the time and preparation conditions, and whether a DRE was performed.
- 03 Findings
Your results in context
PSA value with the age-adjusted range, free PSA ratio if measured, and MRI PI-RADS score if imaging has been done.
- 04 Impression
The conclusion: read this first
Reassure, repeat, arrange MRI, or discuss biopsy — the clinician’s plain-English recommendation.
Recognised by major UK insurers
Routine screening is often self-funded; where testing is medically indicated we confirm cover with your insurer.
Frequently asked
Everything we get asked about PSA and prostate checks.
Quick answers on cost, timing, DRE, mpMRI, active surveillance and when to see a GP urgently.
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What does a PSA test actually measure?
PSA is prostate-specific antigen, a protein produced by the prostate. Raised levels can indicate cancer, but also benign enlargement, infection, or recent activity — which is why context and interpretation matter.
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How much does a private PSA test cost in London?
A PSA blood test alone is typically £75-£150. PSA with a consultant urologist consultation and DRE is £350-£650, and PSA with a prostate mpMRI bundle is £750-£1,400.
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When should I start PSA testing?
From age 50 for average-risk men, and from age 45 if you are Black or have a father or brother with prostate cancer. Screening above age 70 is individualised.
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Does the DRE hurt?
It is briefly uncomfortable rather than painful — a few seconds with a gloved, lubricated finger. Most men are surprised by how quick and unremarkable it is.
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Should the PSA blood test be before or after the DRE?
Always before. A DRE can transiently raise PSA, so we take the blood sample first and perform the examination afterwards in the same visit.
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What causes a false-positive PSA?
Recent ejaculation, vigorous cycling or exercise, urinary infection, prostatitis, a recent catheter, or a DRE done just before the blood test can all raise PSA without cancer being present.
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Why is mpMRI now done before biopsy?
NICE guideline NG131 recommends a multi-parametric MRI before biopsy, because it identifies the cases that actually need a biopsy — sparing many men an invasive procedure and making the biopsy itself more targeted when it does happen.
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What is active surveillance and how does it differ from treatment?
Active surveillance is a structured monitoring programme — PSA, MRI and consultant review — used for confirmed low-risk prostate cancer, where the cancer is unlikely to cause harm and treatment side-effects can be avoided.
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Will my insurance cover a private PSA test?
Cover varies. PSA is often covered when there is a clinical indication and pre-authorisation, but routine screening is usually self-funded. We can check with your insurer.
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When should I see a GP urgently rather than book a private PSA?
Visible blood in the urine, new bone pain, unexplained weight loss, or urinary retention need urgent NHS assessment — not a private blood test.
Related tests
Looking for something else?
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Prostate MRI
Multi-parametric MRI — imaging before biopsy is discussed.
Learn more -
Blood tests
PSA alongside a fuller blood workup, if useful.
Learn more -
Biopsy
Targeted biopsy — only after mpMRI, if genuinely warranted.
Learn more -
All tests & procedures
The full concierge tests and procedures overview.
Learn more