Concierge urology · London
Private urodynamic studies in London, the reference test for bladder function.
Multichannel urodynamics — the reference test for stress, urge and mixed incontinence and complex LUTS, by a consultant urologist or urogynaecologist.
Why patients choose us
- 01
Consultant urologists and urogynaecologists only
We route to BAUS-accredited urodynamic centres led by consultants who do a high volume of multichannel studies.
- 02
Full multichannel and video capability
For complex cases — post-mesh, post-prostatectomy, neurogenic — we book units with video urodynamics on site.
- 03
We chase the interpretation
A tracing without a plan is not enough. We make sure the impression is read, explained and turned into a next step.
Indicative pricing
What private urodynamic studies cost in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
Full multichannel urodynamics in our network: £850–£1,700, with the impression on the day.
| Study | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| Uroflowmetry only | £180–£350 | 30 min | Same visit |
| Full urodynamics (multichannel) | £850–£1,700 | 60–90 min | Same visit |
| Video urodynamics | £1,200–£2,400 | 90 min | Same visit |
| Urodynamics + urology consult | £1,100–£2,200 | 90 min | Same visit |
| Post-prostatectomy urodynamics | £900–£1,800 | 90 min | Same visit |
| Paediatric urodynamics (specialist) | £1,400–£2,800 | 90 min | Same visit |
Prices vary by unit, whether video urodynamics is required, and whether a consultant appointment is combined in the same visit. We come back with a firm quote within one working day.
The problem
Incontinence surgery without urodynamics is a coin toss.
Stress, urge and mixed incontinence look similar from the outside and need very different treatments. Urodynamics is the reference test that tells them apart — and NHS waits for it are long.
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Leaking on cough or effort?
We book a full multichannel study to demonstrate stress leakage and rule out an unexpected overactive bladder.
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Urgency and frequency?
A cystometry tracing shows detrusor overactivity when a bladder diary is not enough on its own.
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Symptoms after prostate or pelvic surgery?
Post-prostatectomy and post-mesh work-ups need video urodynamics — we route those to the right unit.
The journey
From enquiry to report — what happens, in order.
One clinician from first message to results — including the bit after the study.
Phase 1 · Before your study
Concierge, off-stage for you
Phase 2 · On the day
60–90 minutes at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Symptoms, bladder diary if you have one, referral or insurer.
- 02
Before
We come back with a recommendation
Within one working day: uroflow only, full multichannel or video urodynamics, which unit, indicative price.
- 03
Before
We arrange the appointment
Usually within a week. We confirm any antibiotic cover if you are higher risk and share the bladder-diary template.
- 04
On the day
Arrival and preparation
You arrive with a comfortably full bladder, change into a gown, and meet your consultant. No sedation is needed.
- 05
On the day
The study itself
Uroflow first, then a slim filling catheter and a rectal pressure line, brief cough and voiding tests. 60–90 minutes.
- 06
On the day
Recovery, then home
Straight home. Mild burning or a pink tinge for a day is normal. Drink water freely.
- 07
After
Findings and next steps
Your consultant explains the tracing on the day — stress, urge, mixed, obstruction — and we make sure the plan follows.
Typical end-to-end: 1–2 weeks. Urgent cases: days.
What it shows
Find the reason that matches your symptom.
Urodynamics answers questions no bladder diary can — it measures what the bladder actually does. These are the reasons people come to us.
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Stress incontinence
Objective demonstration of leakage on cough or effort — the reference test before surgery.
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Urge incontinence
Detects detrusor overactivity — involuntary bladder contractions — that explain urgency and leakage.
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Lower urinary tract symptoms (LUTS)
Separates a storage problem from a voiding problem when symptoms are mixed and treatment is unclear.
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Prolapse-related dysfunction
Assesses hidden stress incontinence and voiding difficulty in women being planned for prolapse surgery.
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Post-prostatectomy incontinence
Distinguishes sphincter weakness from detrusor overactivity — the two need very different treatments.
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Neurogenic bladder
Essential in spinal cord injury, MS and spina bifida — assesses bladder pressures that can damage the kidneys.
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Paediatric bladder work-up
For daytime wetting, difficult voiding and neurogenic bladder in children, in dedicated paediatric units.
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Red flag: acute retention with pain — same-day A&E
A painfully full bladder that you cannot pass is an emergency. Go straight to A&E — not a urodynamics booking.
Study types
Not all urodynamic studies are the same.
What each option on your referral is actually for.
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Uroflowmetry only
A simple flow test on a special toilet, with a post-void bladder scan. Screens for obstruction and slow voiding.
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Full multichannel urodynamics
Filling and voiding cystometry with bladder and rectal pressure lines — the reference test for incontinence and LUTS.
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Video urodynamics
Multichannel study performed under fluoroscopy — adds anatomical detail for complex, post-surgical and neurogenic bladders.
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+ urology consult
Combined slot with a consultant urologist or urogynaecologist — study, explanation and management plan in one visit.
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Post-prostatectomy
Tailored protocol for men with incontinence after radical prostatectomy — sphincter versus detrusor assessment.
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Post-mesh work-up
For women with recurrent stress incontinence or voiding difficulty after mid-urethral tape or mesh procedures.
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Paediatric urodynamics
Child-appropriate protocol delivered in a specialist paediatric unit with a paediatric urologist.
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Ambulatory urodynamics
Portable monitoring over several hours for symptoms not reproduced on conventional testing.
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 or urogynaecologists
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BAUS urodynamic centres
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Full multichannel equipment
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Video capability for complex cases
Safety and eligibility
Very safe — but there is real planning to do.
Urodynamics is very safe. What matters is what you drink beforehand, the bladder diary you bring, and looking after your bladder afterwards.
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Comfortable clothing
Wear something loose. You will change into a gown for the study and can dress straight back afterwards.
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You drink normally beforehand
No fasting. Drink normally so that you arrive with a comfortably full — not painful — bladder.
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Slim catheter inserted for filling
A thin catheter is passed through the urethra to fill the bladder with sterile water and measure pressure.
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Small pressure catheter in rectum
A second, very small pressure line sits in the rectum so we can separate bladder pressure from abdominal pressure.
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Brief cough tests
You will be asked to cough and strain at set volumes so any stress leakage can be seen and measured.
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Possible mild UTI risk
A small proportion of patients develop a urinary infection afterwards. Drink water freely and tell us if symptoms persist.
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Antibiotic prophylaxis for higher-risk patients
A single dose of antibiotics is given if you have had recurrent UTIs, a heart-valve replacement or a suppressed immune system.
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Pregnancy defers testing usually
Urodynamics is usually deferred in pregnancy unless urgent. Tell us if you are or might be pregnant.
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Always share prior bladder diaries
A three-day bladder diary transforms the interpretation. We send you a template as soon as you book.
Reading your report
A urodynamics tracing can look intimidating. It isn’t.
However complex the study, the report keeps to the same four parts.
A quiet reminder
You will be told the impression on the day — the written report follows within a few working days.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Indication and symptoms
Your details, the referring symptoms — stress, urge, mixed, voiding — and the treatments already tried.
- 02 Technique
Uroflow, cystometry and PFS
How the study was done: free uroflowmetry, filling cystometry with bladder and rectal pressure lines, and a pressure-flow study of voiding.
- 03 Findings
Voiding versus storage phase
Filling-phase findings (compliance, detrusor overactivity, capacity, leak point pressure) and voiding-phase findings (flow, detrusor pressure, obstruction).
- 04 Impression
Read this first
The conclusion — stress, urge or mixed incontinence, detrusor overactivity, obstruction — and the next step in your management.
Recognised by major UK insurers
Most policies cover urodynamic studies when clinically indicated; we confirm cover and pre-authorisation before booking.
Frequently asked
Everything we get asked about urodynamics.
Quick answers on cost, comfort, video urodynamics, risks and results.
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What do urodynamic studies measure?
Urodynamics measures how well the bladder stores and empties urine. It records bladder pressure, abdominal pressure, urine flow and, where indicated, the anatomy of the bladder and urethra during filling and voiding — the reference test for stress, urge and mixed incontinence and for complex lower urinary tract symptoms.
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Is it painful?
Urodynamics is uncomfortable rather than painful. You may feel a stinging pressure as the slim catheter is inserted, and a strong urge to pass urine as the bladder fills. It takes 60–90 minutes and no sedation is needed.
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What is the risk of a urinary infection?
A small proportion of patients develop a UTI after urodynamics. Drinking water freely afterwards helps, and antibiotic cover is given to higher-risk patients — recurrent UTIs, heart-valve replacements or a suppressed immune system.
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When is video urodynamics added?
Video urodynamics is used when the anatomy matters as much as the pressures — complex incontinence, post-prostatectomy, post-mesh surgery, neurogenic bladder in spinal cord injury or MS, and paediatric work-up.
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How much do private urodynamic studies cost in London?
Uroflowmetry only is typically £180–£350. Full multichannel urodynamics is £850–£1,700. Video urodynamics is £1,200–£2,400. A combined study with a consultant urology or urogynaecology appointment is £1,100–£2,200. We confirm a firm figure within one working day.
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Do I need a referral?
Urodynamics is usually arranged after a consultation with a consultant urologist or urogynaecologist so the right protocol is chosen. We can arrange that consultation quickly, with or without a GP letter.
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What about pregnancy?
Urodynamics is usually deferred in pregnancy unless there is an urgent reason. Tell us if you are or might be pregnant so we can plan the timing.
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How quickly will I get results?
Your consultant explains the tracing and the impression on the day. A written report follows within a few working days, and we make sure it is turned into a management plan.
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When is a bladder diary enough?
A three-day bladder diary and a symptom questionnaire are often enough for straightforward urgency or stress incontinence before conservative treatment. Urodynamics is reserved for mixed symptoms, failed treatment, and before surgery.
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When should I see a GP urgently?
Go to A&E if you cannot pass urine and your bladder is painfully full (acute retention). See a GP urgently for new blood in the urine, unexplained pelvic pain, or incontinence after prostate or pelvic surgery.
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