Raised PSA Evaluation
Raised PSA Evaluation
Raised PSA Evaluation
With Professor Prasanna Sooriakumaran, a world-leading prostate cancer specialist
Professor Prasanna Sooriakumaran
MA (Oxon) BMedSci (Hons) BMBS (Hons) PGCertMedLaw ADCertClinInv (Cornell)
FRCS (Urol) FEBU USMLE PhD
Raised PSA Levels with Professor Prasanna Sooriakumaran
Understanding what an elevated PSA may mean and when further investigation may be needed.
Testimonials
Book a Consultation
Arrange a consultation with Professor Prasanna Sooriakumaran for clear, specialist guidance on your diagnosis, results, or treatment options.
Book a Consultation
Arrange a consultation with Professor Prasanna Sooriakumaran for clear, specialist guidance on your diagnosis, results, or treatment options.
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Fees and Pricing
Understanding the cost of your assessment is an important part of planning your care. The following provides a guide to consultation fees for raised PSA assessment.
Consultation Fees
Initial Consultation
£325
A detailed consultation to review your PSA result, assess your risk, and determine whether further investigation is required.
Follow-Up Consultation
£225
Follow-up appointments are available to review any additional tests and provide clear guidance on next steps.
If further tests or investigations are recommended, a clear breakdown of associated costs will be provided during your consultation, ensuring full transparency before proceeding.
Finance and Insurance
At Prostate Clinic London, we aim to ensure specialist prostate cancer care is both transparent and accessible. A range of payment options is available, and most major private medical insurers are accepted, with guidance provided to help you understand costs, coverage, and the options available to you. The focus is on ensuring the process is clear and supportive, so you can concentrate on your health and making informed decisions about your care.
What Does a Raised PSA Mean?
PSA (prostate-specific antigen) is a protein produced by the prostate gland, and small amounts are normally present in the blood. A raised PSA level indicates that further evaluation of the prostate may be needed, but it is not a diagnosis of prostate cancer on its own.
PSA levels can vary between individuals and are influenced by a number of factors. In many cases, a raised PSA is related to non-cancerous conditions rather than cancer.
Common causes of a raised PSA include:
- Benign prostate enlargement (BPH)
- Inflammation or infection of the prostate (prostatitis)
- Recent activity, such as exercise or ejaculation
- Age-related changes in the prostate
PSA levels can also fluctuate over time, which is why a single result is not always definitive. In some cases, repeat testing or further assessment may be recommended before any conclusions are made.
For this reason, PSA results must always be interpreted in context — taking into account your age, symptoms, medical history, and any previous results. This allows for a more accurate understanding of your individual risk and helps determine whether any further investigation is necessary.
Ranked Among the UK’s Top 10 Prostate Cancer Surgeons
Experience plays a critical role in prostate cancer treatment, particularly when it comes to achieving the best possible outcomes. Surgical technique and specialist expertise can have a meaningful impact on cancer control, as well as functional outcomes such as continence and erectile function.
Professor Prasanna Sooriakumaran has been recognised among the leading prostate cancer surgeons in the UK, including being featured in the Daily Mail’s list of top prostate cancer surgeons. This recognition reflects both his experience and his commitment to delivering high-quality care for patients.
This level of expertise is an important factor for patients seeking private prostate cancer treatment in London.
Recognised Internationally for Excellence in Prostate Cancer Care
Professor Prasanna Sooriakumaran has received over 30 international awards recognising his contribution to urology and prostate cancer care, including a National Clinical Impact Award for excellence beyond standard clinical practice.
He is the only urologist worldwide to hold Visiting Professorships at both the University of Oxford and the All-India Institute of Medical Sciences, and has been named one of London’s most influential doctors. His work continues to shape modern approaches to prostate cancer surgery.
When Should a Raised PSA Be Investigated?
A raised PSA does not always require immediate investigation. The need for further assessment depends on the level of elevation, any changes over time, and your individual risk factors.
A structured evaluation is used to determine whether further investigation is appropriate. This includes reviewing your PSA level in the context of any previous results, as trends over time are often more informative than a single reading. Your symptoms, including any changes in urinary function, are also carefully considered, alongside your family history, age, and overall health.
By bringing these factors together, a clearer understanding of your individual risk can be formed. This helps guide whether further investigation is needed and ensures that any next steps are appropriate and proportionate to your situation.
What Happens If Your PSA Is Raised?
If your PSA level is raised, the next step is usually a more detailed assessment rather than immediate invasive testing. The aim is to understand the cause of the elevation before deciding whether further investigation is needed.
This typically begins with confirming the result, as PSA levels can fluctuate. A repeat PSA test may be recommended, followed by a more comprehensive evaluation of your overall risk.
In many cases, an MRI scan is used to provide detailed imaging of the prostate and help identify whether there are any areas of concern. This allows for a more informed decision about whether further investigation is required. A prostate biopsy is only recommended in selected cases, where there is sufficient clinical concern based on your results and overall assessment.
Why Specialist Assessment Matters
A raised PSA is not a diagnosis, but an indication that further evaluation may be needed. Interpreting this correctly is essential to avoid unnecessary anxiety, while also ensuring that any significant concerns are properly identified.
PSA results can be influenced by a range of factors and should never be considered in isolation. Accurate interpretation requires an understanding of your PSA level in the context of your age, symptoms, medical history, and any previous results.
Professor Prasanna Sooriakumaran provides expert interpretation of PSA results, carefully assessing your individual risk and guiding decisions on whether further investigation is appropriate. His approach ensures that any next steps are based on a thorough and considered evaluation.
This helps to avoid unnecessary tests and procedures, while ensuring that important findings are not missed.
Is a Raised PSA Something to Worry About?
A raised PSA can understandably be a cause for concern. However, in many cases it is not due to prostate cancer and may be related to more common, non-cancerous conditions.
The most important step is not to make assumptions based on a single result, but to have it properly assessed in context. This allows a clearer understanding of what your PSA level may mean and whether any further investigation is needed.
With the right specialist evaluation, decisions can be made in a careful and considered way, ensuring that any next steps are appropriate for your individual situation.
What Should You Do Next?
If you have a raised PSA result, the most important next step is to have it reviewed by a specialist rather than trying to interpret it in isolation.
A consultation allows your results to be assessed in full, alongside your symptoms, medical history, and any previous tests. You will be given clear guidance on whether further investigation is needed and what the most appropriate next steps are for your situation.
Book a Consultation
If you have been told your PSA is raised, or have concerns about your result, a consultation with Professor Prasanna Sooriakumaran provides clear, expert guidance tailored to your individual situation.
Your results will be reviewed in detail, helping to determine whether any further investigation is required and ensuring that any decisions are based on a careful and accurate assessment.
Professor Prasanna Sooriakumaran in the Media
Professor Prasanna Sooriakumaran discusses the importance of being a patient-centred doctor and the value of cultivating emotional intelligence in patient interactions during this podcast.
Professor Prasanna Sooriakumaran discusses men’s health, prostate cancer, and longevity medicine in the inaugural Emerald podcast.
Professor Prasanna Sooriakumaran discusses whether you should consider prostate cancer screening.
Professor Prasanna Sooriakumaran introduces himself to Top Doctors and discusses what he is most passionate about: caring for patients.
Professor Prasanna Sooriakumaran was a guest on Nadia’s Lab, where he discussed prostate cancer, robotic surgery, and what every man should know about prostate health.
Professor Prasanna Sooriakumaran gives an overview of all aspects of prostate cancer, from screening and diagnosis to treatment options and beyond.
Frequently Asked Questions
Does a raised PSA mean I have prostate cancer?
No. A raised PSA does not automatically mean prostate cancer is present. In many cases, it is caused by non-cancerous conditions such as prostate enlargement or inflammation. Further assessment is used to understand the cause.
What PSA level is considered high?
There is no single “normal” PSA level. What is considered raised depends on your age, individual baseline, and changes over time. Results are interpreted in context rather than using a fixed cut-off.
Will I need a biopsy if my PSA is raised?
Not necessarily. A biopsy is only recommended in selected cases, usually after further assessment such as repeat PSA testing or MRI. Many patients do not require a biopsy.
Should I repeat my PSA test?
In some cases, yes. PSA levels can fluctuate, so repeating the test may help confirm whether the result is consistently raised before considering further investigation.
What happens after a raised PSA result?
The next step is usually a structured assessment, which may include repeat PSA testing and, where appropriate, MRI imaging. This helps determine whether any further investigation is needed.
Why should I see a specialist for a raised PSA?
Interpreting a raised PSA requires specialist input. An expert review ensures your result is assessed in context, helping to avoid unnecessary tests while ensuring that any significant concerns are properly investigated.
Book a Consultation
If you have been diagnosed with prostate cancer or are considering surgery, a consultation can help you understand your options and decide on the most appropriate next step.
Book a Consultation
If you have been diagnosed with prostate cancer or are considering surgery, a consultation can help you understand your options and decide on the most appropriate next step.
Leadership Roles
Professor Prasanna Sooriakumaran is always looking to grow, innovate, and improve patient care for urology and prostate cancer patients in every possible way. To achieve this, he has secured several other prestigious leadership roles.
Urological innovation
Chief Men’s Health Officer
Chief Academic Officer
Lead Medical Advisor in Men’s Health
Research Physician
Lead for Urology and Men’s Health
Clinical Lead for Robotic Soft-Tissue Surgery
Invited Reviewer
Leading a £3 Million Oxford Prostate Cancer Surgery Trial
Professor Prasanna Sooriakumaran is Chief Investigator of the PRESIDENT Trial, a major prostate cancer research study funded by a £3 million Department of Health and Social Care grant and led by the University of Oxford.
The seven-year, multi-centre trial will recruit 749 patients across at least 25 centres throughout the UK. It aims to determine whether radical prostatectomy can improve survival and quality of life for men whose prostate cancer has spread but remains limited (oligometastatic prostate cancer), helping to address an important evidence gap in modern prostate cancer treatment.
Alongside providing specialist care to patients at Prostate Clinic London, Professor Prasanna continues to lead internationally recognised research that is helping shape the future of prostate cancer surgery and improve treatment for men in the UK and beyond.
Appointed to Establish Mayo Clinic’s Urology & Prostate Services in London
Patient Experiences
Read all of Professor Prasanna Sooriakumaran’s patient reviews at Doctify.
