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Private Prostate Biopsy in London

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Prostate Biopsy in London

With Professor Prasanna Sooriakumaran, a world-leading prostate cancer specialist

If there is concern about prostate cancer following a raised PSA or findings on MRI, a prostate biopsy may be recommended to confirm whether cancer is present.

At this stage, careful assessment and clear, specialist guidance are essential. A prostate biopsy is an important step, but it is only appropriate in selected cases and should be considered as part of a structured evaluation.

Professor Prasanna Sooriakumaran provides expert advice on whether a biopsy is necessary, based on a detailed review of your PSA results, imaging, and overall clinical picture. His approach ensures that the procedure is only recommended where it is appropriate, and that you have a clear understanding of what it involves and the most appropriate next steps.

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Professor Prasanna Sooriakumaran
MA (Oxon) BMedSci (Hons) BMBS (Hons) PGCertMedLaw ADCertClinInv (Cornell) FRCS (Urol) FEBU USMLE PhD

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Prostate Biopsy with Professor Prasanna Sooriakumaran

Explaining what to expect from a prostate biopsy and how it helps guide diagnosis.

Testimonials

Professor Prasanna Sooriakumaran smiling during a prostate consultation in London

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Arrange a consultation with Professor Prasanna Sooriakumaran for clear, specialist guidance on your diagnosis, results, or treatment options.

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Excellent Google Reviews

EXCELLENT
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Based on 30 reviews

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Lee Mottershead

Lee Mottershead

7 months ago

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I have now seen Professor PS twice and could not have been more impressed. His expertise is beyond doubt but he also manages to convey important information in a way that is both calming and easy to understand. He is also supported by an excellent team. Indeed, on my recent visit to the LSDC London clinic, his reception manager went out of her way to ensure i could have tests taken the same day.

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Kajan Shanmuganathan

Kajan Shanmuganathan

7 months ago

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Prof PS was wonderful to have as my urologist. After an abnormal finding on a whole-body screening, I knew immediately that I wanted Prof PS to review my case. My initial consultation took place over the Christmas period, and I was extremely fortunate that Simmon (PA) managed to schedule a last-minute appointment despite the holiday period. Thanks to this, I was able to see Prof PS promptly and had a follow-up MRI arranged within just 3–4 days, which was especially impressive given the time of year. I am very happy with the excellent service, efficiency, and level of care I received. I highly recommend Prof PS and the team.

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Ian Hart

Ian Hart

7 months ago

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Being diagnosed with Prostate Cancer isn't much fun, even when you're told it is low grade stage 2, and shouldn't cause you any problems. Finding out it is actually locally advanced stage 3 is distinctly unsettling! Luckily for me, I only found out the second part by getting myself referred to Prof PS, who removed the offending tumour for me. I cannot praise PS and his team, and the care I received from them, highly enough. He inspired confidence from the moment I first met him, and dealt with my cancer in a very matter of fact, down to earth way, putting me at ease throughout the whole experience.

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Chris Taylor

Chris Taylor

8 months ago

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By far the best specialist I have ever experienced. A lovely person as well as a great Urologist. Would heartily recommend.

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olivier m

olivier m

8 months ago

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It was a short but as excellent of an experience as one would hope for when receiving high PSA results. The secretarial team of Prof PS was extremely responsive, including after hours. Prof PS took the matter seriously and head on, without wasting any time. He was also clear in explaining various steps. It meant a lot that he was clearly looking for the best interest of his patient and to get ahead of any problem. 5 stars every step of the way.

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D

8 months ago

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It is difficult to put into words how knowledgeable and skilful a surgeon Prof PS is, it is unlikely that one could find better care anywhere else.

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P M

P M

8 months ago

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I received excellent care from Prof PS. He arranged a very prompt MRI and follow up consultation which meant I could enjoy a peaceful and stress free Christmas. Thank you Prof PS.

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Andrew Attard Montalto

Andrew Attard Montalto

8 months ago

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Excellent care from Prof PS. I always felt very reassured from my first consultation right through to post-op care. The operation went very well and my rate of recovery is better than expected. Thank you so much Prof PS!

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david aquilina

david aquilina

8 months ago

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I have to say that my overall experience has been excellent. I went into this procedure full of concern mainly due to the fact that I am still relatively young at age 51 and Prof Prasanna directed me towards the right procedure for my condition of an enlarged prostate. I have undergone an Aquablation procedure and the outcome and recovery has been good. Highly recommended!

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Harry Heathcoat Amory

Harry Heathcoat Amory

8 months ago

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Strongly recommend Prof PS - very approachable as well as measured and clear in his consultations. A very good patient experience.

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What Is a Prostate Biopsy?

A prostate biopsy is a procedure used to take small samples of tissue from the prostate gland. These samples are then analysed in a laboratory to determine whether prostate cancer is present.
While a biopsy is the only definitive way to diagnose prostate cancer, it is not required in all cases. The decision to proceed is based on a careful assessment of your PSA levels, MRI findings, and overall clinical picture.
For this reason, a biopsy is typically recommended only where there is sufficient clinical concern and where the results are likely to influence the next steps in your care.

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 obtaining a specialist second opinion in prostate cancer.

Consultation Fees

Initial Consultation

£325

A detailed consultation to review your PSA results, MRI findings, and overall clinical assessment, and to determine whether a prostate biopsy is appropriate.

Follow-Up Consultation

£225

Follow-up appointments are available to review biopsy results and provide clear guidance on next steps.

If further investigations or procedures are recommended, a clear breakdown of associated costs will be provided during your consultation, ensuring full transparency before proceeding.

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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.
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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.
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Professor Prasanna Sooriakumaran, Consultant Urologist, portrait in a pinstripe suit
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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.

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When Is a Prostate Biopsy Recommended?

A prostate biopsy is considered when there is sufficient clinical concern about the possibility of prostate cancer, based on a structured assessment rather than a single test result.
This typically involves a combination of factors, including a raised or rising PSA level, suspicious findings on MRI, and your overall clinical context. These elements are carefully reviewed together to determine whether further investigation is necessary.
A biopsy is only recommended where the level of concern justifies it and where the results are likely to influence the next steps in your care. This ensures that unnecessary procedures are avoided, while maintaining a careful and accurate approach to diagnosis.

Types of Prostate Biopsy

There are different approaches to prostate biopsy, and the most appropriate method depends on your individual clinical situation, including PSA results, MRI findings, and overall risk assessment.

Types of Prostate Biopsy

There are different approaches to prostate biopsy, and the most appropriate method depends on your individual clinical situation, including PSA results, MRI findings, and overall risk assessment.

MRI-Targeted Biopsy

This approach uses detailed MRI imaging to identify specific areas of concern within the prostate. Biopsy samples are then taken directly from these targeted areas, improving the accuracy of diagnosis compared to non-targeted methods. In many cases, this allows for a more precise assessment while reducing the likelihood of unnecessary sampling.

Systematic Biopsy

When the MRI is unclear or for some reason no MRI can be performed, the biopsy can be taken in a systematic manner to cover all areas of the prostate. However, this tends to only be in the minority of cases as it is likely to result in more side-effects and less precision than MRI-targeted biopsy.

In many cases, both targeted samples (from areas seen on MRI) and additional samples from across the prostate are taken to ensure a thorough and accurate assessment. The most appropriate approach will be discussed with you during your consultation, ensuring that the biopsy is tailored to your individual situation.

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What Does the Procedure Involve?

A prostate biopsy is usually performed under local or general anaesthetic, depending on the approach used and your individual circumstances.
The procedure involves taking a number of small tissue samples from the prostate using a fine needle. It is typically completed within a short period of time and is usually carried out as a day-case procedure, meaning you can return home the same day.
You will be given clear instructions before the procedure, including how to prepare, as well as guidance on what to expect afterwards. Most patients are able to resume normal activities within a short time, although some temporary symptoms may occur.
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Understanding the Risks

As with any procedure, a prostate biopsy carries some risks, although these are generally low. The most common include mild bleeding, a small risk of infection, and temporary urinary symptoms following the procedure.
The level of risk can vary depending on the type of biopsy performed and your individual circumstances. Modern techniques, particularly the transperineal approach, are designed to minimise these risks wherever possible.
These will be discussed with you in detail before any procedure is recommended, so you have a clear and realistic understanding of what to expect.
Professor Prasanna Sooriakumaran smiling at his desk during a consultation

Why Specialist Guidance Matters

A prostate biopsy should only be performed where it is clinically appropriate. Deciding whether to proceed requires careful interpretation of PSA results, MRI findings, and your overall risk profile.
Professor Prasanna Sooriakumaran provides expert guidance on whether a biopsy is necessary, based on a detailed and structured assessment of your individual situation. His approach ensures that any decision to proceed is carefully considered and clinically justified.
This helps to avoid unnecessary procedures while ensuring that significant findings are identified and appropriately investigated.
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What Happens After a Biopsy?

Results from a prostate biopsy are usually available within a short period of time. These results will confirm whether prostate cancer is present and, if so, provide detailed information about the type and characteristics of the cancer.
Once your results are available, they will be carefully reviewed with you in detail. Clear, specialist guidance will be provided on the most appropriate next steps, including whether treatment is required and what options are available based on your individual situation.
This ensures that you have a full understanding of your results and can make an informed and confident decision about your care.
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Is a Prostate Biopsy Right for You?

Whether a prostate biopsy is appropriate depends on your PSA results, MRI findings, and overall clinical assessment.
A consultation allows your case to be reviewed in full, with your test results, symptoms, and risk profile carefully considered. Clear, specialist guidance will be provided on whether a biopsy is recommended, what it would involve, and whether alternative approaches may be appropriate.
This ensures that any decision to proceed is based on a careful and individualised assessment, allowing you to move forward with clarity and confidence.
Professor Prasanna Sooriakumaran discussing a patient's care during a consultation

Book A Consultation

If you have been advised to consider a prostate biopsy, or would like a specialist opinion on whether it is necessary, a consultation with Professor Prasanna Sooriakumaran provides clear, expert guidance.

Your consultation will include a review of your PSA results, MRI findings, and overall assessment to determine whether a biopsy is appropriate and the most suitable next steps.

Book a Consultation

Frequently Asked Questions

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Is a prostate biopsy always necessary?

No. A biopsy is only recommended where there is sufficient clinical concern based on PSA results, MRI findings, and overall assessment. In many cases, it can be safely avoided if the level of risk is low.

Is a prostate biopsy painful?

A prostate biopsy is usually performed under local or general anaesthetic, and most patients find the procedure manageable. You will be made as comfortable as possible, and any discomfort is typically mild and short-lived.

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How accurate is a prostate biopsy?

Modern techniques, particularly MRI-targeted biopsy, have significantly improved the accuracy of diagnosis. By focusing on areas of concern identified on imaging, this approach helps ensure a more precise and reliable assessment.

What are the risks of a prostate biopsy?

Risks are generally low and may include mild bleeding, a small risk of infection, and temporary urinary symptoms. Modern biopsy techniques are designed to minimise these risks, and they will be discussed with you in detail beforehand.

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How long does it take to recover?

Most patients recover quickly and are able to return to normal activities within a short period. Some mild, temporary symptoms are common but usually settle on their own.

Will I definitely need treatment if cancer is found?

Not always. Some prostate cancers are low-risk and may not require immediate treatment. If cancer is detected, you will be given clear guidance on all appropriate options, including active surveillance where suitable.

Professor Prasanna Sooriakumaran in the Media

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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.

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Professor Prasanna Sooriakumaran discusses men's health, prostate cancer, and longevity medicine in the inaugural Emerald podcast.

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Professor Prasanna Sooriakumaran discusses whether you should consider prostate cancer screening.

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Professor Prasanna Sooriakumaran introduces himself to Top Doctors and discusses what he is most passionate about: caring for patients.

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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.

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Professor Prasanna Sooriakumaran gives an overview of all aspects of prostate cancer, from screening and diagnosis to treatment options and beyond.

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.

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Urological innovation

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Chief Men’s Health Officer

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Chief Academic Officer

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Lead Medical Advisor in Men’s Health

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Research Physician

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Lead for Urology and Men’s Health

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Clinical Lead for Robotic Soft-Tissue Surgery

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Invited Reviewer

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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.

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Appointed to Establish Mayo Clinic’s Urology & Prostate Services in London

Professor Prasanna Sooriakumaran has been appointed as the first urologist for the new London centre of Mayo Clinic, ranked the world’s best hospital by Newsweek and consistently recognised as one of the leading healthcare institutions globally. In this role, he is leading the development of Mayo Clinic’s Urology and Prostate Services in London, reflecting his internationally recognised expertise in prostate cancer surgery and advanced urological care.

Patient Experiences

Read all of Professor Prasanna Sooriakumaran's patient reviews at Doctify.

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Doctify Outstanding Patient Experience award 2025
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Consultation Locations

Professor Prasanna Sooriakumaran practises as a robotic prostate cancer surgeon within the NHS at one of the UK’s highest-volume centres. He also sees private patients through Prostate Clinic London at leading private hospitals across London, providing access to high-quality facilities and specialist care.