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Raised PSA Evaluation

Professor Prasanna Sooriakumaran, prostate cancer surgeon in London, seated and smiling
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Raised PSA Evaluation

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

A raised PSA (prostate-specific antigen) level can be concerning and often raises questions about the possibility of prostate cancer. However, it is important to understand that a raised PSA does not necessarily mean cancer is present, and in many cases, it may be related to non-cancerous conditions.

At this stage, the key is not just the result itself, but how it is interpreted. PSA levels can be influenced by a range of factors, and understanding what your result means in the context of your age, symptoms, and overall health is essential in determining the most appropriate next steps.

Professor Prasanna Sooriakumaran provides expert assessment of raised PSA levels, carefully reviewing your results alongside any previous tests and clinical information. His approach ensures that any further investigation is recommended only where it is appropriate, helping to avoid unnecessary procedures while ensuring that important findings are not missed.

This structured, specialist-led evaluation allows you to move forward with a clear understanding of your situation and the most appropriate course of action.

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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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Raised PSA Levels with Professor Prasanna Sooriakumaran

Understanding what an elevated PSA may mean and when further investigation may be needed.

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.

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.

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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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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.
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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.
Professor Prasanna Sooriakumaran, smiling 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.

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 in consultation at his laptop

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.
Professor Prasanna Sooriakumaran seated in a pinstripe suit and yellow tie

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.
Professor Prasanna Sooriakumaran, Professor of Urology, seated in his clinic

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.
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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.
Professor Prasanna Sooriakumaran standing in a pinstripe suit and yellow tie

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.
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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

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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.

Frequently Asked Questions

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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.

Professor Prasanna Sooriakumaran explaining treatment to a patient

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.

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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.

Professor Prasanna Sooriakumaran discussing a patient's care during a consultation

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

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.