At 108 Harley Street, we see many men who are uncertain about how or where to begin prostate testing. Some have already spoken to their GP and are waiting for investigations, while others want faster reassurance.
Both NHS and private care aim for the same goal, early and accurate detection of prostate problems, but the journey to diagnosis can feel very different.
In this article, we explain how prostate testing works, what distinguishes private care from the NHS pathway, and how our clinic supports patients every step of the way.
Why Men Delay Prostate Testing and Why Early Action Matters
We often meet men who have lived with urinary changes for months before seeking help. It’s easy to dismiss mild symptoms or feel unsure about what testing involves, but early checks are key to peace of mind and better outcomes.
Common signs to look out for include:
- Needing to pass urine more often, especially at night
- Difficulty starting or stopping urine flow
- A weak stream or dribbling
- Blood in urine or semen
- Persistent pain in the lower back or pelvis
If you recognise any of these, don’t wait. A simple consultation and blood test can clarify what’s going on and help you plan next steps with confidence.
How Prostate Testing Works
Whether through the NHS or privately, prostate assessment follows the same medical principles. The difference lies in how quickly and easily you can complete each step.
At 108 Harley Street, a prostate assessment may include:
- PSA (Prostate-Specific Antigen) blood test – to measure a protein made by the prostate. Higher levels may suggest inflammation, enlargement, or cancer.
- Digital rectal examination (DRE) – a brief physical check to assess prostate size and texture.
- Imaging tests – MRI or ultrasound scans to identify structural changes or suspicious areas.
- Biopsy – only when imaging indicates it’s necessary, to confirm diagnosis.
All our testing ensures accuracy and safety equal to or exceeding NHS standards.
The NHS Pathway
Through the NHS, most men begin by seeing their GP. After a discussion and PSA test, your GP may refer you to a hospital urology team for further assessment if results are raised.
This route offers excellent medical care, but waiting times can vary. You’ll usually wait several weeks between appointments and tests, and you may see different professionals at each stage.
NHS advantages:
- Free of charge
- Guided by national evidence-based protocols
Possible limitations:
- Longer waiting times
- Multiple appointments in different locations
- Limited access to advanced imaging such as multiparametric MRI in some areas
The Private Pathway at 108 Harley Street
Our clinic offers a streamlined, consultant-led approach to prostate diagnostics. You can self-refer directly to us or come with a GP referral if you prefer.
Here’s what makes the experience different:
- Fast access: Appointments are usually available within days.
- Direct consultant care: You meet a specialist from your first visit, not through layers of referral.
- Advanced technology: We use multiparametric MRI (mpMRI), a detailed scan that improves accuracy and reduces the need for unnecessary biopsies.
- Continuity of care: The same consultant oversees your case throughout, supported by our imaging and nursing teams.
- Transparent pricing: All costs are explained clearly, and most insurers cover diagnostic investigations.
Many patients tell us they value having answers quickly and being able to discuss results face-to-face with their consultant in a calm setting.
Key Differences at a Glance
| Aspect | NHS | Private (108 Harley Street) |
| Referral | GP required | Self-referral or GP |
| Waiting time | Often several weeks | Usually within days |
| Imaging | MRI after raised PSA | mpMRI available earlier |
| Consultant access | After referral | From first appointment |
| Continuity | Several providers | Same consultant throughout |
| Cost | Free | Transparent self-pay or insurance |
How to Choose the Right Route for You
Both options deliver high-quality medical care. The best choice depends on your circumstances, priorities, and how quickly you’d like results.
We generally advise patients to consider private diagnostics if:
- You have a family history of prostate cancer
- You’re experiencing worrying symptoms and want rapid reassurance
- You prefer to see the same consultant throughout your journey
- You value same or next day testing and feedback
Some men choose private testing for diagnosis and continue NHS treatment if needed, a combined approach that works well. What matters most is not delaying investigation.
What to Expect at Our Clinic
A typical prostate consultation at 108 Harley Street includes:
- Comprehensive discussion of symptoms, medical history, and risk factors
- PSA test, often performed during your visit
- Examination or imaging where appropriate
- Immediate feedback and a clear next-step plan
If further investigation is required, we can arrange an mpMRI or biopsy usually within 24–48 hours. You’ll receive clear explanations at every stage and access to the same consultant for review and follow-up.
The Bottom Line
At 108 Harley Street, our goal is to make prostate diagnostics clear, comfortable, and fast. The NHS provides outstanding care, but we recognise that waiting for results can be stressful. Our private pathway offers rapid access, advanced imaging, and continuity of care with one consultant, all within a calm and professional environment.
Whether you choose NHS or private testing, the important thing is to act early. If you’d like to speak to one of our urology specialists or arrange a private prostate check, contact our prostate clinic today.
Frequently Asked Questions
Do I need a GP referral?
No. You can contact our urology team directly to arrange a consultation.
How much does a private prostate check cost?
Costs vary depending on what tests are needed. We’ll outline all fees before you commit to any procedure.
Can I share my results with my NHS GP?
Yes. We can send a full report so your GP has an up-to-date record.
Are private tests more accurate?
Both NHS and private services maintain excellent standards. Private clinics often have earlier access to advanced imaging, such as mpMRI, which can enhance precision.
Is private testing covered by insurance?
Most major insurers cover prostate consultations and diagnostic investigations. We’re happy to assist with authorisation details.
