Possible Causes of Blood in the Urine
Urine infections affecting the bladder (cystitis) are the commonest cause. Cancers of the bladder or kidney can cause blood...
Find clear answers to common questions about seeing a urology specialist in London, prostate cancer assessment and treatment, robotic prostate surgery, and arranging a consultation with healthXY. For urgent symptoms or concerns, seek appropriate urgent medical advice rather than waiting for a routine appointment.
You can request a consultation through healthXY's booking form, by telephone, or by email. We will confirm the most appropriate consultant, appointment format, location and available time. Book a consultation.
You can usually arrange a private urology consultation without a GP referral, though a referral and relevant test results can help. Some private medical insurers may require one before authorising treatment.
Our consultants are recognised by the main insurers, including AXA PPP, BUPA, Cigna Healthcare, Vitality Health, Aviva, Allianz, Aetna, Healix, WPA and Freedom. Before your appointment, contact your insurer to confirm authorisation, your level of outpatient cover, any excess or shortfall, and any limits on consultation fees or reimbursement.
healthXY provides consultant-led urology care across several London sites, including King Edward VII's Hospital, Nuffield Health Highgate & The Holly, BUPA Basinghall and HCA 120 Old Broad Street. Some consultations are also offered virtually.
Bring or send relevant GP letters, hospital correspondence, imaging reports, blood-test results, medication lists and insurance authorisation details so your consultant can review your case efficiently.
An initial outpatient consultation is £330.00 and a follow-up consultation is £220.00. These fees are reviewed periodically, and you will be informed in advance of any change where appropriate.
If further investigations such as blood tests, urine tests, MRI, CT or ultrasound are needed, these are usually charged separately by the hospital or clinic performing them, or billed to your insurer. Any additional professional fees for investigations or procedures performed by your consultant will be discussed with you in advance wherever reasonably possible.
Cancellations with 48 hours' notice or more incur no charge; 24–48 hours' notice incurs a fee of 50% of the self-pay consultation fee; and less than 24 hours' notice, or failure to attend, incurs a fee of 100%. For appointments on a Monday, cancellations must be received before 11:00 am the preceding Thursday to avoid a charge.
No. Cancellation fees are generally not covered by private medical insurers and will be invoiced directly to you
healthXY Ltd handles marketing, administration and appointment communications, while The Invoice Company Services Ltd manages medical billing on behalf of the consultants. Professional fees are paid into each consultant's own limited company: Urovia Ltd for Professor Prabhakar Rajan, and Lamb Urology Consultants Ltd for Mr Benjamin Lamb. You may therefore receive appointment correspondence from healthXY Ltd but invoices from the relevant consultant's company.
Under the CMA Private Healthcare Market Investigation Order, consultants must declare any financial interest in the facilities or medical equipment used in your care. Our consultants have confirmed they do not hold such financial interests.
You can compare independent data on private healthcare quality via the Private Healthcare Information Network (PHIN) at www.phin.org.uk.
A raised PSA does not diagnose prostate cancer on its own. A specialist will consider your PSA trend, symptoms, examination, family history and risk factors, and may recommend repeat testing, prostate MRI or biopsy where appropriate.
No. PSA can rise due to benign prostate enlargement, inflammation, infection, recent ejaculation or cycling, as well as cancer. A specialist assessment clarifies whether further investigation is needed.
Assessment may include PSA testing, clinical examination, multiparametric MRI and, when indicated, biopsy, with the pathway tailored to individual risk and MRI findings.
Options may include active surveillance, surgery, radiotherapy, hormone therapy, focal therapy or systemic treatments, chosen according to cancer risk, general health and personal priorities within a multidisciplinary framework.
Robotic-assisted radical prostatectomy may suit some men with localised, surgically suitable prostate cancer, depending on cancer characteristics, imaging, health and treatment preferences.
This operation removes the prostate and seminal vesicles through small incisions using robotic instruments controlled directly by the surgeon.
Potential effects include urinary incontinence, erectile dysfunction, and changes to orgasm and fertility, alongside general surgical risks; your consultant will explain these relative to your individual case.
Recovery varies by individual and procedure; your team will discuss expected hospital stay, catheter duration, activity restrictions, continence rehabilitation and follow-up before surgery.
Visible blood in the urine (haematuria) should be assessed promptly, even if painless or a one-off occurrence, as causes range from infection and stones to bladder, kidney or prostate conditions.
Yes—a new lump, swelling, firmness or change in size should be assessed promptly; most causes are benign, but examination and ultrasound help exclude serious conditions.
Sudden, severe testicular or scrotal pain, especially with swelling, nausea or vomiting, needs urgent same-day assessment, as testicular torsion is time-critical.
Assessment may help for persistent difficulty passing urine, poor flow, urgency, frequency, recurrent infections, or waking repeatedly at night to urinate.
Depending on the problem, tests may include urine and blood tests (including PSA), ultrasound, CT, MRI, flexible cystoscopy or biopsy, with the rationale explained for each.
This procedure uses a thin flexible camera to inspect the urethra and bladder, commonly to investigate haematuria, recurrent urinary symptoms or suspected bladder conditions.
Following consultation and any tests, you should receive clear recommendations on diagnosis, options, benefits, risks and next steps—ask for a written summary if you would like one for your records or GP.
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