Harley Street Medical District · Central London & St Albans

Private Prostate and Bladder Ultrasound Scan in London

A private prostate ultrasound scan at London Private Ultrasound costs £219 and measures prostate size and volume, assesses the bladder wall and contents, and calculates how much urine is left behind after you empty. It is performed externally over the lower abdomen, so nothing is inserted. No GP referral, findings explained on the day, and a written report within 24 hours.

If you are getting up at night, your stream has weakened, or your GP has mentioned an enlarged prostate or a borderline PSA, this scan gives you the structural answer. Twenty to thirty minutes, a full bladder beforehand, and you leave knowing your prostate volume and how well your bladder is emptying.

  • £219 all-inclusive
  • 20–30 minute appointment
  • Prostate volume measured
  • Post-void residual checked
  • Nothing inserted
  • No GP referral

Want PSA, urine testing and a GP review alongside the scan? The Prostate Health Check bundles all of it for £599. Compare both options.

Quick facts

Prostate Ultrasound Scan at a Glance: Cost, Coverage and Timings

Price£219 all-inclusive · no hidden fees
What’s includedProstate size and volume · bladder wall and contents · pre-void bladder volume · post-void residual urine · bladder stones and diverticula · median lobe assessment · written report
Scan typeTransabdominal, performed externally over the lower abdomen. Nothing is inserted and this is not a transrectal (TRUS) scan.
Scan time10–15 minutes · allow 20–30 minutes for the appointment
Who performs itRegistered sonographer or ultrasound consultant
PreparationDrink 2–4 glasses of water about an hour beforehand and arrive with a comfortably full bladder. No fasting and no bowel preparation.
DiscomfortNone expected. The only discomfort most men report is holding a full bladder for the first part of the scan.
GP referralNot required, book directly
UK price rangePrivate prostate and bladder ultrasound typically £150–£400, more for consultant-led Harley Street scans
Locations27 Welbeck Street, Central London W1G 8EN · 54–56 Victoria Street, St Albans AL1 3HZ
ResultsVerbal on the day · written report with images within 24 hours
Availability7 days a week, 9am–7pm · same-day appointments often available
Two ways to book

Choose the Level of Prostate Assessment You Need

Choose the focused Prostate & Bladder Ultrasound Scan if you mainly need structural imaging and bladder-emptying measurements. Choose the Prostate Health Check for a broader pathway that adds PSA, urine and blood testing plus clinical review.

Option 1 · Focused imaging

Prostate & Bladder Ultrasound Scan

Best when you want prostate measurements, bladder assessment and post-void residual urine without the wider blood-test package.

£ 219 all-inclusive

Included in your appointment

  • Prostate size and volume measured in mL
  • Bladder wall, contents and capacity assessed
  • Post-void residual urine measurement
  • Findings explained on the day
  • Written ultrasound report with images within 24 hours
Not included: PSA blood test, urine laboratory testing or GP consultation.
Book Scan Only — £219
Not sure which option is right for you? Our clinic team can explain the difference before you book.
What is included

What a Prostate and Bladder Ultrasound Scan Actually Examines

Most men book this expecting a look at the prostate alone. In the same appointment we also assess the bladder and measure how completely it empties, because urinary symptoms are usually the result of the two working against each other.

Prostate size and volume

Three dimensions are measured and volume is calculated in millilitres, the figure your GP or urologist needs.

  • Prostate length, width and height
  • Calculated volume in mL
  • Grading of enlargement (BPH)
  • Comparison against previous scans

Bladder wall

The bladder is assessed when full, when wall changes are easiest to see.

  • Wall thickening
  • Trabeculation from long-term strain
  • Diverticula (out-pouchings)
  • Focal abnormalities visible on ultrasound

Post-void residual urine

The single most useful number for judging whether your bladder is emptying properly.

  • Bladder volume before you void
  • Bladder volume after you void
  • Residual volume calculated in mL
  • Context for retention risk

Median lobe and bladder neck

Where present, a median lobe pushing into the bladder often explains symptoms better than volume alone.

  • Intravesical prostatic protrusion
  • Bladder neck appearance
  • Relationship to the prostate outline
  • Relevance to obstructive symptoms

Bladder stones and debris

Stones and sediment are common in men who do not empty fully, and are readily seen on ultrasound.

  • Bladder calculi
  • Internal debris or sediment
  • Catheter position, if relevant
  • Findings flagged for follow-up

Lower urinary tract context

Anything else visible in the field of view is described, so nothing obvious is missed.

  • Distal ureteric dilatation, where seen
  • Pelvic collections
  • Incidental findings noted in the report
  • Referral advice where needed

If your kidneys also need checking, for example because of blood in the urine, suspected stones or reduced kidney function, the kidney, bladder and urinary tract scan covers the prostate plus both kidneys and the ureters in one appointment.

Reasons to scan

Why Would a Doctor Order a Prostate Ultrasound?

Lower urinary tract symptoms are common from the mid-forties onward and are usually caused by benign prostate enlargement rather than anything sinister. A scan tells you which, and gives you numbers to act on.

Weak or slow stream

Reduced flow, straining, hesitancy, or a stream that stops and starts. Often the first sign the prostate is obstructing outflow.

Getting up at night

Nocturia, waking once or repeatedly to pass urine. One of the most common reasons men book this scan.

Frequency and urgency

Going more often than you used to, or having little warning before you need to go.

Not emptying fully

A persistent feeling that urine is still there, or dribbling afterwards. Measurable directly as post-void residual.

Raised or borderline PSA

A large prostate can raise PSA on its own. Volume lets your clinician calculate PSA density and put a borderline result in context.

Monitoring known BPH

Tracking prostate volume and residual urine over time, or before and after starting medication such as an alpha blocker or finasteride.

Do not book a routine scan if you have any of these. Visible blood in your urine even once, complete inability to pass urine, painful retention, fever with flank pain, severe lower abdominal pain, new leg weakness or numbness, loss of bladder or bowel control, or unexplained weight loss and persistent bone or back pain. These need same-day assessment through your GP, NHS 111 or A&E.

Types of prostate scan

Transabdominal or Transrectal Prostate Ultrasound: What Is the Difference?

A prostate ultrasound can be done two ways, from the outside over the abdomen or internally through the rectum. They are used for different jobs. The table below also shows where PSA and MRI sit, because all four get called “a prostate test”.

TestHow it is doneWhat it answersTypical use
Transabdominal ultrasound Externally, over the lower abdomen with gel and a handheld probe. Nothing inserted. Full bladder needed. Prostate size and volume, bladder wall, bladder stones, and how much urine is left after voiding. First-line test for urinary symptoms and suspected prostate enlargement. This is the £219 scan on this page.
Transrectal ultrasound (TRUS) A slim probe is placed in the rectum for a closer view of the prostate zones. Detailed internal prostate anatomy at close range, and real-time needle guidance. Mainly used to guide a prostate biopsy, arranged through a urologist. UK guidance now favours MRI before biopsy, so TRUS is used more selectively than it once was.
PSA blood test A single blood sample. A chemical marker produced by prostate tissue. Rises with enlargement, inflammation, infection and cancer alike. Risk assessment. Most informative alongside prostate volume, which allows PSA density to be calculated. Available as a private blood test.
Multiparametric MRI MRI scanner, usually with contrast, in a hospital imaging department. Detects and localises suspicious areas within the prostate and grades their likelihood. The imaging test used when prostate cancer is suspected, normally after PSA and clinical assessment. Not offered here and not a substitute for either of the above.

In short. Ultrasound answers “how big is it and is my bladder coping”. PSA answers “is there a chemical signal worth investigating”. MRI and biopsy answer “is there cancer, and where”. Most men with urinary symptoms start with the first two.

Your appointment

What Happens During Your Prostate Ultrasound Scan

Twenty to thirty minutes from arrival to leaving. Nothing is inserted, there are no needles, and you stay dressed apart from lowering your waistband.

1 hrBefore

Drink 2 to 4 glasses of water

Then hold on. A full bladder pushes the bowel out of the way and gives a clear window onto the prostate. Do not increase fluids if a clinician has told you to restrict them.

0 minArrival

Check in and clinical history

Your sonographer reviews your symptoms, medication and any previous PSA results or scans. Tell the team if your bladder is uncomfortably full and we will bring you in sooner.

10 minScan

External scan of prostate and bladder

You lie on your back. Warm gel is applied to the lower abdomen and the probe is moved over the skin above the pubic bone. Prostate dimensions and bladder appearance are recorded. It should not hurt.

+2 minVoid

Empty your bladder, then a short re-scan

You use the toilet as normal and return for a two-minute re-scan so the remaining volume can be measured. This gives your post-void residual.

20 minResults

Findings explained

Your measurements and anything significant are explained before you leave, including whether anything needs monitoring or onward referral.

24 hrReport

Written report with images

Emailed within 24 hours, with a referral letter for your GP or a urologist at no extra charge if a finding needs investigating. You can eat, drive and work as normal straight away.

No other preparation is needed. No fasting, no medication changes, no bowel preparation and no enema. Wear clothing that lets you lower your waistband easily, and bring any previous PSA results or scan reports if you have them.

Cost and value

How Much Does a Private Prostate Ultrasound Scan Cost in London?

A private prostate and bladder ultrasound scan in London costs £219 at both our clinics, covering the appointment, every measurement and the written report. Across the UK the same scan typically runs from around £150 to £400 at self-pay clinics, rising further for consultant-led Harley Street imaging.

What the £219 covers

Prostate measurement and volume calculationIncluded
Bladder wall, contents and capacity assessmentIncluded
Post-void residual measurement and re-scanIncluded
Findings explained by your sonographer on the dayIncluded
Written report with images within 24 hoursIncluded
Referral letter to your GP or urologist if neededIncluded
Total, all-inclusive£219

Adding PSA, urine testing and a GP review takes it to £599 as the Prostate Health Check. On the NHS the same examination has no direct cost, but it starts with a GP appointment and referral, and routine imaging waits vary by area. Booking privately buys you the appointment time and the turnaround, not a different scan.

Find us

Private Prostate Ultrasound Near You: Central London and St Albans

Two clinics, seven days a week, 9am to 7pm, with same-day and next-day appointments frequently available. Both offer the full prostate and bladder ultrasound at £219.

Central London, Harley Street Medical District

27 Welbeck Street, London W1G 8EN

Two minutes from Bond Street (Elizabeth line, Central, Jubilee), five from Oxford Circus, eight from Marylebone and Baker Street. Convenient for patients travelling in from Mayfair, Fitzrovia, Soho, the City and Paddington.

020 7101 3377 · Get directions

St Albans, Hertfordshire

54–56 Victoria Street, St Albans AL1 3HZ

A short walk from St Albans City station, with parking nearby. Convenient for patients across Hertfordshire, North London, Watford, Hatfield, Harpenden and Welwyn Garden City.

Contact the clinic · Get directions

CQC registered clinic Doctor-led clinical governance Registered ultrasound professionals Established 2012

Professional bodies and regulators relevant to our clinical governance, standards and staff registration. London Private Ultrasound is CQC and ICO registered.

4.8Google Rating
1,200+Verified Reviews
35,000+Patients Served
2012Harley Street Est.
Clinical & Editorial Team

Meet the Team Behind This Service

Mr Pedram Aghaei, Medical Writer and Co-Founder at London Private Ultrasound

Mr Pedram Aghaei

Medical Writer & Co-Founder

Medical Writer and Co-Founder of London Private Ultrasound

Mr Edwardo Murakami, Sonographer at London Private Ultrasound

Mr Edwardo Murakami

Sonographer

Registered sonographer specialising in general medical and abdominal ultrasound

Dr Babak Soleimanpour, Medical Director and GP at London Private Ultrasound

Dr Babak Soleimanpour

Medical Director & GP

MD · MRCGP · DRCOG · Overall clinical governance responsibility

Mrs Fatemeh Selahi, Co-founder and CQC Champion at London Private Ultrasound

Mrs Fatemeh Selahi

Co-founder & CQC Champion

Co-founder · CQC Champion ensuring compliance with Care Quality Commission standards

Questions

Prostate Ultrasound Scan: Frequently Asked Questions

How much does a prostate ultrasound scan cost in London?

A private prostate and bladder ultrasound scan at London Private Ultrasound is £219, all-inclusive, at both our Central London and St Albans clinics. Across the UK, private prostate ultrasound generally runs from around £150 to £400 at self-pay clinics, rising to £450 and above for consultant-led scans in the Harley Street area, depending on whether bladder assessment, post-void residual measurement and a written report are part of the price.

On the NHS the scan has no direct cost once your GP has referred you, but routine imaging waiting times vary by area.

How is an ultrasound of the prostate performed?

You lie on your back with a comfortably full bladder. Warm gel is applied to the lower abdomen and a handheld probe is moved over the skin above the pubic bone to image the prostate and bladder. Your sonographer records prostate dimensions, bladder volume and bladder wall appearance.

You then empty your bladder and return for a brief re-scan so the remaining volume can be measured. Nothing is inserted at any point and the whole appointment takes 20 to 30 minutes.

How painful is a prostate ultrasound?

A transabdominal prostate ultrasound is not painful. The gel is warmed and the probe rests lightly on the skin above the pubic bone. There are no needles and nothing is inserted.

The only discomfort most men report is holding a full bladder for the first part of the scan, which is over within about ten minutes. If you are struggling, tell your sonographer and they will prioritise the measurements that need a full bladder.

Is this a transrectal ultrasound?

No. This is a transabdominal scan, performed entirely from the outside over the lower abdomen.

Transrectal ultrasound (TRUS) uses a slim probe placed in the rectum and is mainly used to guide a prostate biopsy under urology care. If your results suggest further investigation is needed, your report contains the measurements and findings a urologist would want.

Do I need a GP referral for a private prostate scan?

No. You can self-refer and book directly online or by calling 020 7101 3377. If you already have a GP referral letter, previous PSA results or earlier scan reports, bring them, as they give your sonographer useful clinical context and make the report more valuable.

What is a normal prostate volume on ultrasound?

In younger adult men the prostate is generally around 20 to 30 mL. Volumes above roughly 30 mL are usually described as enlarged. Enlargement is extremely common with age and is not in itself a sign of cancer.

Thresholds vary between guidelines, and volume only means something alongside your symptoms, examination and PSA. Your report gives your measured figure and your GP or urologist interprets it in context.

What counts as a normal post-void residual?

Small residual volumes are normal, and figures under about 50 mL are generally considered insignificant. Persistently higher residuals suggest the bladder is not emptying completely and are usually a trigger for urology review.

A single measurement can be affected by how full your bladder was and how relaxed you felt, so a borderline result is often repeated rather than acted on immediately.

Can ultrasound detect prostate cancer?

Not reliably, and it cannot rule it out. Ultrasound measures size and shows visible structural change, but diagnosing prostate cancer requires PSA testing, clinical assessment, multiparametric MRI and usually a biopsy.

This scan is a urinary function and structure test, not a cancer screening test. If your history or measurements raise concern, that is stated in your report along with advice on onward referral.

How does prostate volume relate to my PSA?

A larger prostate produces more PSA, so a big gland can push PSA above the usual reference range without anything sinister going on. Dividing PSA by prostate volume gives PSA density, which helps your clinician judge whether a borderline PSA is explained by size or warrants investigating further.

That calculation needs both numbers, which is why many men book this scan and a PSA test together, or choose the Prostate Health Check.

Does the scan involve radiation?

No. Ultrasound uses sound waves. There is no ionising radiation, no injection and no contrast dye, so the scan is safe to repeat as often as clinically needed, which makes it well suited to monitoring prostate volume and residual urine over time.

How long does a prostate ultrasound take and when do I get results?

The scanning itself takes about 10 to 15 minutes, and you should allow 20 to 30 minutes for the full appointment including your history, the post-void re-scan and the discussion of findings.

Your sonographer explains the main findings before you leave, and a written report with key images is emailed within 24 hours, together with a referral letter if anything needs onward investigation.

Where can I get a prostate ultrasound scan near me in London?

London Private Ultrasound has two clinics. Central London is at 27 Welbeck Street, W1G 8EN, in the Harley Street Medical District, a short walk from Bond Street, Oxford Circus and Marylebone. St Albans is at 54 to 56 Victoria Street, AL1 3HZ.

Both offer the prostate and bladder ultrasound seven days a week, 9am to 7pm, with same-day appointments often available.

Medical disclaimer. This page is for general information and does not replace individual medical advice. A prostate and bladder ultrasound is a diagnostic imaging test and cannot on its own confirm or exclude prostate cancer. Reference figures quoted are typical adult guides, not a diagnosis. If you have visible blood in your urine, cannot pass urine, or have fever with flank pain or severe lower abdominal pain, seek urgent medical attention rather than booking a routine scan.

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