Specialist Urology · PSA Clinic
PSA Clinic London — Rapid Prostate Assessment
Dedicated rapid access PSA assessment clinic for men concerned about an elevated PSA result, family history of prostate cancer, or urinary symptoms. Specialist-led. Results explained the same day.
What Happens at the PSA Clinic
- Full PSA assessment including free:total PSA ratio for borderline results
- PSA velocity (if previous PSA results are available)
- DRE (digital rectal examination) where clinically appropriate
- Review of any existing mpMRI results and biopsy reports
- Prostate cancer risk stratification using validated tools (PCPT, ERSPC calculators)
- Referral for mpMRI and/or TRUS/template biopsy where indicated
A raised PSA does not always mean cancer — but it always warrants expert assessment. I take time to explain the result, what it means for your individual risk, and the most appropriate next steps.
— Mr Torath Ameen, FRCS (Urol)Who Should Attend
Elevated PSA flagged by GP
PSA result flagged by your GP as elevated or above the age-adjusted threshold.
Borderline PSA for age
PSA borderline for your age (above 3.0 ng/mL aged 50–69).
Family history of prostate cancer
Father or brother diagnosed under 65, or BRCA2 or other genetic risk variants.
Urinary symptoms
Urgency, frequency, poor flow, or nocturia warranting investigation.
Screening — men aged 50+
Men wishing to establish a baseline PSA for ongoing monitoring.
African or Afro-Caribbean heritage
Three times higher lifetime risk — earlier and more regular assessment is recommended.
PSA Testing — What It Means
PSA and the prostate
PSA is a protein produced by the prostate — both normal and cancerous cells produce it. PSA levels naturally rise with age, prostate size, and inflammation. A "normal" PSA is not the same as no risk — some prostate cancers occur in men with a PSA below 4.0 ng/mL.
Age-specific PSA thresholds are more clinically meaningful than a single cut-off. Free:total PSA ratio adds valuable information when PSA is borderline. PSA should not be interpreted in isolation — it is one piece of a clinical picture.
The role of mpMRI
mpMRI (multiparametric MRI) is now the standard next step for most men with a concerning PSA. A PIRADS 1–2 score (MRI normal) substantially reduces cancer probability. PIRADS 3–5 findings warrant tissue sampling (biopsy).
NICE guidance supports mpMRI before biopsy to reduce unnecessary biopsies and improve detection of significant cancer. Mr Ameen reviews all mpMRI reports personally and explains findings clearly.
Before, During & After the PSA Clinic
Before Your Appointment
Avoid ejaculation for 48 hours before a PSA test (increases PSA transiently). No vigorous exercise for 48 hours. Treat any UTI before testing. Bring previous PSA results if available — trend over time is clinically important.
At the Appointment
30-minute consultation. PSA blood test arranged. DRE offered where clinically indicated. Results and risk explained on the same visit. Written summary provided for your GP.
After the Appointment
Imaging/biopsy referral arranged if needed. Follow-up PSA surveillance schedule provided in writing. Mr Ameen remains your named consultant throughout the care pathway.
PSA Clinic FAQs
Concerned about your PSA result?
Don't leave an elevated PSA unreviewed. Mr Ameen offers rapid assessment — typically within 1–2 working days.