Prostate Biopsy in London
A prostate biopsy is the test used to confirm or rule out prostate cancer. It involves taking small samples of tissue from the prostate for laboratory analysis. If cancer is found, the samples also provide important information about how it is likely to behave.
Our consultant urologists use an MRI-targeted transperineal approach, designed to take samples from areas of concern while reducing infection risk compared with the older transrectal technique.

What is a prostate biopsy?
A prostate biopsy is the investigation that can confirm whether prostate cancer is present. Small samples of tissue are taken from the prostate and examined under a microscope. This is the only way to diagnose prostate cancer definitively and, if cancer is found, assess its grade.
We use a transperineal biopsy technique. This means samples are taken through the skin between the scrotum and anus, rather than through the rectum. This approach is associated with a lower risk of infection than the older transrectal method.
Where appropriate, the biopsy is guided by MRI images. This allows your consultant to target areas of concern identified on the scan, helping ensure samples are taken from the parts of the prostate that need closer assessment.
Your consultant will explain why a biopsy has been recommended, how discomfort will be managed and what to expect before, during and after the procedure.

Accurate and designed to reduce infection risk
Our approach to prostate biopsy focuses on obtaining the information needed to guide your care.
MRI-targeted sampling
Your MRI images guide the biopsy so samples are taken from specific areas of concern, improving diagnostic precision.
Transperineal technique
Samples are taken through the skin between the scrotum and anus, rather than through the rectum. This is associated with a lower risk of infection than the older transrectal approach.
A definitive answer
The tissue samples are analysed in a laboratory to confirm or rule out cancer and, where cancer is found, establish its grade.
Who a private prostate biopsy may suit
A prostate biopsy may be recommended for men who:
- Have an MRI scan or PSA result that needs further investigation
- Have areas of concern identified on a prostate MRI
- Need a definitive answer after earlier prostate tests
- Are being assessed for possible prostate cancer
- Need further information to guide treatment planning
What to expect
- Before the procedure
Your consultant will explain why a biopsy is being recommended, how the procedure is carried out and what you need to do beforehand. You will also have the opportunity to ask questions about anaesthetic, discomfort and recovery. - The biopsy
Small tissue samples are taken from the prostate using the transperineal approach. MRI findings are used to target areas of concern where appropriate. Your consultant will discuss the anaesthetic arrangements that apply to your procedure. - Results and support
The samples are examined in a laboratory. Your consultant will explain the results clearly, including whether cancer has been found and what the next steps may be.
Why choose The Forbury Clinic for private prostate biopsy in London?
Definitive diagnosis
A biopsy is the test that can confirm or rule out prostate cancer and provide grading information where cancer is present.
MRI-guided accuracy
MRI images can guide sampling from areas that need closer investigation.
A lower-infection technique
The transperineal approach avoids taking samples through the rectum and is associated with a lower infection risk than older transrectal biopsy techniques.
Consultant-led care in London
Your consultant will guide you through the procedure, explain your results and discuss the appropriate next steps at The Forbury Clinic, 45 Queen Anne St, London W1G 9JF.
Frequently asked questions
Is a prostate biopsy painful?
The procedure can cause discomfort, but measures are used to help keep you comfortable. Your consultant will explain the anaesthetic options, what the biopsy involves and what you may feel during recovery.
Why is the transperineal approach used?
A transperineal biopsy takes samples through the skin between the scrotum and anus, rather than through the rectum. It is associated with a lower risk of infection and allows targeted sampling of the prostate.
Will I definitely need a prostate biopsy?
Not always. Your consultant will consider your PSA result, MRI findings, symptoms, examination and risk factors. A biopsy is recommended when it is needed to provide a clear diagnosis.
When will I receive my results?
Your consultant will explain the expected timeframe for results before your biopsy. Once they are available, they will talk you through what they mean and discuss any next steps.
Are there risks after a prostate biopsy?
As with any procedure, there are possible risks. These can include blood in the urine, semen or stools, temporary discomfort, difficulty passing urine and infection. Your consultant will explain the risks, benefits and signs to look out for before the procedure.

A clear, definitive answer
If a prostate biopsy is the appropriate next step, our consultant urologists can explain the procedure clearly and support you through the results and decisions that follow.
- AppointmentBook a consultation
- Reception0118 920 7055
- Location
The Forbury Clinic London, 45 Queen Anne St, London, W1G 9J
