Understanding Prostate Check Results: PSA Tests, MRI Scans and the Next Steps

   Article produced by Mr Jonathan Noël, Consultant Urological Surgeon

During Men’s Health Week, it’s more important than ever for men to prioritise their health and seek advice early if they have concerns about their prostate.

Prostate cancer is now the most commonly diagnosed cancer in the UK, with more than 64,000 men diagnosed every year, and around 1 in 8 men will develop the disease during their lifetime. [Prostate Cancer UK]

While booking a prostate health check can feel daunting, modern assessments are designed to provide reassurance, clarity and fast access to specialist care where needed.

At LycaHealth Orpington, patients can access consultant-led prostate assessments, advanced MRI diagnostics and rapid follow-up care — all under one roof.

According to Jonathan Noël, one of the most common worries men have is what happens if a test identifies an area of concern.

“A prostate health check should be a calm, informative experience,” says Mr Noël. “It’s about giving men clarity and confidence, not worry.”

Why prostate checks matter

Prostate problems become increasingly common as men get older, particularly over the age of 50. However, early prostate cancer often causes no symptoms, which is why regular checks can be important — especially for men with a family history of prostate cancer or ongoing urinary symptoms. [Prostate Cancer UK]
Symptoms to take notice of can include:

• Needing to urinate more frequently
• Waking during the night to urinate
• Difficulty starting urination
• Weak urine flow
• Feeling that the bladder has not fully emptied
• Blood in the urine or semen

Because early prostate cancer may develop without noticeable symptoms, regular checks remain important – particularly for men with a family history of the disease or persistent urinary concerns. Early diagnosis and treatment can significantly improve outcomes and quality of life.

Understanding your prostate results

At LycaHealth Orpington, prostate assessments may include:

• PSA blood testing
• Urinalysis
• GP review and follow-up consultation
• Advanced MRI scanning where appropriate

These tests work together to provide a clearer picture of prostate health.

Importantly, a raised PSA result does not automatically mean prostate cancer. PSA levels can rise for a number of reasons, including benign prostate enlargement, infection, inflammation or even recent exercise.

MRI scans can also identify small changes that may simply require monitoring rather than treatment.

“When we review results, we look at the whole picture,” explains Mr Noël. “That includes age, symptoms, family history and lifestyle factors, rather than relying on one test alone.”

If further investigation is needed

If PSA levels or MRI findings suggest further assessment is appropriate, the next step may be a targeted prostate biopsy.
Modern biopsies are now highly precise, using advanced MRI and ultrasound fusion technology to guide sampling from specific areas of concern. Procedures are usually performed under local anaesthetic and most patients return home the same day.

Fast access to prostate care

The Prostate Health Check service at LycaHealth Orpington offers convenient access to diagnostics and specialist care in one location.

The pathway includes:

• Nurse appointment with PSA blood test and urinalysis
• GP review and follow-up call
• Access to advanced bi-parametric and multi-parametric MRI scans
• Rapid referral to a consultant urologist if required

This joined-up approach helps patients receive fast answers and timely care without unnecessary delays.

Taking control of your health

Many men delay seeking help because they are worried about what tests or investigations might involve. However, modern prostate assessments are quick, discreet and designed to provide reassurance wherever possible.

This Men’s Health Week is an opportunity to prioritise your wellbeing and take that first step towards understanding your prostate health.

To learn more and arrange a prostate health check:

Contact our friendly team