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Private Prostate Cancer Treatment, Private Clinic Treatment, Self Pay Patients

Prostate cancer treatment

Prostate cancer.jpg
Prostate cancer is the most common form of cancer for men in the UK, with over 40,000 men diagnosed each year.

It is not always necessary to treat the disease immediately if it is caught early, as it is generally a slow growing form of cancer. If this is the case for you, we would actively monitor you to ensure the cancer doesn’t develop. We would also want to address early on any issues such as pain or difficulty  passing urine when using the toilet.

When treating prostate cancer, we aim to cure or control the disease with as little impact on quality of life as possible. With advanced prostate cancer, we aim to delay symptoms and prolong life.

Why choose Bupa Cromwell Hospital for Prostate Cancer Treatment?

We deliver a comprehensive private prostate cancer treatment service for our patients. This includes a wide variety of treatment options, including innovative treatments such as Tomotherapy. We are the only private provider of Tomotherapy in the UK.

Our prostate cancer team is made up of experts including surgeons, clinical oncologists, radiographers and radiologists, who have specific areas of expertise but work closely together. There are also physiotherapists, psychologists and other specialists on hand when needed. Treatment plans are put together according to the type, size and grade of the cancer, as well as the patient’s overall health.

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Introducing the London pathway for prostate care 

Bupa has created a new prostate cancer diagnosis pathway that starts with an abnormal PSA (Prostate Specific Antigen) detection at a Health Assessment, and takes you through the diagnosis and treatment options.

Led by leading urologist  Professor Hashim Ahmed, the pathway is designed to ensure the smoothest possible patient journey and uses the very latest treatment techniques.

For detailed information describing prostate cancer and who it might affect, please read the detail available via the Bupa Health Information website:


How prostate cancer is diagnosed

Patients with possible prostate cancer symptoms can be diagnosed with a range of different tests. These include:

  • Blood tests - measure the levels of a protein called prostate specific antigen (PSA). High levels of PSA can also be caused by other prostate conditions apart from cancer, so this test would be combined with other tests
  • Digital rectal examination (DRE) - Here, a doctor will feel the prostate through the wall of the rectum – if you have prostate cancer it may feel harder than usual, or knobbly
  • Prostate biopsy - a small sample of tissue is taken using a needle and sent to a lab for testing. Biopsies may be taken under local anaesthetic or sedation, or under general anaesthetic, depending on the type of biopsy involved.
  • Ultrasound scans - the doctor examines prostate gland using a small device inserted into the rectum.
  • CT scans, MRI scans and bone scans - these can be used to show the surgeon how far the cancer has spread, if at all.
  • More about our CT scan service
  • More about our MRI scan service

Treating different types of prostate cancer

Once the cancer has been diagnosed, the suggested treatment will depend on how fast the cancer is likely to grow and how far it has already grown. Surgery, radiotherapy and hormone therapy are the main treatments for prostate cancer. Chemotherapy can also be used. 

When the cancer is contained in the prostate gland (localised prostate cancer)

  • Low risk - When the cancer is unlikely to develop for many years, and may never cause any symptoms, active surveillance is usually recommended. If the cancer starts to develop during active monitoring however it becomes an intermediate risk.
  • Intermediate risk - When the cancer may start to develop within a few years surgery to remove the prostate gland or radiotherapy (internal – Brachytherapy, or external – Tomotherapy) may be recommended. Hormone therapy takes place before, during and after radiotherapy.
  • High risk - High risk prostate cancer may start to grow or spread within a couple of years, and surgery to remove the prostate gland or external radiotherapy to the prostate are usually recommended. Hormone therapy alone may be recommended for men who are not well enough for radiotherapy or surgery.

Cancer that is just outside the prostate gland (locally advanced prostate cancer)

Cancer that has broken through the capsule surrounding the prostate gland can be treated with external radiotherapy, with an accompanying course of hormone therapy, or surgery to remove the prostate gland. As with high risk localised prostate cancer, hormone therapy alone may be suggested if the patient is not well enough for surgery or radiotherapy.

When the cancer has spread beyond the prostate

Prostate cancer cannot be cured once it has spread beyond the prostate, but it can be controlled by lowering the level of testosterone in the body via hormone therapy (in tablet form or via injection), and any cancer deposits in bone can be treated with radiation.

Methods of treatment

Here we use regular MRI scans, blood tests and rectal examinations to monitor your cancer without treating you. Biopsies are only needed if your doctor thinks your cancer may have changed. If it starts to grow or you develop symptoms, we will start treatment which aims to cure the cancer rather than control it.

  • There are currently three options for surgery, but we review these regularly following the results of medical research:

    • Removing the prostate gland through keyhole surgery – this can be an effective cure if the cancer has not spread beyond the prostate gland.
    • High Intensity Focused Ultrasound (HIFU) – this targets the area containing the cancer and kills the cells by heating them up with high frequency sound waves.
    • Cryotherapy – using this method, the cancer cells are frozen and thawed to kill them.

We offer different types of radiotherapy, depending on the size of the tumour and its location:

  • TomoTherapy is a form of external radiotherapy, which is one of the most advanced treatment systems available. It combines Intensity Modulated Radiotherapy (IMRT) with Image Guided Radiotherapy (IGRT) to provide a very effective way of treating cancer with radiation. Bupa Cromwell Hospital was the first radiotherapy department the UK to introduce Tomotherapy, is still the only private hospital in the country to offer it.
  • Permanent seed brachytherapy is a form of internal radiotherapy, which involves having tiny radioactive seeds implanted in the prostate gland. The radiation from the seeds destroys cancer cells, and this treatment is recommended if the cancer is contained within the prostate gland. It may be combined with external radiotherapy and/or hormone therapy.

Hormone therapy is used when the cancer is only located in the prostate gland, and chemotherapy is used when the cancer has spread.


How do I pay for treatment?

We welcome both insured and self-pay patients as well as company and embassy sponsored patients.


Here is a list of specialist consultants related to this service / specialty. Please select a specialist to review their full profile. They are listed alphabetically by last name.

Alternatively you can search our complete list of specialist consultants.

Consultant Urologists

Consultant Oncologists

Consultant Radiologists

For more information on these conditions, treatments and maintaining a healthy lifestyle, please select a subject of interest to you. This information will open in a new window.

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