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The tables below provide guidance from the National Institute for Health and Care Excellence (NICE) on prostate cancer assessment and referral recommendations, including age-specific prostate-specific antigen (PSA) thresholds for individuals presenting with possible symptoms of prostate cancer. Please also read our chart on prostate cancer for a better understanding of this subject.
| Prostate Cancer Recommendations | Description |
|---|---|
| Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks) for prostate cancer if their prostate feels malignant on digital rectal examination. | Refer 2 weeks USC |
| Consider a prostate‑specific antigen (PSA) test and digital rectal examination to assess for prostate cancer in people with any lower urinary tract symptoms, such as nocturia, urinary frequency, hesitancy, urgency, or retention, or erectile dysfunction, or visible haematuria. | Check PSA and DRE to assess for prostate cancer |
| Consider referring people with possible symptoms of prostate cancer, as specified in the recommendation above - using a suspected cancer pathway referral (for an appointment within 2 weeks) for prostate cancer if their PSA levels are above the threshold for their age in the table below. Take into account the person's preferences and any comorbidities when making the decision. | Consider a 2 week USC referral if... |
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