Suspected Urological cancer

Referral for suspected urological cancer

Referral for suspected prostate cancer

When should I refer a person with suspected prostate cancer?

Refer men using a suspected cancer pathway referral (for an appointment within 2 weeks) for prostate cancer if their prostate feels malignant on digital rectal examination (new NICE recommendation for 2015).

Consider a prostate-specific antigen (PSA) test and digital rectal examination to assess for prostate cancer in men with:

Any lower urinary tract symptoms, such as nocturia, urinary frequency, hesitancy, urgency or retention or

Erectile dysfunction or

Visible haematuria (new NICE recommendation for 2015)

Refer men using a suspected cancer pathway referral (for an appointment within 2 weeks) for prostate cancer if their PSA levels are above the age-specific reference range (new NICE recommendation for 2015)

Referral for suspected bladder cancer

When should I refer a person with suspected bladder cancer?

Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks) for bladder cancer if they are:

Aged 45 and over and have:

Unexplained visible haematuria without urinary tract infection or

Visible haematuria that persists or recurs after successful treatment of urinary tract infection, or

Aged 60 and over and have unexplained non-visible haematuria and either...