urgent referrals

Patients presenting with any of the following require urgent review by a urologist:

  • Macroscopic haematuria in adults.
  • Microscopic haematuria in adults over 50 years.
  • Swellings in the body of the testis.
  • Solid renal masses found on imaging.
  • An elevated age specific PSA in men with a ten-year life expectancy.
  • A high PSA (> 20ng/ml) in men with a clinically malignant prostate or bone pain.
  • Any suspected penile cancer.
  • PSA testing of asymptomatic men or screening for prostate cancer is not national policy. It is recommended that a PSA test, except in men clinically suspicious of prostate cancer should only be performed after full counselling and provision of written information.