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.