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Urology – 2WW


Information and referral forms for 2WW Urology


Indications for an urgent referral for a suspected new malignancy in line with NICE Guidelines are:

  • Macroscopic Haematuria in adults over 40 years.
  • Microscopic Haematuria in adults over 60 years.
  • Swellings in the body of the testis.
  • Palpable renal masses.
  • Solid renal masses found on imaging.
  • Raised serum PSA is indicated only for patients under 75 years with elevated age-specific PSA, or those over 75 years with PSA > 20mcg/l
  • High PSA (>20NG/ML) in men with a clinically malignant prostate or bone pain.
  • Any suspected penile cancer.

Pre-investigations required of GP: PSA and Digital Rectal Examination (if appropriate)

NOTE: Patients who do not fit the above criteria and in whom there is a high clinical suspicion of malignancy please contact the respective clinician.

Consider handing the patient a Cancer Research UK Information Sheet – follow link

Two Week Wait referrals should now be processed through the NHS eReferral Service (previously known as Choose & Book)

Please use this interim 2WW referral form pending imminent review (18/11/20) see example below

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