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Urology – 2WW

  

Information and referral forms for 2WW Urology


TWO WEEK REFERRAL SERVICES – UROLOGY

 

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

Unexplained visible haematuria without UTI ≥45 years

Visible haematuria persisting/recurring after UTI treatment ≥45 years

Non-visible haematuria + dysuria or ↑WCC ≥ 60 years

Testis – Swelling in body Non-painful enlargement or Change in shape or Texture of the testis (not epididymis)

Palpable Renal Mass

Solid mass in the kidney on imaging

Penile Mass/Ulcerated Lesion STI excluded

Persistent Penile Lesion following completed STI treatment

Unexplained or persistent symptoms affecting the foreskin or glans

Prostate – DRE findings normal/abnormal

If DRE normal a raised PSA is required

 

Age years

40-49

50-59 

60-69 

70-79 

Over 80’s

PSA referral range

>2.5

>3.5

>4.5

>6.5

>20  

 

Pre Referral Investigations required for all patients

  • EGFR Result (within last 3 months)
  • PSA level (Prostate referrals only)
  • Negative MSU/Dipstick Test (within last 8 weeks)

PSA should not be taken during, or within 8 weeks, of a proven UTI as this may cause an artificially raised level

 

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)

 

Referral Form Example Below

Click on referral link right to download

Save EMIS version to Downloads or File or Desktop before importing to EMIS

 

 

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