Reviewed on : 17 Dec 2021

Reviewed by : GP Gateway Editor

Expires : 17 Dec 2023

TWO WEEK REFERRAL SERVICES – 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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