Reviewed on : 17 Mar 2023

Reviewed by : Kate Ray

Expires : 17 Mar 2025

UROLOGY 2WW

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

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)