Urology referral criteria

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Criteria for urgent suspected cancer (USC) referral

• Frank haematuria after ultrasound scan except with confirmed urinary tract infection (UTI)
• Renal mass
• Testicular mass confirmed on ultrasound
• Suspicion of penile cancer
• Symptoms of metastatic urological disease
• Hard, irregular or nodular prostate on examination
• High repeated prostate-specific antigen (PSA) in absence of UTI
  • 40-49yrs greater than 2
  • 50-59 greater than 3
  • 60-69 greater than 4
  • 70-80 greater than 5
  • 81 and above greater than 20

If PSA less than 20 repeat it in 4 weeks in the absence of a clinically suspicious gland.