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Lower urinary tract symptoms (male)


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Abnormal USS suggestive of urinary tract tumour
    • Elevated post-void residuals and hydronephrosis on USS and/or altered renal function
    • Severe irritative symptoms and any of the following:
      • haematuria
      • suspicion of malignancy
    • Acute urinary retention post IDC insertion
    • New elevated PSA> 10ng/ml
  • Category 2
    (appointment within 90 calendar days)
    • USS suggestive of bladder outlet obstruction
    • Bladder stones
    • Recurrent UTI (> 1 per year)
    • Elevated post-void residuals > 200ml
    • Suspected or proven urethral stricture
    • Acute change in long-term catheter
    • Persistent or progressive symptoms despite maximal medical management
    • Incontinence
    • Elevated PSA < 10ng/ml
    • Suspected or symptomatic benign prostatic hypertrophy or prostatomegaly
  • Category 3
    (appointment within 365 calendar days)
    • No category 3 criteria

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • MSU M/C/S results
  • USS urinary tract results
  • Smoking history (even if negative)

3. Additional referral information Useful for processing the referral

  • PSA history
  • Family history of prostate cancer
  • ELFT results
  • Bladder chart and the international prostate symptom score sheet (I-PSS)

4. Request

Last updated: 13 June 2023