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Prostate – suspected cancer (including elevated PSA)


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • PSA > 10ng/ml
    • Radiological imaging indicative of ureteric obstruction
    • Palpable or suspicious nodule
  • Category 2
    (appointment within 90 calendar days)
    • Increasing/elevated age-related PSA on 2 or more interval specimens or >0.7ng/ml/year in men aged <70 years

  • 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

  • PSA
  • ELFT, FBC results
  • MSU M/C/S results
  • USS urinary tract results

3. Additional referral information Useful for processing the referral

  • Optional f:t PSA history (if available)
  • Family history of prostate cancer
  • Bladder chart and the international prostate symptom score sheet

4. Request

Last updated: 13 June 2023