This service is for suspected 2WW Cancer Referrals only. A referral letter must be attached.  Once the referral has been assessed and triaged the booking team will contact the patient to offer them an appointment (which may be face to face or a phone call). We aim to complete this within 2 working days. The appointment will be made within 2 weeks of the referral assessment request being received.

Refer to NICE guidance. 

•    Suspected Urological Cancer 
•    Prostate feels malignant on digital rectal examination. 
•    PSA levels above threshold for their age.            
•    Aged 45 and over and have unexplained visible haematuria without UTI                      
•    Aged 45 and over with visible haematuria that persists or recurs after successful treatment of UTI                     
•    Aged 60 and over and have unexplained non-visible haematuria and wither dysuria or a raised white cell count on a blood test.                            
•     Non painful enlargement or change in shape or texture of testis.                                          
•     A penile mass or ulcerated lesion, when a STI has been excluded as a cause
•    A persistent penile lesion after treatment for a sexually transmitted infection has been completed.
•    Unexplained or persistent symptoms affecting the foreskin or glans

•    Clinical exam by GP/clinician. 
•    Please ensure that U&E and EGFR investigations are performed for patients being referred to Rapid Access Haematuria clinic
 

•    X-rays
•    Bloods
•    Urine Analysis 
•    Imaging 
•    Flexi Cystoscopy 
•    +/- Blood Tests 
•    PSA Testing 
•    MRI
•    CT scan
 

•    Referrals that are not suspected cancer. 
•    PLCP: reversal of sterilization
•    Erectile disfunction
•    Gender reassignment
•    Transplant surgery
•    General Urology
 

Refer penile cancer directly to tertiary centre