Prostate cancer (suspected or confirmed)

Prostate cancer (suspected or confirmed) — referral criteria for Urology services.

Full SRC reference

Eligibility

At least one must be met for the patient to be eligible for referral.

Clinically suspected or confirmed prostate cancer (suspected or confirmed) with initial primary-care work-up completed

Routine referral criteria

Determine Category 2 or 3 urgency.

Prostate-specific antigen (PSA) greater than 10 nanogram per millilitre

Age 50 to 69 years with a repeat PSA test is — 5.5 nanogram per millilitre (regardless of the with a free-to-total ratio)

Age 50 to 69 years with a repeat PSA test is — between 3.0 nanogram per millilitre and 5.5 nanogram per millilitre, with a free-to-total ratio less than 25 per cent

Age 45 to 69 years with an increased risk of prostate cancer whose PSA is between 2.0 nanogram per millilitre and 3.0 nanogram per millilitre, with a free-to-total less than 25 per cent

A significant PSA rise where the PSA has previously been low

Palpable abnormality in the prostate on digital rectal examination

Bone pain with suspected or confirmed prostate cancer