Urology Management Pathways

Question 1

When would you check a patient’s PSA and perform a digital rectal exam?

Answer 1

1. Lower urinary tract symptoms
2. Erectile dysfunction
3. Visible haematuria

Question 2

What should you do with a patient with a raised PSA?

Answer 2

Urgent referral (within 2 weeks)

Question 3

When would you refer someone with visible haematuria for urgent assessment for bladder (or renal) cancer?

Answer 3

45 years and over
AND
unexplained visible haematuria without UTI
OR
visible haematuria persisting after successful UTI treatment

Question 4

When would you refer someone with non-visible haematuria for urgent assessment for bladder cancer?

Answer 4

60 and over
AND
unexplained non-visible haematuria
AND
either dysuria or raised WCC

Question 5

What would cause you to put in a non-urgent bladder cancer referral?

Answer 5

Patient 60 and over with recurrent or persistent unexplained UTI

Question 6

When would you consider an urgent referral for testicular cancer?

Answer 6

Non-painful enlargement or change in shape or texture of the testis