Specialty: Urology
Age group: Adult
Criteria for referral to public hospital specialist clinic services
- 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)
- 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.
Information to be included in the referral
Information that must be provided:
- Initial PSA result of concern
- Repeated PSA result 1 to 3 months after this initial test
- Midstream urine microscopy culture sensitivities.
Provide if available:
- Urinary tract ultrasound.
Additional comments
The Summary and referral information lists the information that should be included in a referral request.
Where appropriate and available, the referral may be directed to an alternative specialist clinic or service.
Referral to a public hospital is not appropriate for
Not applicable.
Updated