Criteria for referral to public hospital specialist clinic services

• Prostate-specific antigen (PSA) > 10 ng/mL
• Age 50 to 69 years with a repeat PSA test is:
  • 5.5 ng/mL (regardless of the with a free-to-total ratio)
  • between 3.0 ng/mL and 5.5ng/mL, with a free-to-total ratio < 25%
• Age 45 to 69 years with an increased risk of prostate cancer whose PSA is between 2.0 ng/mL and 3.0 ng/mL, with a free-to-total < 25%
• 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 1-3 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.