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.
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