haematuria - NICE urgent cancer referral guidance
Last reviewed 01/2018
Haematuria
Symptom and Specific Features | Possible Cancer | Recommendation |
Haematuria (visible and unexplained) either without urinary tract infection or that persists or recurs after successful treatment of urinary tract infection, 45 and over | Bladder or renal | Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks) |
Symptom and Specific Features | Possible Cancer | Recommendation |
Haematuria (non-visible and unexplained) with dysuria or raised white cell count on a blood test, 60 and over | Bladder | Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks) |
Symptom and Specific Features | Possible Cancer | Recommendation |
Haematuria (visible) with low haemoglobin levels or thrombocytosis or high blood glucose levels or unexplained vaginal discharge in women 55 and over | Endometrial | Consider a direct access ultrasound scan |
Symptom and Specific Features | Possible Cancer | Recommendation |
Haematuria (visible) in men | Prostrate | Consider a prostate-specific antigen (PSA) test and digital rectal examination |
Note:
- in 2005 NICE cancer guidance, unexplained microscopica haematuria (non-visible haematuria) in a patient 50 years or over was a 2 week referral. This guidance has not been repeated in the 2015 guidance but local implementation might mean that this guidance may be still employed when a local implementation of the NICE urological guidance is made
Reference:
urological features - NICE urgent cancer referral guidance
NICE urgent cancer referral guidance
NICE urgent cancer referral guidance (guidelines with respect to presenting symptoms and signs)