Patients with the following symptoms should be referred urgently:

• Visible haematuria
• Suspected malignant disease
• Unexplained abdominal or pelvic mass 
• Suspected urogenital fistula
• Recent continence/urology surgery or pelvic malignancy

The Pan London Suspected Cancer Referral Guide for Urology is available online.

Vasectomies

MSI Reproductive Choices is commissioned by NCL ICB to provide a community service for vasectomies. Procedures will be performed under local anaesthetic and referrals should be made in the usual way via eRS directly to MSI. See the vasectomy service for more details. Please note that NHS providers in NCL no longer offer this service. 

If the patient requires a vasectomy under general anaesthesia, an Evidence Based Interventions and Clinical Standards (EBICS) Policy application must be completed. This must be included with the referral to Whittington Health as the nominated provider of this service for NCL. For more information, please visit the EBICS page.