Bladder/prostate/testicles

Priority Description
1. P1 High probability of potentially life threatening condition
2. P2 High probability of condition potentially causing significant long term harm
3. P3 Possibility of potentially life threatening condition
4. P4 Possibility of condition potentially causing significant long term harm
5. P5 Unlikely to be life threatening or cause significant long term harm

Protocol code	When to use
?Ca 2Wk	? Cancer 2ww – use as normal – scan to be scheduled within 2 weeks
Urgent	Urgent – use as normal – scan to be scheduled within 4 weeks
COVID – Semi Urgent	Examination needs performing during next few months
Routine	Do not use during Covid pandemic
COVID P5 Cancel	Examination is P5 exam and will be cancelled and re refer back to clinician
Cancel	Examination to be cancelled due to non-justification of examination only ( not due to COVID)
On hold	Use as normal

All routine are reclassified as above.

Indication	COVID Cancel	COVID Urgent	Brief description	Slice thickness and reconstruction kernel	Further details of contrast timing/explanation of what the radiographers do	Abbreviation
Bladder cancer Some cases we’ll want an IVU?		X	CT chest, abdomen & pelvis (contrast) Additional 400 ml of water immediately prior to scanning, full bladder essential, clamp catheter if present	1.5 mm B30f, 1.2 mm increment.	65 seconds	CT CAP + c Pre CAP IVU
Bladder cancer surveillance Why the difference to above?		X	CT IVU	1.5 mm B30f, 1.2 mm increment.	Pre, bolus 5 minutes before, repeat bolus and 90 second scan	CT IVU -no CTCAP
Prostate cancer		X	CT chest, abdomen & pelvis (contrast)	1.5 mm B30f, 1.2 mm increment.	65 seconds	CT CAP + c
Testicular cancer initial scan		X	CT chest and abdomen (contrast)	1.5 mm B30f, 1.2 mm increment.	65 seconds	CT chest and abdo + c
Testicular Cancer Follow up scan		X	CT abdomen + contrast	1.5 mm B30f, 1.2 mm increment.	65 seconds	CT abdo + c
Ureteric injury		X	CT IVU	1.5 mm B30f, 1.2 mm increment.	CT IVU as above	CT IVU
Bladder injury		X	CT cystogram, 50 ml water soluble contrast (300 mg/ml) in 500 ml water and instill ~350 ml via catheter, then clamp and scan	1.5 mm B30f, 1.2 mm increment.		CT Cystogram