Urology Pathways

14 pathways

Work through 14 interactive urology decision pathways — branching, guideline-grounded workflows that take you from presentation to assessment, risk stratification and management. Each pathway cites its source (NICE, ESC, AHA and specialty guidance), embeds the relevant calculators, and makes escalation and safety-netting explicit. For decision support only — apply clinical judgement and local protocols.

Haematuria Assessment

Visible and non-visible haematuria investigation pathway — 2WW vs routine

NICE NG12 / BAUS 2020
Acute Urinary Retention

Management of acute urinary retention — catheterisation, alpha-blocker trial, and TWOC

EAU 2022 / NICE BPH
Renal Colic and Ureteric Stones

CT KUB, stone size decision, and medical expulsive therapy for renal colic

EAU 2023 / NICE CG160
Prostate Cancer Diagnosis

PSA interpretation, prostate MRI, and biopsy pathway for suspected prostate cancer

NICE NG131 2019
Benign Prostatic Hyperplasia

LUTS workup; lifestyle + medical (alpha-blocker, 5-α-reductase) → surgical (TURP / HoLEP / Rezum / UroLift).

NICE NG97; BAUS
Erectile Dysfunction

Cardiovascular risk marker; lifestyle + PDE5 inhibitors → second-line.

BSSM 2018; NICE CKS
Testicular Cancer

Painless testicular lump in young man; USS + tumour markers; orchiectomy; high cure rate.

BAUS; ESMO
UTI in Men

All UTI in men is complicated; longer antibiotic courses; investigate underlying cause.

NICE NG109; BAUS
Renal Cell Carcinoma

Often incidental; nephrectomy / partial / ablation; targeted therapy + immunotherapy in advanced.

NICE NG12; BAUS
Phimosis / Paraphimosis

Phimosis: conservative + topical steroid + circumcision. Paraphimosis: emergency reduction.

BAUS
Priapism

Persistent painful erection >4h — distinguish ischaemic (low-flow, emergency) vs non-ischaemic.

BAUS; AUA
Recurrent Kidney Stones

Stone analysis + 24h urine collection + metabolic workup; lifestyle + targeted therapy by stone type.

BAUS; EAU
Urethral Stricture

LUTS + recurrent UTI; uroflowmetry + retrograde urethrogram; dilatation / urethrotomy / urethroplasty.

BAUS
Bladder Cancer Pathway (2WW)

Painless visible haematuria → 2WW; cystoscopy + CT urogram; TURBT + intravesical / cystectomy.

NICE NG12; BAUS