Testicular Cancer Patient Information Prescription
Testicular Cancer
Patient Information Prescription
Richmond Urology Unit, Leigh Infirmary
- Author ID: WK
- Leaflet ref: Urol 003
- Version: 2
- Leaflet title: Testicular Cancer Patient Information Prescription
- Last review: May 2025
- Expiry Date: May 2027
Testicular Cancer Patient Information Prescription
Patient Name: ................................................................ Date: .............................................
Healthcare Professional: ......................................................................................................
Contact details for CNS/keyworker given? | Yes c | No c |
Copy of initial consultation letter offered? | Yes c | No c |
Information given about free prescriptions? | Yes c | No c |
MDT/SMDT/Green File information given? | Yes c | No c |
Key Information Providers
British Association of Urological Surgeons (BAUS)
www.baus.org.uk
Telephone 0207 869 6950
Local available information (LO)
www.nhs.uk/ips
Telephone 0161 276 3645
Macmillan Cancer Care (MAC)
www.macmillan.org.uk
Telephone 0808 808 0000
UrologyNurses@wwl.nhs.uk
Telephone 01942 264491 Monday to Friday
| 1. Investigations | Provider | Sign and Date | |
|
| Given | Recommended |
Blood test | MAC |
|
|
CT Scan | MAC |
|
|
Ultrasound Scan | MAC |
|
|
| 2. Staging & Diagnosis | Provider | Sign and Date | |
How Testicular cancer is diagnosed | MAC |
|
|
Staging of Testicular cancer | MAC |
|
|
| 3. Treatment options/side effects | Provider | Sign and Date | |
Chemotherapy | MAC |
|
|
Surgery | MAC/BAUS |
|
|
Radiotherapy | MAC |
|
|
Young Cancer Unit information | LO |
|
|
| 4. Hospital stay/operation enhanced recovery information | Provider | Sign and Date | |
Anaesthetic | LO |
|
|
Discharge | LO |
|
|
Pain relief | LO |
|
|
Pre-operative | LO |
|
|
| 5. Lifestyle /Follow up | Provider | Sign and Date | |
Emotional support | MAC |
|
|
Employment support | MAC |
|
|
Financial support | MAC |
|
|
Help at home | MAC |
|
|
Surveillance for Testicular cancer | MAC |
|
|
Travel | MAC |
|
|
Treatment and fertility | MAC |
|
|
Your information prescription does not replace face to face contact with the people providing your care so please contact them if you need advice.