Clinical Policies Directory TNRF1: Urology
These pages provide a web friendly version of the Treatments not routinely funded one policy (CLIN02 Treatments Requiring Individual Funding Applications TNRF1).
Go to Policies and Processes page (Clinical policies section) of this website to read the full policy.
Penile implants (devices placed inside the penis to allow men with erectile dysfunction (ED) to get an erection)
Overview
A penile implant is an implanted device intended for the treatment of erectile dysfunction, Peyronie's disease, ischemic priapism, deformity and any traumatic injury of the penis, and for phalloplasty or metoidioplasty, including in gender-affirming surgery.
Thresholds and eligibility
This procedure is not routinely funded.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.
Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.
Retractile penile surgery (surgery to treat a concealed penis)
Overview
A Retracted Penis is a condition in which the penis is covered by excess skin and fat tissue from the surrounding structures like the abdomen, scrotum, or public area. Retractile penile surgery can be carried out to separate the shaft of the penis from surrounding tissues.
Thresholds and eligibility
This procedure is not routinely funded.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.
Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.
Reversal of vasectomy
Overview
A vasectomy reversal is an operation to reconnect tubes that were cut or sealed in a vasectomy.
Thresholds and eligibility
This procedure is not routinely funded. Patients who have a sterilisation procedure should be made aware that subsequent reversal of sterilisation will not normally be available on the NHS.
Resources
Treatments not routinely published policy (TNRF1)
Additional information
If a clinician is able to demonstrate that their patient’s individual clinical circumstances are clearly different to those of other patients, they have the option of submitting an Individual Funding Request (IFR) application to the Effective Commissioning Initiative team at NHS Surrey Heartlands via the Blueteq database.
Simply put, the consideration is whether it is fair to fund their patient’s treatment when the treatment is not available to others.