OUTPATIENT GP REFERRAL GUIDELINES UROLOGY Southern Adelaide Local Health Network (SALHN) UROLOGY CONDITION UROLOGY TESTS REQUIRED EUC, FBC, Calcium RENAL MASS CT Chest, abdomen, pelvis + oral contrast HYDRONEPHROSIS or RENAL STONES EUC, Calcium, PO4, Urate, LFT CT Urogram (non-contrast) + X-Ray of kidneys, ureters & bladder UMCS, EUC BLADDER MASS Contrast CT urogram Renal tract ultrasound if IV contrast contraindicated Bloods for AFP, HCG, LDH TESTIS MASS Urgent testis ultrasound. Please specify urgent clinic review UMCS, EUC, PSA in males >40 yrs MACRO HAEMATURIA Contrast CT urogram (pre and post IV contrast + delayed pyelograms) if no contraindication Renal tract ultrasound if IV contrast contraindicated ELEVATED PSA/ABNORMAL DRE UMCS (if UTI treat and repeat PSA 6 weeks after clear UMCS) EUC Renal ultrasound LUTS - acute retention with IDC Urine microscopy & culture (UCMS), EUC Consider PSA if age>75 yrs or abnormal DRE Ultrasound testis COMPLICATED LUTS - (epididyo-orchitis) Ultrasound renal, MSSU, LFT MICRO HAEMATURIA Fax Referral to Urology Outpatients on Repatriation General Hospital Fax: 8275 1133 General Information to assist with referrals and the and Referral templates for FMC and RGH are available to download from the SALHN Outpatient Services website www.sahealth.sa.gov.au/SALHNoutpatients and SAFKI Medicare Local website www.safkiml.com.au Version Date from Date to Amendment 2.0 Sept 2014 Sept 2016 Template
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