Peninsula Health’s Urology Outpatient clinic is for patients with urological conditions.
Referrals
Referral addressed to named head of unit is preferred. E-referral using the GP Referral Template located within the Mastercare Referralnet system is preferred.
For faxed referrals: FAX (03) 9125 9846
Categories for Appointment
See details
| Clinical Description | Timeframe for Appt | |
|---|---|---|
| Category 1 | – Obstructed kidney – Frank haematuria – Renal or Ureteric calculus (symptomatic) – Urinary retention with catheter in situ | Within 30 days |
| Category 2 Routine | – Lower urinary track symptoms (LUTS) * – Microscopic haematuria – Hydronephrosis – Female incontinence ** – Intrarenal calculus (asymptomatic) – Recurrent UTI’s – Phimosis – Epididymal cyst – Post treatment reviews *Needs to have already had treatment with no response ** After an assessment and management via their local continence service | Greater than 30 days depending on clinical need |
| Emergency | – Poorly controlled renal or ureteric colic – Infected or obstructed kidney – Acute painful urinary retention – Urinary tract trauma – Urinary tract septicaemia – Acute painful scrotum – Neurological emergency with acute incontinence – Priapism – Paraphimosis | To Emergency Department |
Eligibility Criteria
For all eligibility criteria see Statewide Referral Criteria for Specialist Clinics .
Haematuria Clinic – Macroscopic
Referral Information
- Complete (urine uniformly blood – stained)
- Initial stream, end stream, clots
- Pain/dysuria
- Onset, duration, precipitating factors
- Smoker
- Previous treatment prostate/bladder cancer
Females
- Other gynaecological symptoms
- PV findings
Males
- Other urological symptoms
- Digital prostate exam investigations
- MSU micro and culture
- Urine cytology x 3
- Triphasic CT IVP scan with excretory urogram
- Electrolytes, Urea, Creatinine, GFR
- FBE, PSA
All patients with visible haematuria require a CT IVP scan and Cystoscopy to exclude malignancy urinary tract.
Preference for all imaging referral to be done at Frankston Hospital.
Haematuria – Microscopic
Referral Information
Microscopic Haematuria defined as the presence of RBCs in at least two out of three MSUs
- MSU micro and culture x 3
- Urine cytology x 3
- Electrolytes, Urea and Creatinine
- USS Urinary tract *
*CTIVP if high risk: smoker, positive cytology or > 40 yrs old
Exclusion Criteria
- *Haematuria with proteinuria should be directed to Renal Service
- Patients who are being treated for the same condition at another Victorian public hospital
- Children under 17 years of age
- Cosmetic surgery including circumcision, penile enhancements & penile implants
- Lower Urinary Tract Symptoms: Mild to moderate symptoms that have not been treated Note: We do see symptoms that have not responded to medical treatment
- Renal Mass: Simple renal cysts (Bosniak 1 on CT with no suspicious elements)
- Scrotal abnormalities
- Asymptomatic epididymal cyst identified through ultrasound
- acute scrotal pain (go to emergency)
- painful swollen testis or epididymis (emergency)
- Asymptomatic hydrocele
- Asymptomatic varicocele
- Chronic or recurrent scrotal pain: if USS and MSU are normal consider physiotherapy review+/- psych (blood in urine will be considered for cystoscopy)
- Urinary Incontinence
- Referral to Continence service for:
- Patients who have not yet tried and failed conservative treatment
- Female incontinence not managed previously by a local continence service
- Vasectomy & Infertility
- Vasectomy and Vasectomy reversal
- Erectile dysfunction including peyronies disease
- Infertility
- Pain
- LUTS with no identified cause
- Pelvic pain syndrome (pain on bladder filling, penile pain, groin pain, scrotal pain)
Alternative referral options
New referrals may also be made directly to the rooms of Urology Surgeons affiliated with Frankston Hospital (see Specialist Directory) who can then place the patient directly on the public surgical waiting list at Frankston Hospital if surgery is required.
- Refer to Private Services
- Urogynaecology clinic: The Mornington Centre
- Recurrent penile and/or scrotal pain: if urine normal and scrotal USS normal the consider referral to a pelvic floor physiotherapist in advance of their urology appointment.
- This is a multidisciplinary service. All patients will be triaged and referred to one or more providers that may include; continence clinical nurse consultant, physiotherapist, gynaecologist, urologist, geriatrician. This is not a suitable service for abnormal urogenital bleeding, suspected malignancy, faecal incontinence or rectal prolapse.
Make a referral
All referrals to this clinic must contain the following information.
Referral: Date of referral, Speciality, Referring practitioner, Provider Number, Referrer’s signature.
Patient Demographic: Full name, Date of birth, Postal address, Contact numbers, Medicare Number, Interpreter required.
Clinical: Reason for referral, Duration of symptoms, Management to date, Past medical history, Current medications, Allergies, Diagnostics as per referral guidelines X-ray results/reports must be within the last 6 months.
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