Peninsula Health’s Urology Oncology is for patients with likely or confirmed urological cancer.
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
| Clinical Description | Wait times estimate | |
|---|---|---|
| Category 1 | – Testicular cancer – Penile cancer – Bladder cancer – Renal cancer – Prostate cancer/ PSA >20 in men <75yrs*** – Renal Mass >3cm – Urgent Histology review | Within 30 days |
| Category 2- Routine | – Renal Mass <3cm (seen within 90 day) – Rising PSA in male < 75 years – separate specific guidance below has been issued for prostate cancer referrals. – Post treatment reviews | Greater than 30 days depending on clinical need |
| Emergency | When signs and symptoms require emergency management | To emergency department |
Eligibility Criteria
For all eligibility criteria see Statewide Referral Criteria for Specialist Clinics.
Prostate Cancer
For all eligibility criteria see Statewide Referral Criteria for Prostate Cancer (Suspected or confirmed).
Specific Prostate Cancer Referral Information:
- Clinical details and reason for referral
- Relevant medical history
- Family history of Ca prostate (paternal)
- Completed prostate symptom score and quality of life score
- Bone pain
- Haematuria
- Previous TURP/prostate biopsy
- Allergies
- Results of all recent and relevant investigations
- Symptomatic history
- Treatment instituted so far
- Medications
- DRE – asymmentry, hardness, nodules, specimens
Investigations:
- PSA on 2 or more interval specimens
- PSA with free/total % (if included in second PSA test, then the PSA test becomes MBS rebatable)
- FBE & CRP
- U & E’s, creatinine and GFR
- MSU
Patients over 75 years of age should not undergo routine PSA screening
For specialists referring men in for biopsy:
Men should be suitable for consideration of radical treatment in the event of finding significant prostate cancer and be less than 75 yr old and of a high performance status.
Men older than 75 yr and men less than 75 yr but with significant co-morbidities are extremely unlikely to benefit from radical prostate cancer treatment within their life expectancy and will not be offered a prostate biopsy.
For specialists referring for prostate biopsy:
Consider multiparametric MRI scan of prostate before biopsy when under 70yr (see MBS MRI guideline)
For MBS items 63541 and 63542 the patient must be suspected of having prostate cancer based on:
- A digital rectal examination (DRE) which is suspicious for prostate cancer; or
- In a person aged less than 70 years, at least two prostate specific antigen (PSA) tests performed within an interval of 1-3 months are greater than 3.0ng/ml, and the free/total PSA ratio is less than 25% or the repeat PSA exceeds 5.5ng/ml; or
- In a person aged less than 70 years, whose risk of developing prostate cancer based on family history is at least double the average risk, at least two PSA tests performed within an interval of 1-3 months are greater than 2.0ng/ml, and the free/total PSA ratio is less than 25%; or
- In a person aged 70 years or older, at least two PSA test performed within an interval of 1-3 months are greater than 5.5ng/ml and the free/total PSA ratio is less than 25%.
Exclusions:
Patients who are being treated for the same condition at another Victorian public hospital.
Further information
Clinics are held at the Frankston Integrated Health Centre on:
- Monday (AM) Outpatient Department – Area 3
- Wednesday (AM) Outpatients Department – Area 3
- Thursday (PM) Outpatients Department – Area 3
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
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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