Referral to emergency

If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.

  • deterioration of renal function associated with obstruction
  • severe/uncontrolled haematuria
  • urinary retention with worsening symptoms
  • urinary tract sepsis/systemic infection

Please contact the urology registrar on call to discuss your concerns prior to referral.

For clinical advice, please telephone the relevant metropolitan Local Health Network switchboard and ask to speak to the relevant specialty service.

Central Adelaide Local Health Network

Northern Adelaide Local Health Network 

Southern Adelaide Local Health Network


  • concerns of renal failure/declining estimated glomerular filtration rate (eGFR) or proteinuria - refer to nephrology

Triage categories

Category 1 (appointment clinically indicated within 30 days)

  • macroscopic haematuria
  • positive urine cytology
  • urinary tract imaging (ultrasound or computed tomography) suggestive of malignancy

Category 2 (appointment clinically indicated within 90 days)

  • microscopic haematuria

Category 3 (appointment clinically indicated within 365 days)

  • nil

For information on referral forms and how to import them, please view general referral information.

Essential referral information

Completion required before first appointment to ensure patients are ready for care. Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.

  • identifies as Aboriginal and/or Torres Strait Islander
  • identify within your referral if you feel your patient is from a vulnerable population and/or requires a third party to receive correspondence on their behalf
  • interpreter requirements
  • relevant past medical/surgical/radiotherapy history
  • current medications and allergies e.g. use of nonsteroidal anti-inflammatory drugs, rifampicin, metronidazole, nitrofurantoin or cyclophosphamide
  • history of presenting complaint including:
    • onset
    • duration
    • concerning features
  • physical examination findings
    • abdominal e.g. palpable bladder
    • digital rectal examination (DRE) (men)/pelvic examination (women)
  • pathology
  • complete blood examination (CBE)
  • electrolytes, urea and creatinine (EUC)
  • repeat prostate-specific antigen (PSA) and free/total prostate-specific antigen (PSA) completed within 12 weeks of referral, refer to Prostate Cancer Foundation of Australia Clinical Guidelines on PSA Testing
  • mid-stream urine (MSU) M/C/S
  • computed tomography (CT) urogram (pre and post intravenous contrast + delayed pyelograms) unless contraindicated
  • kidneys, ureters and bladder (KUB) ultrasound (US) if CT contraindicated
  • relevant diagnostic/imaging reports including location of company and accession number

Additional information to assist triage categorisation


  • urine cytology, may help to prioritise referral
  • sexually active people complete a sexually transmitted infection (STI) screen, including chlamydia and gonorrhoea which requires:
    • endocervical/penile swab for culture and
    • endocervical/penile polymerase chain reaction (PCR) swab or urine sample