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.
- haematuria causing clot retention
- renal failure with/without outflow obstruction
- uncontrolled pain or other severe symptoms from metastatic disease
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
- Royal Adelaide Hospital (08) 7074 0000
- The Queen Elizabeth Hospital (08) 8222 6000
Northern Adelaide Local Health Network
- Lyell McEwin Hospital
(08) 8182 9000
Southern Adelaide Local Health Network
- Flinders Medical Centre (08) 8204 5511
Exclusions
- renal cyst (Bosniak classification score 1 and 2)
Triage categories
Category 1 (appointment clinically indicated within 30 days)
- renal mass greater than 5cm
- suspected malignancy - please contact the Urology registrar on call to discuss your concerns prior to referral
- renal cyst (Bosniak classification score 4)
Category 2 (appointment clinically indicated within 90 days)
- angiomyolipoma greater than 4cm
- renal cyst (Bosniak classification score 2f and 3)
- renal mass less than 5cm
Category 3 (appointment clinically indicated within 365 days)
- angiomyolipoma less than 4cm
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 history
- family history of cancer
- current medications, allergies
- history of presenting complaint including:
- onset
- duration
- concerning features
- physical examination findings:
- abdominal examination e.g. palpable bladder
- kidneys, ureters and bladder (KUB) ultrasound (US)
- computed tomography (CT) chest-abdomen-pelvis (CAP)/urogram (pre and post intravenous contrast + delayed pyelograms)
- relevant diagnostic/imaging reports including location of company and accession number
Pathology
- complete blood examination (CBE)
- electrolytes, urea and creatinine (EUC)
- liver function test (LFT)
- estimated glomerular filtration rate (eGFR)
- coagulation studies (Coags)
- mid-stream urine (MSU) M/C/S