Referrals to specialist outpatient services within Princess Alexandra Hospital must be in writing, and as a minimum contain the following:
For macroscopic haematuria:MSU for MCS, cytology x 3, ELFT's, FBC, ESR, CT: non-CON, CON, delayed excretory
For microscopic haematuria:
< 50 non-smokers: MSU for MCS, cytology x 3, renal USS + KUB, all others: MSU for MCS, cytology x3, ELFT's, CT: non-CON, CON, delayed excretory
For renal / staghorn / ureteric calculi: MSU for MCS, ELFT's, FBC, ESR, KUB + non-contrast CT, for ureteric stones - please repeat CT + KUB 2/52 after first presentation or 1/52 prior to appointment to confirm stone is still present.
For elevated PSA / prostate disease:
MSU for MCS, previous PSA results, ELFT's, FBC, ESR, medical / surgical history, family history
For bladder outlet obstruction / LUTS: MSU for MCS, PSA, ELFT's, FBC, ESR, IPSS, renal USS with residual, pharmacological history
For urethral stricture:
MSU for MCS, renal USS with residual, pharmacological history, surgical / medical history, ascending and descending urethrogram
For incontinence:
MSU for MCS,ELFT's, time and volume chart, residual volumes (USS), medical / surgical / social history
For renal lesions / cysts:
MSU for MCS,FBS, ELFT's, ESR, renal USS, cytology x 3, triple phase CT (if solid lesion or suggested by USS) for urinary tract infection: MSU for MCS, previous MSU results, renal tract USS with post void residual pharmacological history
For testicular tumour / mass:
MSU for MCS, ELFT's, FBS, ESR, a-fetoprotein (aFP), hCG, LDH, USS testes, CXR, medical / family history
For penile Ca+ / penile discharge / erectile dysfunction: MSU for MCS, cytology x 3 urethral swab sexual health history medical / surgical history.