Mater Mothers' Hospital - Community Hospital Interface Program (CHIP)

Mater Adult Hospital - Surgical Services

Brisbane Urology Clinic

Andro Urology Centre

Dr Ross Fowler

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.

Princess Alexandra Hospital - Urology Clinic

Royal Brisbane and Women's Hospital - Urology

Management of all urological problems, including prostate, kidney, and bladder cancer; kidney stones and incontinence in men and women. Specialist in urodynamics, haematuria and continence.

Queen Elizabeth II Jubilee Hospital - Department Of Urology

Referrals to specialist outpatient services within Queen Elizabeth II Jubilee Hospital must be in writing, and as a minimum contain the following:
•	Patient demographics including Medicare number and Interpreter requirements
•	Patient's mobile phone contact number and an alternate postal or contact address (if not the same as usual residence)
•	Reason for referral (including the problem to be assessed, degree of loss of function, pain experienced)
•	Results of relevant investigations (pathology, radiology, histology)
•	Current medications and doses, prescribed and over the counter (note any recent changes in drug therapy)
•	Allergies (drug/topical preparation)
•	Relevant information about the patient's condition such as previous medical/surgical treatment (include systemic and topical medications prescribed for the condition) and details of any associated medical conditions which may affect the condition or its treatment (e.g., diabetes)
•	Relevant psychological and social issues impacted by condition
•	Smoking and alcohol history.
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:
o	MSU for MCS
o	ELFT's, FBC, ESR
o	KUB + non-contrast CT
o	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:
o	MSU for MCS
o	previous PSA results
o	ELFT's
o	FBC
o	ESR
o	medical / surgical history
o	family history
•	For bladder outlet obstruction / LUTS:
o	MSU for MCS
o	PSA, ELFT's, FBC, ESR
o	IPSS
o	renal USS with residual
o	pharmacological history

•	For urethral stricture:
o	MSU for MCS
o	renal USS with residual
o	pharmacological history
o	surgical / medical history
o	ascending and descending urethrogram
•	For incontinence:
o	MSU for MCS
o	ELFT's
o	time and volume chart
o	residual volumes (USS)
o	medical / surgical / social history

•	For renal lesions / cysts:
o	MSU for MCS
o	FBS
o	ELFT's
o	ESR
o	renal USS
o	cytology x 3
o	triple phase CT (if solid lesion or suggested by USS) for urinary tract infection:
o	MSU for MCS
o	previous MSU results
o	renal tract USS with post void residual
o	pharmacological history

•	For testicular tumour / mass:
o	MSU for MCS
o	ELFT's
o	FBS
o	ESR
o	a-fetoprotein (aFP)
o	-hCG, LDH
o	USS testes, CXR
o	medical / family history

•	For penile Ca+ / penile discharge / erectile dysfunction:
o	MSU for MCS, cytology x 3
o	urethral swab
o	sexual health history
o	medical / surgical history

Queen Elizabeth II Jubilee Hospital - Urology Clinic

Referral required from a general practitioner. General practioners refer through Central patient intake Service via 1300 364 938 or visit www.health.qld.gov.au/metronorth/refer/ .

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Urology in South Brisbane

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Urology in South Brisbane

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Free Australian health advice you can count on.