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Informed Consent - Urology

Please note: The Medical Board of Australia has published Guidelines: Sexual boundaries in the doctor-patient relationship. These guidelines, which came into effect on 12 December 2018, provide guidance on establishing and maintaining sexual boundaries in the doctor-patient relationship. To support hospitals/individual health practitioners/patients to comply with these guidelines, our Informed Consent forms and Patient Information sheets for procedures requiring intimate examinations, have been updated in the relevant surgical areas, indicated below by an (*).

Two separate additional student consent forms (adult and child/young person), indicated below by an (**), are to be used for patients to complete if the procedure is yet to occur and prior consent has been undertaken on the previous version of informed consent forms, or if the procedure consent form does not have a student section included.

AdultChild/Young Person

A - D | E - H | I - L | M - P | Q - Z

IndexTitle File SizeVersion
AA Additional Student Consent ** 2.7 MB 2
 Anaesthetic Patient Information Sheets  
BBladder Wall Operation * 159 KB 5
 Blood transfusion consent and refusal forms are now located under Blood specialty.  
CCircumcision (Adult) * 574 KB 6
 Cystoscopy * 158 KB 5
 Cystoscopy & Biopsy of Prostate * 159 KB 5
 Cystoscopy & Crushing of Stone * 158 KB 5
 Cystoscopy & Insertion of Supra-pubic Catheter +/- Cystotomy * 522 KB 6
 Cystoscopy & Removal of Bladder Tumour * 699 KB 6
 Cystoscopy & Retrograde Pyelogram (&/-) Insertion Ureteric Stent * 485 KB 6
 Cystoscopy & Ureteroscopy & Fragmentation of Stone (Lithoclast) * 159 KB 5
 Cystoscopy (Flexible) Under Local Anaesthetic * 548 KB 5
 Cystoscopy with Passage of Ureteric Catheter * 160 KB 5
G Generic Consent - Adult*
This form is now located under Miscellaneous speciality.
  
HHydrocele/Epididymal Cyst Removal * 664 KB 5
NNephrectomy - Removal of Part or all of Kidney 143 KB 4
OOrchidectomy * 156 KB 5
PParaphimosis Repair * 157 KB 5
 Passage of Sounds * 157 KB 5
 Percutaneous Nephrolithotomy (PCNL) 690 KB 6
 Prostatectomy - Radical 277 KB 2
SSinus Excision Operation 134 KB 4
TTransurethral Prostatectomy - TURP and Open * 132 KB 6
 TRUS Biopsy * 256 KB 4
UUreterolithotomy (Open) * 160 KB 5
VVaricocele Repair – Open/Laparoscopic/Microsurgical Division * 3.6 MB 7
  Varicocele (Laparoscopic Division of Testicular Veins)
This has now been superseded by Varicocele Repair – Open/Laparoscopic/Microsurgical Division of Testicular Veins
  
  Varicocele - Open *
This has now been superseded by Varicocele Repair – Open/Laparoscopic/Microsurgical Division of Testicular Veins
 

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Child/Young Person |  Adult
Title File SizeVersion
A Additional Student Consent - Child/Young Person ** 2.5 MB 2
About Your Child's Anaesthetic
This patient information sheet is now located under Anaesthetics speciality.          
  
Blood transfusion consent and refusal forms are now located under Blood specialty.  
Circumcision * 155 KB 5
Generic Consent - Child/Young Person
This form is now located under Miscellaneous speciality.
  
Orchidopexy * 214 KB 4
Paraphimosis Repair * 218 KB 4

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Last updated: 7 June 2022