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Penile conditions


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Episodes of acute urinary retention associated with poor urinary stream
    • New hypospadias preferably over 3 months of age (exclude cases that maybe intersex condition prior to referral to outpatients)

  • Category 2
    (appointment within 90 calendar days)
    • Meatal stenosis not associated with retention
    • Pin hole preputial orifice with very poor urinary stream
    • Difficulty with retraction associated with ballooning or discomfort and failed trial of management by steroid cream
  • Category 3
    (appointment within 365 calendar days)
    • Recurrent infective balanitis
    • Pathological phimosis
      • inability to retract foreskin after 7 years of age
    • Clinical indication for circumcision and failed conservative treatment
    • Difficulty with retraction associated with ballooning or discomfort and no other previous management

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • Evaluate adequacy of urinary stream
  • History of any change in continence

3. Additional referral information Useful for processing the referral

  • Hypospadias- aim for surgical repair at 9-12 months of age
  • Any family history of hypospadia

4. Request

Last updated: 13 June 2023