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Renal and bladder congenital lesions


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • All other major congenital structural malformations diagnosed antenatally should be followed up in outpatients

  • Category 2
    (appointment within 90 calendar days)
    • Recurrent proven urinary infections
    • Atypical organisms on proven UTI
  • Category 3
    (appointment within 365 calendar days)
    • No category 3 criteria

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

  • Duration of symptoms
  • History of recent infection
  • Any collaboration with paediatric surgery or paediatric urology or fetal maternal medicine unit
  • USS results
  • Pre and post natal investigations
  • MCU and radionucleotide investigations are often essential but consult with the paediatrician or paediatric surgery/urology unit before ordering

3. Additional referral information Useful for processing the referral

  • Where a congenital structural malformation requiring surgery is diagnosed antenatally, best practice requires referral to a fetal medicine service for confirmation and advice on further management
  • Call local paediatric surgeon or paediatric surgical unit
  • Utilise local general paediatric and neonatology expertise for diagnosis, stabilisation and transfer.
  • Family history of any renal tract abnormalities (e.g. VUR in a sibling)
  • Organisms identified on MC&S causing UTIs
  • Antibiotics given and tried for UTIs
  • Use of prophylactic antibiotics

4. Request

Last updated: 13 June 2023