Skip links and keyboard navigation

Haematuria (urology)


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Any haematuria in an individual aged >40 years.
    • Haematuria in an individual aged < 40 years with abnormal cytology or urinary tract ultrasound that suggests malignancy:
      • renal parenchymal mass >4cm
      • bladder or collecting system mass
      • unexplained isolated hydronephrosis
    • In the absence of urinary tract infection or other obvious benign cause, or persists despite maximum medical treatment i.e. antibiotics
  • Category 2
    (appointment within 90 calendar days)
    • Haematuria in an individual <40 years with:
      • renal parenchyma mass <4cm
      • persistent ( > 6 weeks) unexplained microscopic haematuria
    • If decline in GFR or proteinuria, refer to Nephrologist
  • 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

  • MSU M/C/S
  • Urine cytology x3 (separate days)
  • ELFTs, & FBC results
  • USS urinary tract (Preferred for Microscopic Haematuria) or CT IVP results (Preferred for Macroscopic Haematuria)
  • Smoking history (even if negative)

3. Additional referral information Useful for processing the referral

  • Triple phase CT abdomen/pelvis and CXR in patients with a proven renal mass

4. Request

Last updated: 20 December 2021