Haematuria (urology)
ADULT
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Emergency
If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or follow local emergency care protocols or seek emergent medical advice if in a remote region.
- Acute/severe renal or ureteric colic
- Acute renal or ureteric colic with obstruction and/or infection
- Acute urinary retention
- Urinary tract and genital trauma
- Urinary tract sepsis or severe infection
- Severe urinary tract bleeding
- Autonomic dysreflexia
- Foreign bodies
- Priapism
- Acute scrotal pain/ torsion of the testes
- Severe genital infection e.g. Fournier's gangrene/epididymo-orchitis
- Paraphimosis – unable to reduce
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Other useful information for referring practitioners Not and exhaustive list
Minimum Referral Criteria
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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
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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
- Haematuria in an individual <40 years with:
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Category 3
(appointment within 365 calendar days)- No category 3 criteria
Please insert the below information and minimum referral criteria into referral
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
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General referral information
Patient's Demographic Details
- Full name (including aliases)
- Date of birth
- Residential and postal address
- Telephone contact number/s – home, mobile and alternative
- Medicare number (where eligible)
- Name of the parent or caregiver (if appropriate)
- Preferred language and interpreter requirements
- Identifies as Aboriginal and/or Torres Strait Islander
Referring Practitioner Details
- Full name
- Full address
- Contact details – telephone, fax, email
- Provider number
- Date of referral
- Signature
Relevant clinical information about the condition
- Presenting symptoms (evolution and duration)
- Physical findings
- Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
- Body mass index (BMI)
- Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
- Current medications and dosages
- Drug allergies
- Alcohol, tobacco and other drugs use
Reason for request
- 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
Clinical modifiers
- Impact on employment
- Impact on education
- Impact on home
- Impact on activities of daily living
- Impact on ability to care for others
- Impact on personal frailty or safety
- Identifies as Aboriginal and/or Torres Strait Islander
Other relevant information
- Willingness to have surgery (where surgery is a likely intervention)
- Choice to be treated as a public or private patient
- Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)
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Notes
- Please note that where appropriate and available, the referral may be streamed to an associated public allied health and/or nursing service. This may include initial assessment and management by associated public allied health and/or nursing, which may either expedite or negate the need to see the public medical specialist.
- A change in patient circumstance (such as condition deteriorating, or becoming pregnant) may affect the urgency categorisation and should be communicated as soon as possible.
- Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.
Last updated: 20 December 2021
