North South North West Statewide
Who is more likely to require a Urologistbefore a Nephrologist?
- Most patients with macroscopic haematuria will need urogenital lesions excluded in the first instance (especially true for patients >40 years of age and in smokers)
- All older patients with microscopic haematuria are likely to require urothelial/urogenital causes excluded
All referrals should comply to referral standards and include in particular:
- Associated symptoms (urological, gynaecological)
- Vaginal examination (females) or Digital Rectal Examination(males) examination
- History of excessive bruising or bleeding at other sites
- Blood pressure
- MSU micro and culture
- Urine cytology x3
- CT Urogram (Standard Protocol)
- Triphasic CT scan with excretory urogram
- Electrolytes, Urea, Creatinine, GFR
- Consider INR and LFTS
To refer a patient with this condition, please see the Urology clinic page for the full referral process and templates.
Ensure adequate BP management.Advise on obstructive symptoms and what to do in such circumstances.
For more information please see the Tasmanian Health Pathways website.
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
For microscopic haematuria refer to Nephrology Clinic guidelines
Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 8302 Fax: (03) 6777 5201
MCH ED – Phone: 0409 867 492 Fax: (03) 6441 5923
NWRH ED – Phone: 0459 848 725 Fax: (03) 6464 1926
RHH ED – Phone: (03) 6166 6101 Fax: (03) 6173 0489
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.
We will endeavour to see these patients within four weeks, or sooner if clinically indicated.
We will endeavour to see these patients within 12 weeks
Next available appointment