Stones of the Lower Urinary Tract

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to referral standards and include in particular:

  • Irritative, voiding
  • Capacity issues
  • Pain and analgesic requirements
  • Past urological surgery
  • Any gross macroscopic haematuria
  • Microscopic haematuria

Tests

  • MSU
  • Urine cytology
  • U&E's
  • Creatinine, calcium, uric acid, phosphorous
  • eGFr
  • Urine cytology
  • Coagulation studies (if on anticoagulant therapy)
  • Ultrasound of urinary tract, KUB
  • Consider IVP/CT

Interim/GP management

To refer a patient with this condition, please see the Urology clinic page for the full referral process and templates.

Adequate regular analgesia and a plan for exacerbation.Straining urine.

For more information please see the Tasmanian Health Pathways website.

Emergency

Obstructed kidney

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED
– Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED
– Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED
– Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED
– Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

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.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment