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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

Please note this is not an exhaustive list of all conditions for outpatient services and does not exclude consideration for referral unless specifically stipulated in the CPC out of scope section. 

The following are not routinely provided in a public Urology service.

  • Circumcision for cosmetic reasons
  • Aesthetic surgery
  • Sexually transmitted infections– refer sexual health clinic
  • Genital ulcers and warts – refer sexual health clinic provided verrucous carcinoma is excluded
  • Vasectomy and vasectomy reversal
  • Ejaculatory disorders
  • Catheter change/maintenance
  • Proteinuria – refer nephrology
  • Small epididymal cysts
  • Asymptomatic simple renal cyst