GP & referring clinician resource

GP Urology Referral Guide

A fast referral guide for the specialist conditions and treatments covered on this website. Search the problem in normal clinical or everyday language, check the safety screen, then get the pathway, referral essentials and tests that should not delay referral.

Safety first. This tool deliberately stops routine-referral output when selected features suggest an acute urological emergency. Clinical judgement and local emergency pathways always take priority.

Safety examples ↓
Interactive clinician tool

What are you referring?

Two short steps. Start with the symptom/problem—not the presumed diagnosis or operation.

Usually < 1 minute
Step 1 of 2No patient identifiers

01 · Referral problem

Search the presentation

Use medical terminology or the phrase you would naturally type: “no sperm”, “kidney stone”, “bent penis”, “testicular lump”, “can’t get catheter in”. Near matches and common spelling errors are ranked automatically.

Scope: this guide is limited to the seven clinical areas represented on this website: male reproductive urology; ED/penile implants/Peyronie’s; bladder/continence/neuro-urology; testicular/scrotal urology; penile/genital/urinary reconstruction; penile & testicular cancer; and kidney stones/endourology.
Common referrals within the website’s specialist areas are shown first. Search to rank the closest matches.
Choose the closest presentation before continuing.

02 · Safety & timing

Anything that changes what happens today?

Tick only what applies. The first group is deliberately shown for every presentation so a dangerous feature is not missed just because the initial problem was categorised differently.

Stop routine referral if any are present

These features trigger an acute-pathway warning.

Important for this presentation

Serious / time-sensitive features

These do not necessarily mean emergency care, but may justify earlier or prompt specialist review.

Referral answer

Referral pathway

The practical next steps are below.

Routine outpatient pathway
Embedded safety net

Problems that should bypass routine referral

This is a referral-preparation tool, not an emergency triage system. The interactive safety screen repeats these checks in presentation-specific language.

Obstruction + infectionFever/rigors/systemic illness with obstruction or stone.
Acute drainage failureAcute retention, inability to catheterise when drainage is required, or anuria.
Acute scrotumSudden severe torsion-type testicular pain.
PriapismPainful rigid erection lasting around four hours or longer.
Severe bleedingClot retention, major urinary/genital bleeding or haemodynamic concern.
Trauma / severe infectionMajor GU trauma, Fournier-type infection, tissue compromise or irreducible paraphimosis.
Autonomic dysreflexiaAcute autonomic episode in a susceptible neurological patient.
Clinical deteriorationAny acutely unwell patient where routine outpatient referral is not appropriate.
Clinician information only. This guide provides general referral and safety prompts. It does not diagnose, replace clinical judgement, determine acceptance, or guarantee urgency. Follow local emergency protocols, HealthPathways and Queensland Health Clinical Prioritisation Criteria where applicable. If there is uncertainty about an acutely unwell patient, seek direct urgent medical/urological advice. Clinical framework reviewed September 2026.