Penile & Andrology Referral Guide
A practical clinician tool for erectile dysfunction, Peyronie’s disease, penile lesions, penile implants, foreskin and genital scarring, buried penis and other complex andrology presentations.
Start with the presentation
This resource is intended for health professionals. It provides referral-preparation prompts rather than diagnosis, individual treatment recommendations or a substitute for local emergency pathways, HealthPathways or Queensland Health Clinical Prioritisation Criteria.
Which penile or andrology problem are you referring?
The specialist referral does not need to contain every investigation. A clear presentation, relevant examination findings, important previous treatment and available records are usually the most useful starting point.
Erectile dysfunction
Persistent or complex ED, treatment failure, post-prostatectomy ED, associated penile deformity or consideration of advanced therapy.
Peyronie’s disease
New or progressive curvature, pain, shortening, hourglass deformity, hinge instability or functional difficulty.
Suspicious penile lesion
Persistent ulcer, lump, growth, bleeding, abnormal skin change, concerning pathology or a lesion hidden by phimosis.
Penile implant problem
Mechanical failure, difficult inflation or deflation, component position, persistent pain, infection concern or previous revision.
Foreskin, skin & scarring
Complex phimosis, lichen sclerosus, buried penis, previous circumcision, meatal narrowing or penile skin deficiency.
Ejaculatory dysfunction
Anejaculation, suspected retrograde ejaculation, neurological dysfunction or complex sexual and reproductive overlap.
Build the penile / andrology referral
Choose the presentation and relevant case features. The guide will generate suggested referral wording, useful supporting information and the most relevant specialist pathway.
What is the main reason for referral?
Choose the presentation that best captures the main clinical problem. Overlapping features can be added on the next screen.
Add the relevant case features
Select the features that would be useful to communicate in the referral.
Relevant clinical features
Select all that apply. These will be incorporated into the suggested referral wording.
Previous assessment or management
Include what has already been tried or investigated where known.
Your referral preparation summary
Use this as a prompt only. Clinical judgement and local referral pathways determine the appropriate urgency and destination.
Useful information to include
Useful records / investigations
Suggested referral wording
Relevant specialist information
Acute penile and genital red flags
These presentations may require emergency assessment, direct urological discussion or another urgent pathway according to the clinical circumstances.
A concise referral is usually enough
The most useful referral explains the problem and what has already happened. Investigation can then be targeted to the particular penile or andrology presentation rather than ordering a broad panel for every patient.
Penile & andrology referral pathways
These pages provide further information that can be shared with patients or reviewed when a more specific specialist pathway is needed.
Erectile Dysfunction
Peyronie’s Disease
Penile Implant Surgery
Penile Implant Revision
Penile Cancer
Lichen Sclerosus
Complex Circumcision
Adult Buried Penis
Other clinician resources
Use the dedicated referral pathway that most closely matches the patient's presentation.
GP Male Fertility Referral Builder
Build referrals for abnormal semen analysis, azoospermia, severe male factor, varicocele and fertility after testosterone or vasectomy.
Open referral builder →GP & Referrer Hub
Return to the central clinician hub for referral guidance, specialist pathways and other GP resources.
Return to referrer hub →International Clinician Referrals
A clinician-to-clinician pathway for complex male reproductive, penile, reconstructive and selected cancer referrals.
International referrals →Referring a complex penile or andrology case?
A referral can be made for assessment when the diagnosis is uncertain, the presentation is complex, standard treatment has not been satisfactory or subspecialist penile, prosthetic or reconstructive assessment may be useful.