Penile & Andrology Referral Guide
A fast, presentation-specific referral builder for erectile dysfunction, Peyronie’s disease, penile lesions, implant problems, penile scarring and other andrology referrals. Choose the problem, tick what applies, then copy the referral text.
Current painful erection approaching/exceeding 4 hours, suspected penile fracture, irreducible paraphimosis, severe genital infection/Fournier’s gangrene, major genital trauma, severe bleeding or acute urinary retention require urgent assessment according to local emergency pathways.
What is the main reason for referral?
Choose the closest presentation. Overlap can be added on the next screen. The tool does not diagnose the condition or submit the referral.
Do not rely on a routine outpatient referral.
Use appropriate emergency assessment, direct urological discussion or other urgent pathways according to the clinical circumstances and local protocols.
Persistent erection approaching/exceeding 4 hours, particularly painful and fully rigid.
Sudden trauma with pain, detumescence, swelling, bruising or deformity.
Retracted foreskin that cannot be reduced with progressive swelling/compromise.
Systemic illness, rapidly progressive infection or concern for necrotising infection.
Systemic illness, spreading infection, wound breakdown or exposed prosthetic material.
Significant genital trauma, severe bleeding or inability to pass urine.
Any of these present now?
If yes, routine referral may be inappropriate.
Tick what applies
Only include details that are known.
What has already happened?
Missing tests should not automatically delay referral.
Do not enter patient name, date of birth, Medicare number, address or other identifying information. This tool runs in the browser and does not submit these selections to the website.
Suggested referral wording
Useful to attach if available
Do not delay referral for
Specific information for common ED referral scenarios
These patient-facing pages complement the existing referral builder and can be shared after the clinical referral decision. They provide more detailed pathways for post-prostate cancer ED, failed tablets or injections, severe treatment-resistant ED and penile implant decision-making.
Erectile Dysfunction After Prostate Cancer Treatment
ED after prostatectomy, radiotherapy, androgen-deprivation treatment or combined prostate cancer care.
Open patient pathway → After prostatectomyErectile Dysfunction After Radical Prostatectomy
Focused information on erectile recovery, rehabilitation and escalation of treatment after radical prostatectomy.
Open patient pathway → Failed oral therapyED Tablets Not Working — What Happens Next?
Information for men who have had an inadequate response to oral ED treatment and are considering next-line options.
Open patient pathway → Injection limitationsPenile Injections for ED — What If They Don’t Suit Me?
For men in whom injections are ineffective, poorly tolerated, impractical or no longer acceptable.
Open patient pathway → Refractory EDSevere / Treatment-Resistant Erectile Dysfunction
A pathway for persistent ED when appropriate non-surgical treatment has not provided satisfactory function.
Open patient pathway → Compare treatmentsPenile Implant vs Penile Injections
A comparison of injection therapy and penile implant surgery when both are relevant to treatment discussions.
Open comparison → Implant decisionWhen Should You Consider a Penile Implant?
Explains when penile prosthetic surgery may reasonably enter the treatment discussion for persistent ED.
Open patient pathway → Post-prostatectomy implantPenile Implant After Prostatectomy
Focused information for persistent post-prostatectomy ED when penile implant surgery is being considered.
Open patient pathway →Existing core pathways remain unchanged: the main ED page and Penile Implant Surgery page continue to anchor the broader patient journey.
Need to clarify the pathway?
For unusual or previously treated cases, the rooms can clarify the administrative referral pathway. Do not send unnecessary sensitive medical information by ordinary email.
This clinician tool supports referral preparation only. It does not diagnose a condition, determine private-practice urgency, replace local emergency protocols, HealthPathways or Queensland Health Clinical Prioritisation Criteria, or substitute for individual clinical judgement. Clinical framework reviewed 1 September 2026.