Specialist Urology Referral Pathways
A clinician-focused gateway for male reproductive urology, penile and reconstructive surgery, complex andrology, kidney stones, neuro-urology and selected oncological and testicular conditions.
Find the appropriate clinical pathway, review useful pre-referral information and connect directly with detailed condition, investigation and procedural resources.
Four ways to start a referral
Use the broad navigator for an uncertain presentation, or go directly to a focused referral tool when the principal clinical problem is already known.
Complex Urology Referral Navigator
Broad clinical routing for complex, overlapping, previously treated or diagnostically uncertain urological presentations.
Launch Referral Navigator →
GP Male Fertility Referral Builder
Generate focused referral wording for abnormal semen analysis, azoospermia, severe male factor, varicocele, testosterone exposure and reproductive obstruction.
Build Fertility Referral →
Kidney Stone Referral Guide
Structure referral around stone size, location, obstruction, infection, renal function, CT findings and previous stone intervention.
Open Stone Referral Guide →
Penile / Andrology Referral Guide
Referral support for erectile dysfunction, Peyronie's disease, implant assessment and revision, penile fibrosis and reconstructive penile conditions.
Open Andrology Referral Guide →What is the main clinical problem?
Select the closest presentation. This routes the clinician to relevant information; it does not diagnose the patient or determine urgency.
Male Fertility Referral Builder
Organise semen findings, reproductive context, hormonal information, previous treatment and available records before referral.
Endourology
Neuro-Urology
Reproductive Urology
Refer the clinical problem. Investigations can then be targeted.
A referral does not need to contain every possible test. Previous imaging, pathology and operative information can be extremely useful, particularly in complex and revision cases, but referral should not be delayed simply to complete a generic checklist.
What can I refer?
These are clinician entry points into the detailed clinical architecture already available across the website.
Male Infertility & Microsurgery
Abnormal semen analysis, severe male factor, azoospermia, reproductive obstruction, microsurgery and sperm retrieval.
Male Fertility Hub →
ED, Penile Implants & Peyronie's
Complex erectile dysfunction, penile deformity, primary prosthetic surgery and revision assessment.
Andrology Hub →
Penile, Genital & Urinary Reconstruction
Altered anatomy, scarring, previous surgery, urethral problems, genital reconstruction and complex revision cases.
Reconstruction Hub →
Kidney & Ureteric Stones
Observation, ureteric stones, endoscopic laser treatment, SWL, PCNL and large or complex stone burdens.
Kidney Stone Hub →
Bladder, Continence & Neuro-Urology
Neurogenic bladder, complex storage and emptying disorders, catheterisation, continence surgery and selected bladder reconstruction.
Bladder & Neuro-Urology →
Penile, Testicular & Paratesticular Conditions
Penile cancer, testicular masses, testis-preserving considerations, paratesticular tumours and related reconstructive questions.
Cancer Pathways →Go directly to the relevant clinical pathway
The referrer hub should expose the depth of the site without duplicating every condition into a separate GP page.
What information is useful?
These are clinical prompts rather than mandatory referral criteria. Missing non-essential investigations should not create unnecessary delay.
Male fertility / abnormal semen analysis
- duration and context of the fertility concern;
- complete semen-analysis reports;
- previous pregnancy and fertility-treatment history;
- FSH, LH and testosterone if already performed;
- previous testicular, groin or reproductive surgery;
- testosterone or anabolic-steroid exposure;
- relevant IVF, sperm-retrieval or embryology information.
Kidney / ureteric stone
- CT or ultrasound report and imaging where available;
- stone size and location;
- presence of hydronephrosis or obstruction;
- renal function;
- urine culture where infection has been a concern;
- previous ureteroscopy, SWL, PCNL or stenting;
- anticoagulation and relevant medical comorbidity.
Erectile dysfunction / Peyronie's disease
- duration and pattern of erectile dysfunction;
- previous ED therapies and response;
- cardiometabolic and relevant endocrine history;
- previous pelvic surgery or radiotherapy;
- penile curvature, shortening, indentation or hourglass deformity;
- previous Peyronie's treatment or penile surgery.
Existing penile implant / revision referral
- implant manufacturer and model if known;
- implant identification card;
- original implantation report;
- subsequent revision, removal or salvage reports;
- previous infection and culture information;
- current mechanical, positioning, pain or wound concern;
- relevant prior pelvic or penile surgery.
Reconstructive / previous surgery
- current anatomical and functional problem;
- previous operative reports;
- history of infection, radiation or wound problems;
- relevant imaging or endoscopic investigations;
- presence of previous prosthetic material;
- what the patient would most like improved.
Bladder / continence / neuro-urology
- underlying neurological diagnosis;
- current bladder-management method;
- continence and catheterisation pattern;
- urodynamic studies where previously performed;
- upper-tract imaging and renal function;
- previous continence or reconstructive surgery.
Testicular, paratesticular or cancer referral
- clinical finding or ultrasound report;
- tumour markers where relevant;
- pathology if biopsy or surgery has already occurred;
- staging imaging;
- previous cancer treatment;
- fertility considerations where time permits.
A suspected malignancy should not be delayed simply to complete every possible investigation before referral.
Concise professional education
Some topics benefit from a short clinician-oriented resource rather than another patient-facing page.
Male Factor Infertility Checklist for GPs
A practical overview of history, semen testing, targeted hormonal investigation and situations in which male assessment should occur earlier.
Read GP Checklist →TRT & Male Fertility — GP Referrer Guide
Fertility considerations before testosterone treatment and referral considerations when spermatogenesis has been suppressed.
Read TRT Guide →ED Referral Algorithm for GPs
Initial erectile-dysfunction assessment, medical risk factors, treatment response and situations that warrant specialist review.
Read ED Referral Algorithm →Some problems should not wait for routine outpatient referral.
Referral tools are designed for planned specialist care. They do not replace urgent clinical assessment or emergency pathways where the presentation requires them.
Shareable preparation tools
These resources can help patients organise existing information and understand terminology before consultation. They do not diagnose or select treatment.
Referring a patient from outside Brisbane?
Complex reproductive, penile, prosthetic and reconstructive cases may benefit from review of existing investigations and operative information before major travel arrangements are made.
Overseas clinicians have a dedicated clinician-to-clinician referral pathway separate from the patient international information pathway.
Need to clarify the appropriate pathway?
For an unusual clinical presentation, the rooms can help clarify the appropriate administrative referral pathway.
Greenslopes
Specialist Centre, Level 7, Suite 105
69 Nicholson Street
Greenslopes QLD 4120
07 3495 2887
Springwood
Suite 7
2 Murrajong Road
Springwood QLD 4127
07 3106 0379
07 3036 6621
You do not need to determine the operation before referring.
Define the clinical question, include the useful information already available and choose the closest referral pathway. Investigation and treatment can then be tailored to the individual presentation.
These clinician resources provide general referral support and educational information only. They do not replace clinical judgement, individual patient assessment or appropriate emergency care.