Bladder lesion Referral Access Criteria
Bladder lesion Referral Access Criteria
| Referrers should use this page when referring patients to public adult urology outpatient services for bladder lesion. |
| Emergency referral |
 If any of the following are present or suspected, refer the patient to the emergency department or seek emergency medical advice if in a remote region. |
- Severe urinary tract bleeding resulting in clot retention and/or symptomatic anaemia
- Visible haematuria following trauma
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| Immediate referral |
 Immediately contact on-call registrar or service to arrange immediate urology assessment (seen within 7 days):
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To contact the relevant service, see Clinician Assist WA: Acute Urology Assessment (external site)
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| Clinical indications for outpatient referral |
If any of these issues are present, refer to outpatient services through the Central Referral Service (CRS).
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- Imaging suggestive of bladder lesion
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| Mandatory information |
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Referrals missing 'mandatory information' with no explanation provided may not be accepted by site. If 'mandatory information' is not included, the explanation must be provided in the body of the referral (e.g. patient unable to access test in regional or remote areas or due to financial reason).
This information is required to inform accurate and timely triage. If unable to attach reports, please include relevant information/findings in the body of the referral and advise where (provider) investigation/imaging was completed.
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| History |
- Relevant history, onset, duration, and severity of symptoms
- Current medication list
- Any known allergies
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| Examination |
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| Investigations |
- CT intravenous pyelography (IVP) (preferred) or urinary tract ultrasound (US)
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| Highly desirable |
| History |
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| Examination |
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| Investigations |
- FBC
- U&E
- MSU (or CSU) MCS
- PSA (males)
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| Indicative clinical urgency category |
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Category 1
Appointment within 30 days
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Category 2
Appointment within 90 days
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- No defined category 2 criteria
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Category 3
Appointment within 365 days
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No defined category 3 criteria
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| Useful information |
- Please note that the patient may be triaged directly to a flexible cystoscopy from this referral
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Last reviewed: 18-05-2025