Urology (adult) Referral Access Criteria

From Monday 19 May 2025, revised mandatory Referral Access Criteria (RAC) for Urology (adult)  will apply to all Urology referrals submitted via Central Referral Service for WA public outpatient services
Patient requires immediate (within 7 days) attention
Immediate referrals (patient to be seen within 7 days) should be sent directly to the relevant hospital. Do not send immediate referrals via Central Referral Service (CRS).
Contact the on-call registrar or service to arrange an immediate urology assessment for:
  • Chronic urinary retention with deteriorating renal function or hydronephrosis.
  • Confirmed renal malignancy
  • Suspected or confirmed testicular tumour
To contact the relevant service, please see Clinician Assist WA: Acute Urology Assessment (external site)             
Urology (adult) conditions with Referral Access Criteria

These conditions are routinely seen by urology (adult) outpatient services. This is not an exhaustive list of all conditions seen by the outpatient service. Consideration for referral will not be excluded unless the condition is listed on the exclusion list. If the condition you are referring for is not listed, or is unknown, please include details in the body of the referral.

Referrals missing 'mandatory information' with no explanation provided may not be accepted.

Excluded conditions and services

Exclusions

Referrals to public urology (adult) outpatient services are not routinely accepted for the following conditions:

Condition Details (where applicable)
Male infertility
Moderate to severe organ prolapse (female)

Excluded elective procedures

All elective procedures must meet an identified clinical need to improve the health of the patient. Procedures are not to be performed for cosmetic or other non-medical reasons. Excluded procedures will not be performed unless under exceptional circumstances and where a clear clinical need has been identified. For excluded procedures, the referral must clearly state:

  • that the request is for an excluded procedure
  • the clinical exception reason as to why it should be considered.

Access the WA Elective Surgery Access and Waiting List Management Policy at WA Health Policy Frameworks.

Excluded procedure Exceptional circumstance includes
Gender reassignment procedures  
Insertion/revision of artificial erection device
  • Patients using uridomes
  • Spinal patients with neurological erectile dysfunction
Lengthening of penis (phalloplasty)  
Male circumcision
  • Phimosis
  • Paraphimosis
  • Balanitis
Penile procedures for sex transformation  
Procedures for cosmetic reasons
  • Significant functional impairment
Reversal of sterilisation
Vaginoplasty   
Vulvoplasty/Labiaplasty 
  • Functional labial hypertrophy causing persistent infections
Last reviewed: 29-04-2025