Vulva lesion/lump/genital warts/boil/swelling/abscess/ulcer/Bartholin’s cyst
Emergency referrals
All urgent cases must be discussed with the on call Registrar to obtain appropriate prioritisation and treatment. Contact through:
- Royal Brisbane and Women's Hospital (07) 3646 8111
- The Prince Charles Hospital (07) 3139 4000
- Redcliffe Hospital (07) 3883 7777
- Caboolture Hospital (07) 5433 8888
Urgent cases accepted via phone must be accompanied with a written referral and a copy faxed immediately to the Central Patient Intake Unit: 1300 364 952.
Does your patient wish to be referred?
Minimum referral criteria
Does your patient meet the minimum referral criteria?
Category 1
Appointment within 30 days is desirable
- Vulval disease with suspicion of malignancy.
- Unexplained vulval lump, ulceration or bleeding.
- Postmenopausal women with abnormal vulval lesions
- Pregnant or immunosuppressed
Category 2
Appointment within 90 days is desirable
- Suspected vulval dystrophy
- Bartholin’s cysts or other vulval cysts in patients >40 years old
- Vulval warts where:
- the patient is immunocompromised (e.g. HIV positive, immunosuppressant medications)
- the diagnosis is unclear
- atypical genital warts (including pigmented lesions)
- there are positive results from the screen for other STIs
Category 3
Appointment within 365 days is desirable
- Vulval lesion where:
- there is treatment failure or where treatment cannot be tolerated due to side-effects
- there are problematic recurrences
- Vulval rashes
- Vulval warts
- Bartholin’s cyst/labial cysts
If your patient does not meet the minimum referral criteria
Consider other treatment pathways or an alternative diagnosis.
If you still need to refer your patient:
- Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
- Please note that your referral may not be accepted or may be redirected to another service
Other important information for referring practitioners
Not an exhaustive list
- For paediatric and adolescent gynaecology patients, please refer to statewide paediatric and adolescent gynaecology (SPAG) services at LCCH
- Antibiotic treatment of Bartholins cyst is of no value.
- In women where a vulval cancer is strongly suspected on examination, urgent referral should not await biopsy.
- Vulval cancers may present as unexplained lumps, bleeding from ulceration or pain.
- Vulval cancer may also present with pruritus or pain. For a patient who presents with these symptoms and where cancer is not immediately suspected, it is reasonable to use a period of ‘treat, watch and wait’ as a method of management. However, this should include active follow-up until symptoms resolve or a diagnosis is confirmed. If symptoms persist, the referral may be urgent or non-urgent, depending on the symptoms and the degree of concern about cancer.
- For optimum care, the patient with vulval disease with a suspicion of malignancy and/or unexplained vulval lump, ulceration or bleeding, should be seen by a specialist within two weeks.
Referral requirements
A referral may be rejected without the following information.
Send referral
Hotline: 1300 364 938
Fax: 1300 364 952
Electronic: eReferral system
Mail: Metro North Central Patient Intake
Aspley Community Centre
776 Zillmere Road
ASPLEY QLD 4034
Health pathways
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