Testicular, epididymal, scrotal, penis or foreskin abnormalities
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
- Painless, solid, testicular mass
- Scrotal pain or swelling suspicious of testicular cancer
- Suspected penile cancer or tumour
- Metastatic germ cell tumours (Require both Urology and Oncology input. For optimum care, should be seen with 2 weeks.)
Category 2
Appointment within 90 days is desirable
- Intermittent testicular pain suggestive of intermittent testicular torsion
- Painful swollen testis/epididymis provided testicular cancer has been excluded
- Haematospermia
- Foreskin phimosis with voiding symptoms / threatened paraphimosis
- Penile discharge or lesions or ballanitis (excluding genital warts)
Category 3
Appointment within 365 days is desirable
- Scrotal pain or swelling and any of the following:
- hydrocele/varicocele
- painful or large epididymal cyst
- Foreskin phimosis provided no obstructed voiding
- Erectile dysfunction not responding to maximal medical management
- Peyronie’s disease causing functional impairment or pain
- Chronic testicular pain
- Other foreskin abnormalities (frenulum breve, scarring and tearing)
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
Metastatic germ cell tumours require both Urology and Oncology input. For optimum care, should be seen within 2 weeks
Medical management
- Trial of steroid cream for phimosis
- MSU
- Urine PCR and/or swabs for chlamydia and gonorrhoea for suspected epididymo-orchitis
- Urine cytology if indicated
- USS scrotum/testes
- If suspected or confirmed STI refer sexual health clinic
- Refer to HealthPathways for assessment and management information if available
For erectile dysfunction
- Lifestyle changes
- PDE5 inhibitors
- Co morbidity management (e.g. diabetes, heart disease)
- HRT
- Psychology
- External devices
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
Access to Health Pathways is free for clinicians in Metro North Brisbane.
For login details email:
healthpathways
Login to Brisbane North Health Pathways:
brisbanenorth.