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Urology referrals

Multidisciplinary Team (MDT) referrals

Urology MDT Request Form (Word, 85 KB)

Please complete this form to request a patient for discussion and return to the MDT Coordinator by 12 noon Wednesday.

Email: MDTUrology@ouh.nhs.uk

Pelvic Cancer Team

Mr Simon Brewster and Mr Jeremy Crew
Consultant Urological Surgeons
Churchill Hospital
Headington
Oxford OX3 7LE

Tel: 01865 227063

Email: caroline.gordon@ouh.nhs.uk

Professor Freddie Hamdy, Mr Richard Bell, Mr Tom Leslie and Professor Richard Bryant
Consultant Urological Surgeons
Churchill Hospital
Headington
Oxford OX3 7LE

Tel: 01865 227065

Stone Team

Mr Jeremy Noble, Mr John Reynard, Miss Heidi Tempest, Mr Ben Turney and Miss Naomi Neal
Consultant Urological Surgeons.
Churchill Hospital
Headington
Oxford OX3 7LE

Tel: 01865 227070

Email: merita.hanger@ouh.nhs.uk

Renal Surgery Team

Mr Mark Sullivan and Mr Rob Ritchie
Consultant Urological Surgeons.
Churchill Hospital
Headington
Oxford OX3 7LE
United Kingdom

Tel: 01865 234444

Outpatient Department

The main Urology Outpatient Department is next to the Urology Ward. Doctors and nurses work alongside each other running clinics and providing advice for patients and professionals. As well as the consultant-led clinics there are nurse-led clinics for:

  • pre-assessment
  • urodynamics
  • trial without catheter
  • intermittent self-catheterisation
  • bladder chemotherapy/immunotherapy
  • continence management
  • bladder and prostate cancer follow-up
  • prostate biopsies.

The Pelvic Cancer Clinic is held in the Outpatient Clinic on the ground floor of the Surgery and Diagnostics building, Churchill Hospital.

Urology Ward

Our patients range from those needing routine care to those undergoing radical bladder, prostate or renal surgery. Our team of consultants operates Monday to Saturday.

Emergencies are admitted via the Emergency Department or direct from a GP. Patients will be seen and admitted either at the Churchill Hospital or John Radcliffe Hospital.

e-Referral

Use e-Referral for the following.

  • Urgent and routine referrals: these should always be referred via the e-Referral Service
  • Haematuria - all patients with haematuria are treated as urgent but not all are suspected cancer.
  • Patients <40 with macroscopic haematuria should be referred via e-Referral and an ultrasound scan should be booked via the GP; following these investigations, urologists will book further imaging in the form of CTU/IVU.
  • Patients <50 with microscopic haematuria should be referred via e-Referral. An ultrasound scan should be requested at this stage via the GP. If these investigations are normal and the haematuria is persistent then the GP should request an IVU.
  • Patients >50 with microscopic haematuria and patients >40 with macroscopic haematuria should be referred via the 2WW as stated below.

DBS for Urology Outpatients

Urology offers a Directly Bookable Service (DBS) to GPs and patients for outpatient appointments.

The GP surgery will generate an appointment referral request with appropriate priority (urgent or routine) for the service on e-Referral and UBRN in the usual way.

An electronic proforma or appropriate letter needs to be attached to the e-Referral Service by the surgery within 48 hours for a routine or urgent appointment.

In the case that the Trust cannot provide an immediate appointment, 'Defer to Provider' can be selected and Trust processes will be in place to contact the patient within 48 hours for an urgent or routine appointment.

18WW clock will start on the date the GP or patient makes the appointment booking.

GPs should check their patients have appointments on their e-Referral worklist. This applies to all appointment requests made through e-Referral.

Please note exclusions:

2WW to remain as existing process.

For further information please visit 'e-Referral':

e-Referral

Choice Bureau (for GPs not using e-Referral)

Use Choice Bureau for the following.

  • Routine patients should always be booked via the Choice Bureau.
  • Urgent patients should be sent directly to the department addressed as Dear Doctor and marked urgent.

2 Week Wait (2WW)

For patients with suspected cancer.

2 Week Wait referrals should be faxed to the 2 Week Wait Bureau to ensure they are booked into the appropriate clinic slots as soon as possible.

Use the 2 Week Wait Bureau for the following.

  • Haematuria - patients with haematuria and suspected cancer.
  • Patients >40 with macroscopic haematuria should be referred via the 2 Week Wait Bureau. An appointment will be booked in the one stop haematuria clinic on Monday afternoon when they will also get a CT scan along with their flexible cystoscopy. Results of both these tests will be given to the patient before leaving hospital. In the absence of a urinary tract infection you should also take a PSA blood test.
  • Patients >50 with microscopic haematuria should be referred via the 2 Week Wait Bureau and you should also request an ultrasound scan. A PSA blood test should also be carried out in the absence of a urinary tract infection. If these investigations turn out to be normal and the haematuria persists then you should book an IVU.
  • One stop prostate cancer clinic. This clinic is a one stop clinic where patients who you suspect may have prostate cancer can be seen by a consultant and if necessary go on to have a prostate biopsy on the same day.

Common conditions

Common conditions seen in the Department of Urology.

  • Prostate problems including raised PSA
  • Scrotal problems including lumps and scrotal swelling
  • Foreskin problems
  • Urinary tract infections
  • Urinary tract stones
  • Incontinence
  • Urethral problems
  • Neuropathic bladder
  • Bladder instability
  • Kidney/renal problems
  • Loin pain
  • Stones
  • All suspected urological cancers
  • Haematuria
  • Male infertility

Referral guidelines

Download referral guidelines for common conditions (Word, 182 KB)

Urology Triage

We consider the following referrals from GPs.

  • Testicular torsion
  • Visible haematuria/clots relating to catheters and risk of clot retention where community clinicians were unable to insert a urinary catheter

Urinary catheter issues

Office hours: Single Point of Access

After 6.00pm and weekends: Out of Hours

Urinary catheter problems in nursing homes

Please contact Aging Well / urgent community response via Single Point of Access

Horton General Hospital

Some patients will be seen at the Horton General Hospital in Banbury. We run outpatient clinics, operating lists and flexible cystoscopy lists from this hospital.

Referrals to the team at the Horton should be directed to:

Mr Jeremy Crew and Miss Heidi Tempest
Consultant Urological Surgeons
Horton General Hospital
Banbury OX16 9AL

Tel: 01295 244444

Documents

External link

British Association of Urological Surgeons

Last reviewed:31 October 2024

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