Information for providers
|
The Saskatoon Urology Associates has a pooled referral system, and all referrals can be faxed to 306-653-4386.
In order to improve the referral process and decrease the likelihood that a referral is sent back, please review our recommendations for elements to include in the referral of your patient, including investigations and imaging to be completed prior to the referral. |
Abnormal PSA
Please consider referring the patient to our Saskatchewan Prostate Assessment Pathway, unless you feel there is a reason they need to be seen directly by a urologist.
Required: 2 abnormal PSA a few weeks apart, DRE, previous prostate biopsy results
Recommended: Description of any associated voiding symptoms
For PSA checks, please ensure the patient has their repeat PSA checked only when they are feeling well, no strenuous activity/bicycle riding for 3-4 days prior, and no ejaculation for 2-3 days prior. If repeat PSA is normal, no referral to urology is needed
Please consider referring the patient to our Saskatchewan Prostate Assessment Pathway, unless you feel there is a reason they need to be seen directly by a urologist.
Required: 2 abnormal PSA a few weeks apart, DRE, previous prostate biopsy results
Recommended: Description of any associated voiding symptoms
For PSA checks, please ensure the patient has their repeat PSA checked only when they are feeling well, no strenuous activity/bicycle riding for 3-4 days prior, and no ejaculation for 2-3 days prior. If repeat PSA is normal, no referral to urology is needed
Gross hematuria
Required: Description of any associated symptoms, urine cytology
Recommended: Imaging (ultrasound or CT urogram), urine culture
Required: Description of any associated symptoms, urine cytology
Recommended: Imaging (ultrasound or CT urogram), urine culture
Microscopic hematuria
Required: 2 urinalysis with microscopy demonstrating 3 or more erythrocytes/HPF; description of any associated symptoms
Recommended: Imaging (ultrasound sufficient)
Required: 2 urinalysis with microscopy demonstrating 3 or more erythrocytes/HPF; description of any associated symptoms
Recommended: Imaging (ultrasound sufficient)
Lower urinary tract symptoms
Required: History describing duration and characteristics of symptoms, pharmacotherapy tried, urinalysis +/- urine culture
Recommended: Renal/bladder ultrasound with post-void residual, DRE for males
Required: History describing duration and characteristics of symptoms, pharmacotherapy tried, urinalysis +/- urine culture
Recommended: Renal/bladder ultrasound with post-void residual, DRE for males
Stones
If your patient has a small ureteric calculus (5mm or less), consider conservative management with analgesic medication and medical expulsive therapy (e.g. tamsulosin 0.4mg daily), with repeat imaging in 2-4 weeks to asses progression of the stone. If your patient has not passed their stone in 4-6 weeks, or if they have a mild AKI, please refer them to urology. If they have intractable pain/nausea/vomiting, moderate/severe AKI, or associated fever (38.1C or higher), they should be directed to the nearest emergency department.
Required: Imaging demonstrating stone, description of associated symptoms
Recommended: KUB x-ray for nephrolithiasis, serum creatinine
If your patient has a small ureteric calculus (5mm or less), consider conservative management with analgesic medication and medical expulsive therapy (e.g. tamsulosin 0.4mg daily), with repeat imaging in 2-4 weeks to asses progression of the stone. If your patient has not passed their stone in 4-6 weeks, or if they have a mild AKI, please refer them to urology. If they have intractable pain/nausea/vomiting, moderate/severe AKI, or associated fever (38.1C or higher), they should be directed to the nearest emergency department.
Required: Imaging demonstrating stone, description of associated symptoms
Recommended: KUB x-ray for nephrolithiasis, serum creatinine