PIL link: https://www.baus.org.uk/_userfiles/pages/files/Patients/Leaflets/Recurrent%20cystitis.pdf
J.B. & H.S 01-05-24
Who to refer
Recurrent UTI’s and Red Flags:
- Visible haematuria follow Urology/HaematuriaVISIBLE
- Persistent pelvic pain or continuous UTI symptoms despite antibiotic treatment:
- Aged less than 60 – refer to Urology as Urgent
- Aged 60 and over – refer to Urology as Urgent Suspicion of Cancer
- History of pelvic cancer – refer to Urology as Urgent
- History of pelvic radiotherapy – refer to Urology as Urgent
- History of Urogynae procedures with mesh – refer to Urology as Routine
- History of complex pelvic surgery – refer to Urology as Routine
- ≥2 episodes of pyelonephritis– refer to Urology as Routine
Recurrent UTI’s and no Red Flags:
Men
- Refer to Radiology for urinary tract USS (not renal USS) to include post void residual volume AND refer to Urology as Urgent
Women
- Refer to Radiology for urinary tract USS (not renal USS) to include post void residual volume. If residual >150mls Refer to Urology as Routine.
- If infections persist despite trying all measures outlined above:
- If aged 60 and over – Refer to Urology as Urgent
- If aged less than 60 years – Refer to Urology as Routine
Who not to refer
- No red flags, residual volume on scan <150ml and symptoms settle with measures outlined above.
How to refer
Urology
Via SCI Gateway Western General Hospital>Urology>LI Basic Sign Referral
Radiology
Via SCI Gateway Clinical Radiology>LI Radiology Ultrasound>Ultrasound Urinary tract – request to include post void residual volume
