Whilst these pages are in the process of being updated, please refer to the Scottish urological cancer guidelines:
https://www.cancerreferral.scot.nhs.uk/urological-cancers/?alttemplate=Guideline
R.M & H.S 13-05-20
Who to refer
Recurrent UTI’s and Red Flags:
- Visible haematuria, where no infection or finding persists after treatment – please see Urology/HaematuriaVISIBLE
- >60yrs persistent non-visible haematuria and dysuria/bladder pain or raised WCC on a blood test – refer to Urology as Urgent suspicion of Cancer
- History of pelvic radiotherapy – Refer to Urology as Urgent
- 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:
- Refer to Radiology for urinary tract USS (not renal USS) to include post void residual volume; check renal function
- Refer these patients to Urology routinely IF residual>150ml
- IF infections persist despite measures outlined above:
- IF >60 years old Refer to Urology as Urgent Suspicion of Cancer for flexible cystoscopy
- IF< 60 years old Refer to Urology as Routine
(The Microbiological specialist recommendation is that anyone being considered for ongoing prophylactic antibiotics should see a specialist)
Who not to refer
- No red flags, residual volume on scan <150ml and symptoms settle with measures outlined above.
How to refer
Through SCI Gateway Western General Hospital Urology
Through SCI Gateway Radiology for urinary tract USS with residual volume
