Southside Urology · Clinical Referrals

Urology Referrals & Clinical Resources for GPs.

Practical referral pathways for general practitioners and other clinicians managing adult urological conditions.

Southside Urology provides specialist consultations in Springwood, Brisbane, across general urology, kidney stones, uro-oncology, urinary dysfunction and male reproductive conditions.

Use this page to identify the relevant referral pathway, recognise important urgency features and prepare focused clinical information.

A referral does not need to determine the operation. Start with the clinical question.

Springwood, Brisbane GP & Specialist Referrals Dr Jack Crozier · FRACS
Clinical laboratory equipment with microscope

Referral Information

How to refer a patient.

Send a referral with the clinical question, relevant existing results and any factors affecting urgency.

Southside Urology · Springwood

Referrals are welcomed for appropriate adult urological problems requiring specialist assessment.

Useful information usually includes the principal clinical concern, relevant examination findings, current investigations, previous treatments and significant comorbidities.

If a patient may require time-sensitive outpatient review, clearly state the reason for urgency and telephone the rooms in addition to sending the referral.

Please do not delay referral for suspected malignancy or progressive disease solely to complete non-essential testing.

Secure Clinical Communication

Send patient-identifiable information through an appropriate secure clinical communication channel. Confirm the correct electronic recipient details with reception before sending electronic referrals. Do not enter identifiable patient information in the checklist builder on this page.

Clinical Urgency

Emergency, time-sensitive or planned referral?

Identify patients requiring immediate acute assessment before considering an outpatient referral.

EMERGENCY PATHWAY

Immediate Acute Assessment

Examples include:

  • Suspected infected obstructed kidney or ureter
  • Urinary sepsis or severe urinary infection
  • Acute testicular pain or suspected torsion
  • Acute urinary retention requiring immediate management
  • Clot retention or severe urinary bleeding
  • Fournier's gangrene or severe genital infection
  • Irreducible paraphimosis
  • Ischaemic priapism
  • Autonomic dysreflexia
  • Anuria or acute obstruction threatening renal function
TIME-SENSITIVE OUTPATIENT

Prompt Specialist Review

Stable patients who may need expedited review include:

  • Suspected testicular tumour
  • New suspicious bladder mass
  • Visible haematuria without acute instability
  • Suspicious solid or complex renal lesion
  • New concerning prostate cancer findings
  • Progressive hydronephrosis in a clinically stable patient
  • High-grade bladder cancer pathology
  • Other progressive or concerning urological findings

Clearly identify urgency and telephone the practice to discuss arrangements.

PLANNED OUTPATIENT

Routine Specialist Assessment

Examples may include:

  • Stable male lower urinary tract symptoms
  • Uncomplicated recurrent urinary infections
  • Stable urinary incontinence
  • Non-obstructing asymptomatic kidney stones
  • Benign scrotal conditions
  • Vasectomy assessment
  • Stable foreskin disorders
  • Longstanding functional bladder symptoms
  • Selected male reproductive concerns

Formal Queensland public outpatient triage categories are defined by Queensland Health Clinical Prioritisation Criteria. They are not guaranteed private clinic appointment timeframes. Queensland Health Urology CPC ↗

Condition-Specific Guidance

Common urology referral pathways.

Choose the presenting clinical problem and identify the information most likely to assist assessment. These are prompts, not mandatory investigations for every patient.

01 / PROSTATE

Elevated PSA & Suspected Prostate Cancer

Persistent PSA elevation, concerning trends, abnormal prostate examination or suspicious MRI findings.

Referral information checklist
  • Current and previous PSA results with dates
  • Age and relevant family history
  • Urinary symptoms and DRE findings, if available
  • Recent infection, retention or instrumentation
  • Finasteride or dutasteride use
  • Prostate MRI report, if performed
  • Relevant comorbidities and anticoagulant use

Selected incidental PSA elevations may warrant repeat measurement. Do not delay referral for strongly concerning findings.

02 / HAEMATURIA

Visible or Persistent Microscopic Haematuria

Assessment of visible blood in the urine or persistent unexplained microscopic haematuria.

Referral information checklist
  • Visible or microscopic haematuria and onset
  • Urine microscopy and culture results
  • Smoking history and occupational exposures
  • FBC and creatinine/eGFR, if available
  • Existing renal tract ultrasound or CT imaging
  • Anticoagulation and other urinary symptoms
  • Previous stones, tumours or procedures

Anticoagulation does not exclude urinary tract malignancy. Clot retention or severe ongoing bleeding requires acute assessment.

03 / ENDOUROLOGY

Renal & Ureteric Calculi

Symptomatic stones, recurrent stone disease, larger stone burden or consideration of intervention.

Referral information checklist
  • Stone size, side and anatomical location
  • CT KUB or ultrasound findings and available images
  • Hydronephrosis or urinary obstruction
  • Current pain, fever and clinical stability
  • Creatinine/eGFR and urine culture, if available
  • Previous stones, procedures, stents or nephrostomy
  • Solitary kidney, transplant or other renal risks

Suspected infected obstruction, severe uncontrolled colic, anuria or acute renal deterioration requires acute assessment.

04 / RENAL LESIONS

Renal Mass or Complex Kidney Cyst

Suspicious solid renal masses, complex renal cysts or imaging concerning for renal malignancy.

Referral information checklist
  • Imaging report and available images
  • Lesion size, side, location and solid/cystic features
  • Bosniak classification, if reported
  • Previous scans and interval change
  • Creatinine/eGFR and FBC
  • Haematuria, flank pain and systemic symptoms
  • Solitary kidney, CKD or relevant malignancy history

Suspicious lesions warrant timely review. Referral should not necessarily wait for completion of advanced staging investigations.

05 / BLADDER ONCOLOGY

Bladder Tumour & Abnormal Cystoscopy

Suspicious bladder lesions, confirmed urothelial cancer or recurrent bladder cancer.

Referral information checklist
  • Cystoscopy findings and reports
  • TURBT histopathology, if performed
  • Stage, grade and muscularis propria presence
  • Existing CT urography or staging imaging
  • Previous BCG or intravesical treatment
  • Surveillance and recurrence history
  • Current bleeding, obstruction or systemic symptoms

New high-grade or muscle-invasive disease should be clearly highlighted for timely assessment.

06 / LOWER URINARY TRACT

Male LUTS & Benign Prostate Enlargement

Weak stream, hesitancy, incomplete emptying, recurrent retention or symptoms persisting despite medical treatment.

Referral information checklist
  • Symptoms, duration and IPSS, if available
  • Alpha-blocker or 5-alpha-reductase inhibitor use
  • PSA where clinically appropriate
  • MSU and renal function if indicated
  • Post-void residual or ultrasound findings
  • Retention, catheterisation and recurrent UTI history
  • Impact on quality of life and patient priorities

Acute painful retention requires immediate management. Stable catheterised patients can be referred with details of their drainage plan.

07 / CONTINENCE

Urinary Incontinence & Bladder Dysfunction

Persistent stress urinary leakage, urgency incontinence, mixed symptoms and complex bladder storage or emptying concerns.

Referral information checklist
  • Stress, urgency or mixed leakage features
  • Frequency, nocturia and pad use
  • Bladder diary, if available
  • Urine microscopy and culture
  • Post-void residual where appropriate
  • Previous pelvic surgery, radiotherapy or neurological disease
  • Prior medication and pelvic floor treatments

Urodynamics can be valuable in selected complex presentations but is not required before every initial referral.

08 / RECURRENT INFECTION

Recurrent Urinary Tract Infection

Repeated symptomatic culture-confirmed infections, recurrent pyelonephritis or concern about a structural cause.

Referral information checklist
  • Dates and symptoms of recurrent episodes
  • Urine cultures and sensitivities
  • Antibiotics and clinical response
  • Fever, flank pain or pyelonephritis history
  • Residual urine or urinary tract imaging, if available
  • Stones, catheters or previous surgery
  • Risk factors and preventative treatment already trialled

Systemic infection or suspected infected urinary obstruction requires acute assessment rather than an outpatient referral.

09 / TESTICULAR & SCROTAL

Testicular Lump, Hydrocele & Scrotal Conditions

Testicular lesions, hydroceles, epididymal abnormalities or persistent scrotal symptoms.

Referral information checklist
  • Onset, progression and examination findings
  • Scrotal ultrasound and Doppler, if available
  • Intratesticular versus extratesticular lesion
  • AFP, beta-hCG and LDH if malignancy suspected and available
  • Pain, fever or trauma history
  • Previous testicular surgery or malignancy
  • Relevant fertility or hormonal concerns

A suspicious intratesticular mass warrants prompt specialist review. Acute severe testicular pain requires immediate assessment for torsion.

10 / NEURO-UROLOGY

Neurogenic Bladder & Complex Retention

Urinary dysfunction related to neurological conditions, spinal cord injury, catheter difficulties or complex bladder management.

Referral information checklist
  • Neurological diagnosis and spinal injury level, where relevant
  • Current bladder drainage and catheter regimen
  • History or risk of autonomic dysreflexia
  • Renal ultrasound and kidney function, if available
  • Previous urodynamic findings
  • Bladder medication, Botox and infection history
  • Catheter difficulties, leakage or recurrent obstruction

Autonomic dysreflexia, acute drainage failure with deterioration, suspected urinary sepsis or threatened renal function requires urgent assessment.

11 / MALE REPRODUCTIVE UROLOGY

Male Fertility, Penile & Reconstructive Concerns

Abnormal semen analysis, azoospermia, infertility, varicocele, penile curvature, erectile dysfunction or complex reconstruction.

Referral information checklist
  • Main reproductive, penile or reconstructive concern
  • Semen analyses or relevant hormonal testing
  • Previous fertility or sexual medicine treatments
  • Testosterone or anabolic androgen exposure
  • Previous genital, pelvic or penile surgery
  • Relevant imaging, examination or pathology
  • Patient priorities, including reproductive plans

More specialised fertility, penile implant, Peyronie's and reconstructive referral tools are available through Dr Crozier's GP referrer hub.

Investigations Should Be Targeted

These checklists describe information that may be helpful when it is already available. They do not require every test to be ordered before referral. Suspected cancer and progressive conditions should not be delayed solely to complete non-essential investigations.

Interactive GP Tool

Quick referral checklist builder.

Select a presenting problem and copy a focused list of relevant referral information into your clinical workflow.

General Urology Referral

A clear clinical question and relevant available information are the most useful starting points.

  • Reason for referral and clinical question
  • Symptom onset, severity and progression
  • Relevant examination findings
  • Existing investigations and imaging
  • Previous treatment and response
  • Medical history, medications and allergies
  • Factors that may alter urgency

This tool generates generic clinical prompts. Do not enter patient identifiers into the tool. Complete the actual referral in your clinical software and send it securely.

Clinical Referral Philosophy

Refer the clinical problem, not the presumed operation.

The most useful referral clearly describes why specialist assessment is needed.

A kidney stone referral may require consideration of obstruction, infection and renal function before choosing an operation.

Similarly, a patient with urinary incontinence may need the pattern of leakage and bladder function clarified before a treatment recommendation is appropriate.

A concise referral with the clinical question, important findings and relevant records can be more helpful than a long list of investigations.

Surgical instruments on a sterile blue field

Referral Essentials

Four elements of a useful referral.

A focused referral can support triage, preparation for consultation and communication with the patient's wider treating team.

01 / REASON

Define the Clinical Question

State the reason for referral, duration and progression of symptoms, and the principal issue requiring assessment.

02 / EVIDENCE

Attach Relevant Results

Provide useful existing imaging, pathology, blood tests, urine results or previous endoscopic findings.

03 / HISTORY

Summarise Prior Treatment

Include previous medications, operations, implants, catheters, radiotherapy or investigations when relevant.

04 / PRIORITY

Explain Clinical Urgency

Highlight concerning findings, progression, deterioration in kidney function, suspected malignancy or other important risk factors.

After the Referral

The referral is reviewed and an appointment pathway determined according to the presenting concern and available clinic arrangements. Relevant investigations may be reviewed at consultation, and further testing or treatment planned as appropriate.

Patients with complex problems, previous surgery, or who are travelling from outside Brisbane may benefit from providing previous operative records or imaging in advance.

Clinician Resources

Further clinical guidance and referral tools.

Access focused clinician pathways, patient information and external referral guidance.

01 / CLINICAL NAVIGATION

Complex Urology Referral Navigator

For overlapping, previously treated, uncertain or complex urological presentations.

Open Navigator ↗
02 / MALE FERTILITY

GP Male Fertility Referral Builder

Abnormal semen analysis, azoospermia, varicocele, testosterone exposure and fertility after vasectomy.

Open Fertility Builder ↗
03 / ENDOUROLOGY

GP Kidney Stone Referral Guide

Stone size, location, obstruction, infection risk and referral planning.

Open Stone Guide ↗
04 / ANDROLOGY

Penile & Andrology Referral Guide

Erectile dysfunction, Peyronie's disease, penile lesions, implants and reconstructive concerns.

Open Andrology Guide ↗
05 / QUEENSLAND HEALTH

Urology Clinical Prioritisation Criteria

Official guidance for Queensland public outpatient specialist referral categories and emergency criteria.

Open Queensland CPC ↗
06 / PATIENT EDUCATION

Patient Information & Appointments

Consultation preparation, referrals, common procedures and postoperative information.

View Patient Resources ↗
07 / PROCEDURES

Urological Tests & Treatments

Information on cystoscopy, prostate procedures, bladder treatments, kidney stone surgery and more.

Browse Procedures ↗
08 / UROLOGICAL ONCOLOGY

Urological Cancer Information

Prostate, bladder, kidney and testicular cancer assessment, management and surveillance.

Explore Cancer Care ↗
09 / SPECIALIST REFERRALS

Dr Crozier's GP Referrer Hub

Detailed referral resources for complex male reproductive, penile, reconstructive, neuro-urological and stone conditions.

Open Specialist GP Hub ↗

Common GP Questions

Referral questions answered.

What information is required in a urology referral?

Include patient identification and contact details within your secure clinical referral, the main clinical question, relevant history and examination, existing investigations and treatment already trialled. Highlight important clinical urgency features.

Do all investigations need to be completed before referral?

No. The listed investigations are useful prompts rather than universal prerequisites. Do not delay clinically important referral solely to complete non-essential testing.

How should I refer suspected urological cancer?

Clearly identify the suspicious findings and reason for concern, attach existing results and contact the rooms for a time-sensitive outpatient referral. Acutely unwell patients require emergency assessment.

Should an infected obstructed kidney stone be referred urgently?

Suspected infected urinary obstruction is a urological emergency. The patient requires prompt hospital assessment rather than routine outpatient referral.

Is prostate MRI required before referring raised PSA?

Not for every referral. Include previous dated PSA results and MRI if already performed. Further imaging and investigation can be planned according to the specialist assessment.

Are urodynamics needed before a bladder referral?

Not routinely. Urodynamics may be useful in selected complex functional or neuro-urological presentations. The need for testing depends on the clinical question and circumstances.

Can I refer male infertility and complex penile conditions?

Yes. Dr Crozier has subspecialty interests in male reproductive, penile and reconstructive urology. Dedicated GP referral tools are available through the associated specialist website.

Does Southside Urology accept referrals for women?

The practice assesses a range of adult urinary tract problems affecting women and men. For particular complex functional or reconstructive concerns, contact the rooms to confirm the appropriate specialist pathway.

Can patients be referred from regional Queensland or interstate?

Referrals may be made from outside Brisbane. Previous imaging, pathology and operative records can help clarify the consultation pathway before major travel arrangements.

Does the checklist builder send a referral automatically?

No. The builder creates a generic, copyable checklist. It does not collect patient identifiers, send referrals or confirm appointments. The actual referral must be completed and sent through your clinical system.

Are Queensland CPC categories the same as private clinic triage?

No. Queensland Health CPC are official criteria for public specialist outpatient pathways. Private appointment availability and assessment arrangements are determined separately.

Southside Urology · Springwood

Refer a patient for specialist urology assessment.

For referral enquiries or time-sensitive outpatient presentations, contact the Springwood rooms.

Suite 7, 2 Murrajong Road
Springwood QLD 4127

Phone: 07 3106 0379
Fax: 07 3036 6621

Call 07 3106 0379 Contact & Directions ↗ Specialist GP Referral Tools ↗

Routine referral enquiries are not an emergency service. Use acute hospital pathways when indicated.

Clinical information: These resources support referral preparation for qualified healthcare professionals. They do not replace clinical judgement, individual assessment, current guidelines or local emergency pathways.

Referral prompts are not mandatory pre-referral tests. Public clinical prioritisation categories are determined by the receiving Queensland Health service.