UROLOGY
UTIs and Children
Summary of selected guidelines on Investigations of UTIs in Children of different age groups:
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Children <1 |
Children >1 and <5 |
Children >5 and <16 |
Royal College of Paediatricians |
USS + Abdominal X-ray + DMSA scan 3/12 later | USS + DMSA or IVU – applied to children up to 7 | |
Bradford Paediatricians’ guidelines |
Prophylactic antibiotics until investigated. USS and DMSA 3/12 later + MCUG +/- KUB | Refer to paeds - USS + DMSA | USS +/-DMSA |
Mentor (published via of EMIS)
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USS + MCUG up to age 2 if has other clinical indicators | USS + DMSA if has other clinical indicators | USS |
GP Notebook |
USS + MCUG + DMSA +/- KUB – children up to age 2 | USS +/- MCUG and DMSA (depends on history) +/- KUB | USS +/- KUB – DMSA + MCUG on individual basis |
American Academy Of Paediatrics |
USS + MCUG or DMSA for children up to age 2 | ||
GPwSI
HAEMATURIA - fast track all macroscopic haematuria in adults and microscopic haematuria in those >50y
| Name | Location & Tel | Referral Criteria | How to refer | ||||||||||
Cystoscopy Direct Booking Service
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Yorkshire Clinic
weekly clinic |
click here for haematuria protocol
Don't forget, you need to fast track: ●Macroscopic haematuria in adults. ●Microscopic haematuria in adults over 50 years. |
●Remote booking via SystemOne ●Bookings can also be accesed via 1) triage service at Eccleshill Hospital or 2) direct to Westcliffe Medical Centre marked for the attention of the Cystoscopy Team on (01274) 609687 or post to Westcliffe Medical Practice, Westcliffe Road, Shipley, BD18 3EE. ●The Yorkshire Clinic have asked that 2 patients arrive at approximately the same time and as this is not possible on the remote booking system we have put in one appointment five minutes after the other. |
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| Cystoscopy Direct Booking Service Dr Stephen Matthews (Idle)
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Currently at Yorkshire Clinic but soon to be at Idle Medical Centre.
In line with PCT requirements Idle are updating our Provider Service prices to include Superannuation on the GP element and all these will be available shortly. They will, of course, be at least 40% cheaper than the National Tarriff charged at hospitals.
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●Remote booking via SystemOne ●Bookings can also be accesed via 1) triage service at Eccleshill Hospital or 2) direct to Idle Medical Centre by Fax 01274/772001 or post to Lower Ground Floor reception at Idle Medical centre, 440 Highfield Road, Idle, Bradford BD10 8RU. ●The Yorkshire Clinic have asked that 2 patients arrive at approximately the same time and as this is not possible on the remote booking system we have put in one appointment five minutes after the other. |
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| FAST-TRACKING THOSE WITH WORRYING HAEMATURIA
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For Bradford City, South and West: use Westwood Park Urology Triage Office Westwood Park DTC, Urology Triage Office, Swift Drive, Off Cooper Lane, Bradford, BD6 3NL For North Bradford: use Eccleshill Community Hospital, Urology Triage - Out Patient Unit , 450 Harrogate Road, Bradford, BD10 0JE
Fax: 01274425991 Telephone: 01274 322553
323215
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●Macroscopic haematuria in adults.
●Microscopic haematuria in adults over 50 years.
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| FAST-TRACKING other worrying urology symptoms/signs |
Fax 01274 382543 or Telephone 01274 382540
Bradford Royal Infirmary |
●Swellings in the body of the testis.
●A high PSA (>20ng/ml) in men with clinically malignant prostate or bone pain. |
Specialised Outreach Clinics
| Name | Location | Tel | Referral Criteria | How to refer |
| Haematuria | refer to GPwSI | ●MSU, urine cytology before hand | click here for haematuria protocol
●book through GPwSI |
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| Continence Triage triaged by specialist continence nurse and physiotherapist |
Continence Triage at Eccleshill clinic
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Tel: 01274 322210
Fax: 01274 322198 |
●Persisting bladder or urethral pain. ●Associated faecal incontinence. ●Suspected neurological disease. ●Symptoms of voiding difficulty. ●Suspected urogenital fistulae. ●Symptomatic prolapse visible at or below the vaginal introitus. ●Palpable bladder on physical examination after voiding. |
Exclude and/or treat prior to referral into pathway: ●Persistent microscopic haematuria. ●Visible haematuria. ●Recurrent or persisting UTI associated with haematuria in women aged 40 yrs or over. ●Suspected pelvic mass. ●Referral form |
| Vesectomy | Westcliffe Surgery | ●when you remotely book an appointment for a vasectomy clinic at Westcliffe it is for the procedure performing. ●Patients should be counselled at the point of referral and given a patient information sheet with the appointment. |
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| Vasectomy Circumcisions and a variety of urological day case procedures |
Eccleshill Hospital ISTC | Refer to Eccleshill hospital section of this website (left hand menu) |
Refer to Eccleshill hospital section of this website (left hand menu) |
Consultants
| Name | Location | Tel | Referral Criteria | How to refer |
| Prostate Assessment Clinic | BRI | ●referral form | ||
| Mr Flannagan | erectile dysfunction clinic | ●All referrals to go to urology triage office. | ||
| Mr Puri | ||||
| Mr Shah | ||||
| Lady Female Urologist ?Name | Seacroft Hospital, Leeds |
Notes
If a patient requests a PSA test:
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He should first be provided with information about the advantages and disadvantages of PSA testing;
- He should be offered the opportunity to discuss his interpretation of the information, using the more detailed information contained in on of the leaflets that are available.
- A good resource in the "national electronic library for prostate cancer" (Google it).
- If the patient wishes to have the PSA test, it should only be arranged with a laboratory participating in the National External Quality Assurance Scheme (NEQAS) scheme;
The patient whose test result indicates the need for further investigation should be referred to a urologist; he should be given more information about treatment options, including the opportunities to enter randomised controlled trials.