Loin pain

Summary: Urological referral only indicated for a demonstrable urological abnormality

Advice: Urological referral only indicated for a demonstrable urological abnormality.
Refer To: Any adult urologist (by generic referral)

Contents:

Clinical information

Please note: patients who have had a normal ultrasound and a normal IVU or CT scan are unlikely to have renal colic. We ask you to consider carefully whether urological referral of such patients is appropriate.

If renal colic is suspected, please request a CT scan directly with Diagnostic Scanning (the Fast-Track renal colic referral form was taken out of routine practice in March 2009). Unfortunately, we are no longer able to review the results of all these scans and, if the scan does show an abnormality, a formal urological referral will still be necessary.

Alternatively, simply arrange generic outpatient referral without imaging and we will pre-book a CT scan if this is indicated on clinical grounds. N.B. It is essential to indicate the laterality of symptoms in your referral letter.

Ultrasound alone is not helpful in the assessment of suspected renal colic and should NOT be requested; the investigation of choice is non-contrast CT (NCCT) or, if this is not available, an intravenous urogram (IVU).

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