Criteria for referral to public hospital specialist clinic services

• Urge, stress, mixed or continued incontinence.

Information to be included in the referral

Information that must be provided:

• Midstream urine microscopy culture sensitivities
• Urinary tract ultrasound
• Urea and electrolytes.

Provide if available:

• Bladder diary.

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

Referrals for incontinence due to a neurological disorder should be directed to a neurology service provided by the health service.

Referrals for patients with incontinence due to concurrent symptomatic pelvic organ prolapse stages 3 and 4 should be directed to a gynaecology service.

Referrals may be directed to a specialist continence clinic or continence service provided by the health service.

Where appropriate and available the referral may be directed to an alternative specialist clinic or service

Referral to a public hospital is not appropriate for

• Patients who have not yet tried, and failed, conservative treatment