Direct to an emergency department for:

  • Acute or severe renal or ureteric colic
  • Proven ureteric stone in people with a single kidney or kidney transplant
  • Infected or obstructed kidney.

Criteria for referral to public hospital specialist clinic services

  • Proven calculi in ureter
  • Symptomatic renal calculi
  • Asymptomatic renal calculi > 5mm.

Information to be included in the referral

Information that must be provided:

  • Midstream urine microscopy culture sensitivities
  • Urea and electrolytes
  • Urinary tract ultrasound or CT intravenous pyelogram results.

Provide if available:

  • If the person has passed a previous stone, and this has been examined, include details of calculi
  • Previous imaging of kidney, ureters and urinary bladder
  • Full blood examination
  • Serum calcium and urate.

Additional comments

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

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

Not applicable.