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.
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