Direct to an emergency department for:

  • Acute scrotal pain
  • Torsion of the testes.

Immediately contact the urology registrar to arrange an urgent urology assessment for:

  • Suspected or confirmed testicular tumour.

Criteria for referral to public hospital specialist clinic services

  • Painful swollen testis or epididymis
  • Symptomatic hydrocele
  • Symptomatic varicocele
  • Intermittent testicular pain suggestive of intermittent testicular torsion
  • Chronic or recurrent scrotal pain.

Information to be included in the referral

Information that must be provided:

  • Scrotal ultrasound.

Provide if available:

  • Midstream urine microscopy culture sensitivities.

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

  • Asymptomatic epididymal cyst identified through ultrasound.