Bladder Matters
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When to refer


Refer urgently to secondary care in the following circumstances:

  • Microscopic haematuria if aged 50 years or older
  • Macroscopic haematuria at any age
  • Recurrent or persisting UTI associated with haematuria if aged 40 years or older
  • Suspected mass arising from urinary tract

Consider referral in the following circumstances:

  • Significant prolapse
  • Persisting bladder or urethral pain
  • Associated faecal incontinence
  • Suspected neurological disease
  • Symptoms of voiding difficulty
  • Suspected urogenital fistula
  • Previous continence surgery
  • Previous pelvic cancer surgery or radiation therapy
  • Failure to respond to conservative or pharmacological intervention
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