For general practitioners

Urgent or emergency referral

• Fever, rigors, or sepsis physiology with known or suspected ureteric stone (obstructed infected kidney).
• Anuria or rising creatinine with bilateral obstruction or a solitary kidney.
• Inability to control pain or vomiting despite appropriate initial care.

Routine urology referral

• Symptomatic ureteric or renal stones on CT where active treatment or surveillance planning is needed.
• Recurrent stone formers who may benefit from metabolic evaluation.
• Patients on anticoagulation who need a stone strategy that minimises drug interruption.
• Large renal burdens or staghorn morphology where PCNL-first pathways apply.

Useful patient PDFs

Leaflets hosted on this site are listed on the resources page.

Referral and correspondence continue through Urology NSW rooms contact details.