1. Women Over 16 Years at Presentation
Agreed
Exclude and/or treat prior to referral into pathway:
Microscopic haematuria in women aged over 50 yrs.
Visible haematuria.
Recurrent or persisting UTI associated with haematuria in women aged 40 yrs or over.
Suspected malignant pelvic mass.
Considerations for additional referrals:
Persisting bladder or urethral pain.
Clinically benign pelvic masses.
Associated faecal incontinence.
Suspected neurological disease.
Symptoms of voiding difficulty.
Suspected urogenital fistulae.
Symptomatic prolapse visible at or below the vaginal introitus.
Palpable bladder on bimanual or physical examination after voiding.
Time Line
Aim for presentation to appointment – 4 to 6 wks
Aim for weekly triage
Presenting to
Primary Care
NP or GP
History
Examination
vaginal & abdominal
Very elderly/infirm/
residential care
DN Assessment
Treat
Infection excluded
Dip test/8SG or MSU
Negative
Central Triage
Treated as per evidence base by nurse specialist/urotherapist &
prescribe/make recommendations
Any other pathology –
refer as appropriate
Better - Back to
Primary Care
Decline referral
Failed conservative treatment
Urodynamics aligned to
secondary care appointment
Secondary Care
Consultants agree pathway from this point with primary care
Haematuria
Pathway