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Pelvic floor dysfunction (e.g. prolapse and/or incontinence)

Emergency department referrals

All urgent cases must be discussed with the on call Registrar to obtain appropriate prioritisation and treatment. Contact through:

  • Royal Brisbane and Women's Hospital (07) 3646 8111
  • The Prince Charles Hospital (07) 3139 4000
  • Redcliffe Hospital (07) 3883 7777
  • Caboolture Hospital (07) 5433 8888

Urgent cases accepted via phone must be accompanied with a written referral and a copy faxed immediately to the Central Patient Intake Unit: 1300 364 952.

If any of the following are present or suspected, refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.

  • Acute urinary obstruction

Does your patient wish to be referred?

Minimum referral criteria

Does your patient meet the minimum referral criteria?

Category 1

Appointment within 30 days is desirable

  • Uterine procidentia
  • Difficulty voiding with renal impairment

Category 2

Appointment within 90 days is desirable

  • Difficulty voiding +/- significant residuals on bladder screening (without renal impairment)
  • Recurrent UTIs
  • Genital fistulae
  • Mesh erosion or bleeding/pain referral to Queensland Pelvic Mesh Service (QPMS) CPC.

Category 3

Appointment within 365 days is desirable

  • Any other prolapse or incontinence
  • Obstructive defecation

If your patient does not meet the minimum referral criteria

Consider other treatment pathways or an alternative diagnosis.

If you still need to refer your patient:

  • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
  • Please note that your referral may not be accepted or may be redirected to another service

Other important information for referring practitioners

Not an exhaustive list

Medical management

  • Consider referral to women’s and Pelvic health physiotherapist for the following:
    • prolapse – pelvic floor exercise program; consider pessary
    • stress incontinence – pelvic floor exercises, bowel management and consideration of supportive devices (e.g. Contiform) and bladder retraining for 3 months prior to referral
    • overactive bladder symptoms – bladder training; consider for tibial nerve stimulation; – exclude infection
  • Consider trial of anticholinergics or Mirabegron
  • Treat constipation
  • Consider topical oestrogen in post-menopausal women
  • Lifestyle modification (Increased activity, dietary, weight, smoking, alcohol)

Referral requirements

A referral may be rejected without the following information.

Essential referral information

  • Obstetric and gynaecological history
  • History of:
    • prolapse symptoms
    • protruding lump
    • dragging sensation
    • difficulty with defecation (requiring manual evacuation)/micturition including incontinence
  • MSU M/C/S results

Additional referral information (useful for processing the referral)

  • Bladder diary
  • Body mass index (BMI)
  • Pelvic USS (TVS preferable) if available
  • Previous failed or complicated prolapse surgery
  • Renal USS if major uterine procidenta

Out of catchment

Metro North Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service. If your patient lives outside the Metro North Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.

  • Impact on employment
  • Impact on education
  • Impact on home
  • Impact on activities of daily living
  • Impact on ability to care for others
  • Impact on personal frailty or safety
  • Identifies as Aboriginal and/or Torres Strait Islander

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can’t order, or the patient can’t afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

  • Presenting symptoms (evolution and duration)
  • Physical findings
  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • Body mass index (BMI)
  • Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
  • Current medications and dosages
  • Drug allergies
  • Alcohol, tobacco and other drugs use

  • Full name (including aliases)
  • Date of birth
  • Residential and postal address
  • Telephone contact number/s – home, mobile and alternative
  • Medicare number (where eligible)
  • Name of the parent or caregiver (if appropriate)
  • Preferred language and interpreter requirements
  • Identifies as Aboriginal and/or Torres Strait Islander

  • Full name
  • Full address
  • Contact details – telephone, fax, email
  • Provider number
  • Date of referral
  • Signature

  • Willingness to have surgery (where surgery is a likely intervention)
  • Choice to be treated as a public or private patient
  • Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Send referral

Hotline: 1300 364 938

Medical Objects ID: MQ40290004P
HealthLink EDI: qldmnhhs

Mail:
Metro North Central Patient Intake
Aspley Community Centre
776  Zillmere Road
ASPLEY QLD 4034

Health pathways

Access to Health Pathways is free for clinicians in Metro North Brisbane.

For login details email:
healthpathways@brisbanenorthphn.org.au

Login to Brisbane North Health Pathways:
brisbanenorth.healthpathwayscommunity.org

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