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Urology Clinic - Royal North Shore Hospital

Level 3 - Ambulatory Care Centre (outpatient clinics)

Acute Services Building (main entry level)

Royal North Shore

Reserve Rd

St Leonards

2065

Map view

Urology Clinic - Royal North Shore Hospital

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Contact Us

 

General enquiries: (02) 9463 1400
Referrals phone: (02) 9463 1400
[email protected]
Fax: (02) 9463 1065

Opening Hours

Bladder Function Clinic (Nurse-Led Clinic TBC)
Trial of Void (Thursday 08:00 – 15:00)
Intravesical Treatment (Monday 08:00 – 13:00)
Flexible Cystoscopy Clinic (Wednesday 09:00 – 12:00)
Video Urodynamics Clinic (Wednesday 13:00 – 17:00)
Urology Clinic (Thursday 09:00 – 12:00)

 

You will be booked into the most appropriate clinic for your condition.
 

Frequently Asked Questions

 

What we do

We provide treatment for cancers of urinary tract including kidney, bladder, prostate, testis, urethra, and penis.

We investigate and treat benign urological problems including conditions resulting in lower urinary tract symptoms and stone disease.

Refer to condition specific guidelines for further information on investigation of benign urological conditions.
 

What to bring

  • Relevant images/scans (including CT or MRI scan of affected area)
  • Relevant test results (including blood tests and urine tests)
  • List of current medications and drug allergies
  • Your referral letter from your GP/Specialist
  • Medicare card

When to visit us

Your GP or non-GP specialist is always your first step in seeking treatment for any condition. You will be referred to our service if your treating doctor feels that your treatment requires the input of the Urology team. Once we receive the referral it will be reviewed by a doctor, and you will be notified of the outcome and next steps. Please allow up to 4 weeks for this process to be undertaken. We see patients either face to face or via telephone consult – our team will let you know what the best option is for you.

 

Please note that phone calls from the hospital will appear as a blocked number or private number.

 

If you have a scheduled appointment, you will receive a reminder text message.

 

Please allow a full morning or afternoon for your appointment. Some patients require a longer review and delays can occur.

How to visit us

Exit off Pacific Highway and the M1 will take you to the hospital on Reserve Road in St Leonards

Bus Route 114 stops directly at the hospital

The hospital is close to St Leonards train station

The hospital is a 5 minute walk from St Leonards Station

Street and multi storey car parking are available on the Royal North Shore hospital campus. Fees apply, so please check signage. Concession parking rates are available for patients and carers. Click here for more details.

The Urology Clinic is located at Check in D. 

 

When you enter the hospital walk past the yellow lifts. The Ambulatory Care Centre will be on your right hand side between the orange and green lifts. Check in D can be found by turning left after you pass the enquiries desk. 

Referral information

For consultation and any queries about the referral process, our on-call Urology registrars can be reached through RNSH switch 24 hours a day. 
Phone number (02) 9926 7111

Indications for referral for clinic appointment

 

Diagnosis

Evaluation

Management

Referral accepted if:

Haematuria

(Microscopic or previous heavy haematuria that has settled)

MSU, EUC, Urine cytology, Upper tract imaging
CT urogram or Ultrasound if renal dysfunction or another contraindication to contrast

Document and treat urinary tract infection 

Initial work up has been completed

Lower urinary tract symptoms

Urine dipstick and formal MSU if abnormal
EUC
FBC
PSA if age >40 (and no evidence of current UTI or four weeks after a UTI)
Renal tract ultrasound including post void residual.
Examination – DRE and external genitalia. Exclude palpable bladder and severe phimosis

Document and treat UTI

Mild/moderate symptoms – consider alpha blocker before referring.

Consider combination therapy with 5-ARI especially in men with significantly enlarged prostate gland

Severe symptoms

Failed medical therapy (documented)

Evidence of retention (acute or chronic – residual >150mls)

Abnormalities detected on ultrasound such as calculi or bladder tumour – not for enlarged prostate gland)

Recurrent urinary tract infections

Document any bacterial growth and sensitivities
Renal tract ultrasound with post void residuals
EUC
Fasting blood glucose
Do not measure PSA during or until approximately four weeks after a UTI as it will give false elevation

Treat current UTI

If relapsing infection, treat with appropriate antibiotics for six weeks

After initial work up and management failed

Abnormal PSA

Identify and treat UTI if present, then repeat PSA after four weeks
Investigate further as per UTI guidelines
DRE for prostatic nodules
Consider use of free/total ratios

Consider medical therapy for mild/moderate urinary symptoms

Refer any true elevation in PSA. Include urine report, or if low free/total ratio

Refer if evidence false elevation due to UTI, as per UTI guidelines is ruled out

Renal mass

Benign cysts clearly reported as such - need no further investigation
If renal mass identified on ultrasound – triple phase CT kidneys should be requested ahead of the referral, as this will be required to accurately assess any lesion that is not clearly a simple cyst on ultrasound
EUC
FBC

 

 

 

Renal lesions identified

Scrotal Mass

Scrotal ultrasound

 

Refer if evidence of tumour is identified

Phimosis (tight or  non-retractile foreskin)

Assess for any underlying squamous cell carcinoma and new onset of symptoms

 

Refer only if causing urinary obstruction or suspected underlying tumour

Penile lesions

Assess for penile carcinoma
Treat as directed if penoscrotal warts only

 

Refer if suspected penile carcinoma

Renal tract stones

EUC
FBC
Calcium
Non contrast CT to initially image stones
Ultrasound scans are inaccurate for diagnosing stones

For <5mm stone in distal ureter, offer a conservative management by considering medical therapy with alpha blocker to aid expulsion

 

Referral to clinic if:

suggested management has not been successful

Renal stone >5mm

Any ureteric stone has been present more than 4 weeks

 

 

 

The following information must be included for referral to be accepted:

  • Details of condition and progress: onset, course, details of any treatments and response
  • Relevant images/scans (including CT or MRI scan of affected area)
  • Relevant test results (including blood tests and urine tests)
  • List of current medications and drug allergies

 

Providing more information will aid the triage process and make it more likely that your patient will be seen in the timeliest manner possible
 
Please submit referrals using the eReferral system through HealthLink, which can be accessed through most clinical software systems.

Alternatively, address letters to Dr Justin Vass or other specialist listed below
Fax: (02) 9463 1600
Email: [email protected] 

Referrals will be triaged, and your patient will be notified of the outcome as soon as possible. This process may take up to 4 weeks. You will be contacted if more information is needed.
 
Telehealth services are available, please indicate on the referral if you feel this would be suitable for your patient’s appointment.
 

Other information

Your Team ( this also includes details of their private rooms if helpful)

Dr Justin Vass 
Suite 107, AMA House
69 Christie Street St Leonards NSW 2065
Ph: 02 9439 3899 Fax: 02 9439 2199 Website: www.justinvass.com.au

 

Dr Venu Chalasani
Suite 603 
20 Bungan Street Mona Vale NSW 2013
Ph: 02 9979 5122 Fax: 02 9979 6521

 

Dr Amanda Chung
Suite 406 SAN Clinic
185 Fox Valley Road Wahroonga NSW 2076
Ph: 02 9051 2406 Fax: 02 9051 2407 E: [email protected]

 

Dr Ahmed Goolam
Suite 406 SAN Clinic
185 Fox Valley Road Wahroonga NSW 2076
Suite 16, Northern Beaches Hospital, 
Level 7, 105 Frenchs Forest Road West, Frenchs Forest NSW 2086
Ph 1300582 345 Fax: 02 9475 0555 Email: [email protected]

 

Dr Kris Rasiah
North Shore Health Hub
Tower A, Suite 3.04, Level 3
7 Westbourne Street
St Leonards NSW 2065
Ph: 02 9439 8867 Fax: 02 9982 8650
Dee Why Grand
Suite 4120 Level 1 Commercial Tower
834 Pittwater Road Dee Why NSW 2099

 

Dr Michael Wines
Suite 406 SAN Clinic
185 Fox Valley Road Wahroonga NSW 2076
Ph: 02 9052 7586 Fax: 02 9053 6719 Email: [email protected]

 

Dr Matthew Winter
Suite 107, AMA House
69 Christie Street St Leonards NSW 2065
Ph: 02 8317 3034 Email: [email protected]  Website: www.sydneyurologycare.com

 


Dr Mick O’Halloran  - Urology Fellow

Dr James McNeil - Urology Registrar

Dr Kevin Zhuo - Urology Registrar

Dr Basil Razi - Urology Registrar
 
Madeleine Tilley - Cancer Nurse Coordinator / Prostate Cancer Nurse Specialist
Ph: 0422 007 354

Jennifer Mojica - Clinical Nurse Consultant 
Ph: (02) 9463 2844

 

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