Monday, June 6, 2011     17:19
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Department Forms

Testis tumour referral form

Consultant Annual Leave Form

IPSS Scymptom score

New Extra Session form

New Rates of Pay for Extra Sessions June 2016

Additional Clinical Activity Guidelines 2016

Urology Ward Round Sheet - NEW patient (27 Apr 16)

Urology Ward Round Sheet - FU patient (27 Apr 16)


Cancer Forms

Mitomycin Stat dose (revised Mar 2011)
Mitomycin Induction course
BCG induction - Immucyst
BCG Maintenance - Immucyst
BCG Induction - Oncotice
Starting Antiandrogens
Proforma for referral to Penile SMDT
Notification to GPs of new Cancer Diagnosis
PIRADS Prostate Zones
Bladder Cancer Risk Stratification
PIRADS Classification
Clinical Frailty Scale

BAUS Consent Forms

  • Adrenalectomy (radical)
  • brachytherapy for CAP
  • brachytherapy planning
  • circumcision
  • colposuspension
  • cystectomy (radical) and ileal conduit (female)
  • cystectomy (radical) and ileal conduit (male)
  • cystectomy (radical) and neobladder (female)
  • cystectomy (radical) and neobladder (male)
  • cystoscopy and biopsy or stent removal
  • cystoscopy and biopsy
  • cystoscopy and biopsy including consent for VE or DRE
  • cystoscopy and bladder distension
  • cystoscopy and clot evacuation
  • cystoscopy and injection of bulking agent
  • cystoscopy and removal of bladder stone
  • cystoscopy and retrograde
  • cystoscopy and stent
  • cystoscopy and u/diln in men and biopsy if reqd
  • cystoscopy and u/diln in women and biopsy if reqd
  • cystoscopy and urethrotomy
  • epididymal cyst excision
  • epididymectomy
  • eswl
  • exploration of scrotum for suspected torsion
  • Flexible Cystoscopy LA
  • freeing of preputial adhesions
  • frenuloplasty
  • herniotomy
  • hydrocele repair
  • hypospadias repair
  • ileal conduit formation
  • meatal or urethral dilation
  • nephrectomy (partial)
  • laparoscopic varicocele ligation
  • laparoscopy (diagnostic)
  • ligation of ppv (hydrocele repair)
  • nephrectomy (radical)
  • nephrectomy (simple)
  • nephrolithotomy (open)
  • nephroureterectomy
  • nesbitts procedure
  • orchidectomy (simple) +/- prosthesis insertion
  • orchidectomy (radical) +/- prosthesis insertion
  • orchidectomy (simple)
  • orchidopexy
  • parent consent form
  • pcnl
  • penile amputation (partial or complete)
  • pyelolithotomy (open)
  • pyeloplasty (open)
  • pyeloplasty
  • resection of posterior urethral valves
  • retropubic prostatectomy (millins)
  • spc insertion (cystotomy)
  • testicular prosthesis insertion
  • testis biopsy
  • turbt
  • Transrectal Ultrasound and biopsy of Prostate
  • turp (cancer)
  • turp
  • ureterolithotomy (open)
  • ureterolysis for rpf
  • ureteroscopy +/- biopsy
  • ureteroscopy and stone removal
  • vasectomy