Monday, June 6, 2011     17:19

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Department Forms

Testis tumour referral form

Consultant Annual Leave Form

IPSS Symptom score chart

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)

TRUSB ICP 2018


Cancer Forms

Mitomycin Stat dose (revised Mar 11)
Cambridge Prognostic Group Online Calculator
Mitomycin Induction course
BCG induction - Immucyst
BCG Maintenance - Immucyst
BCG Induction - Oncotice
Starting Antiandrogens (rev OCT 18)
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
NCPA Data Form
NCPA Codes

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)
  • Flexible Cystoscopy and biopsy or stent removal
  • Cystoscopy and biopsy (including risk of bladder perforation)
  • 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
  • HOLEP Prostatectomy
  • 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
  • TRANSPERINEAL Prostate Biopsy
  • turp (cancer)
  • turp
  • ureterolithotomy (open)
  • ureterolysis for rpf
  • ureteroscopy +/- biopsy
  • ureteroscopy and stone removal
  • vasectomy