When you need a urologist referral
A urologist is a specialist doctor who diagnoses and treats conditions of the urinary tract in men and women, and of the male reproductive system. You may need a urologist referral for prostate concerns such as an elevated PSA result or urinary symptoms like a weak stream and waking often at night to urinate, for recurrent urinary tract infections, kidney stones, blood in the urine, testicular lumps or pain, or male fertility concerns. Blood in the urine deserves particular respect: even a single painless episode needs prompt investigation.
With NewDoc, you can get a urologist referral online through a bulk billed GP telehealth consultation. The GP assesses your symptoms and history and, where clinically appropriate, emails you a referral letter for the urologist of your choice.
Telehealth GP assessment for urinary and prostate health
During your telehealth consultation, the GP will take a detailed history: how long your symptoms have been present, your urinary patterns, previous episodes of infection or stones, any family history of prostate or kidney disease, and the medications you take. If you have had recurrent urinary tract infections, the GP will also review what treatments have been tried and whether the pattern suggests an underlying cause worth investigating.
For prostate concerns, the GP follows current Australian shared decision-making guidance on PSA testing: rather than ordering it automatically, they discuss the pros and cons with you first, because PSA can be raised for reasons other than cancer. If testing is right for you, the blood test referral can be issued in the same consultation, along with urine tests or imaging where needed, so results are ready before your urology appointment.
What a urologist referral covers
A standard GP referral to a urologist covers a single course of treatment for a new condition and lasts 12 months under Medicare rules, measured from your first visit to the urologist rather than the day the letter is written. Where a condition needs ongoing specialist care, the GP can write a longer or indefinite referral where clinically appropriate. Our referral FAQ covers validity, renewals and expiry in depth.
The referral letter summarises your symptoms, relevant history, medications and any results, which helps the urologist triage how quickly you should be seen. If a kidney stone or infection is keeping you off work, the GP can also issue a medical certificate during the same consultation.
What to expect at the urologist
At your first appointment, the urologist reviews the referral letter, takes a focused history and examines you as needed. Depending on the concern, they may arrange urine tests, blood tests, ultrasound of the kidneys, bladder or testes, a CT scan for suspected stones, urinary flow studies, or a cystoscopy, a procedure that uses a small camera to inspect the bladder.
Management depends on the diagnosis and may involve monitoring, medication prescribed by the specialist, or a procedure such as stone removal. For men with erectile difficulties alongside urinary symptoms, urologists also manage erectile dysfunction where initial GP care has not resolved it. The urologist reports back to your referring GP so ongoing care stays coordinated.
Red flags: when urgent care beats a referral
Sudden, severe pain in a testicle is treated as testicular torsion until proven otherwise. It is a surgical emergency measured in hours: go straight to an emergency department rather than booking any appointment, and call 000 if you cannot travel safely. You can check public ED wait times on the way, but do not let a queue delay you.
Other symptoms that need urgent same-day review rather than a routine referral include fever and chills with back or flank pain, which can signal an infected kidney or an obstructing stone, being unable to pass urine at all, and heavy visible bleeding or clots in the urine. Painless visible blood in the urine that settles still needs prompt GP review and investigation, just not necessarily an emergency department.
Medicare and costs
The GP telehealth consultation to obtain your urologist referral is bulk billed for eligible Medicare patients, with no out-of-pocket cost. Any pathology or imaging referrals issued during the same consultation are included at no extra charge.
With a valid GP referral, Medicare provides a rebate for urologist consultations and many urological investigations. The exact out-of-pocket cost depends on whether the urologist bulk bills or charges a gap, so it is worth asking when you book. Without a referral there is no Medicare rebate on the specialist fee. A standard referral lasts 12 months from your first specialist visit; see the referral FAQ for renewals and expiry.
Last reviewed 2 August 2026. Editorial policy