Urogynaecology referrals
While we welcome referrals, it is important that they are managed as safely and efficiently as possible.
The following protocols and criteria have been developed to augment those aims. We regret that referrals made
outside of these will
not be accepted.
GP referrals - Oxfordshire
Please submit all referrals to the Community Gynaecology service.
Please ensure that NICE guidance has been followed and note the specific Oxfordshire CCG referral criteria, as follows.
Symptomatic pelvic organ prolapse (POP)
Please confirm the following.
Vaginal oestrogen therapy has been offered to women with POP and signs of vaginal atrophy, where clinically appropriate.
Where the prolapse REMAINS INSIDE THE VAGINA - that the patient has had three months of supervised pelvic floor muscle training with a specialist physiotherapist and has been offered a ring pessary (but this has not improved symptoms, or has been declined).
Where the prolapse REACHES THE ENTRANCE TO THE VAGINA - that the patient has had three months of supervised pelvic floor muscle training with a specialist physiotherapist and has been offered a ring pessary (but this has not improved symptoms, or has been declined).
Where the prolapse PROTRUDES OUTSIDE THE VAGINA - that the patient has been offered a ring pessary (but this has not improved symptoms, or has been declined).
Urgency (or urgency-predominant mixed) urinary incontinence, or overactive bladder
Please confirm the following.
The patient has tried conservative lifestyle modifications and at least two oral therapies.
Stress (or stress-predominant mixed) urinary incontinence
Please confirm the following.
The patient has tried at least three months of supervised pelvic floor muscle training with a specialist physiotherapist or continence advisor.
Out-of-area GP (or inter-hospital) referrals
Please submit a referral letter addressed to the Urogynaecology Consultant of choice documenting the reason for referral and all relevant medical/surgical history:
Contact us
All cases will be discussed at our Urogynaecology MDT meeting. Either an appointment will be made, or a written response provided based on the conclusions from this discussion.
Referrals from other OUH departments
Please forward your referral to the Consultants, their Secretaries or the Specialist Nurses.
(Referral via the Communicate function on EPR is still a work in progress, along with our referral proforma for completion).
This may be followed up by telephone request thereafter - to the Gynaecology Registrar on-call (bleep 4630) if an urgent review is required, or to the respective Urogynaecology Secretary if an outpatient review is required.
Contact us
Unfortunately, we are unable to accept referrals without a written request.