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					                     2008 HPN Southern Nevada Provider Summary Guide




11.16 UROLOGY REFERRAL GUIDELINES-Pediatric
      Contracted Group: Urology Specialists of Nevada

For Appointments:
5701 W. Charleston, Suite 205
Las Vegas, NV 89128
Phone: (702) 877-0814
Fax: (702) 877-3236


    Labs and Tests that need to be done prior to patient’s appointment are listed
                                below by Diagnosis

Diagnosis                                    Labs-Test Required PRIOR to Appointment for Peds.
Ambiguous Gentilia                           Karyotype, Prior Studies, and Records
(Undertermined Sex)

Dysuria                                      UA, UCX
(Burning w/ Urination)

Enuresis                                     UA, UCX
(Bed Wetting)

Flank Pain                                   UA, UCX, Renal Bladder U/S

Hematuria                                    Renal Bladder U/S, VCUG, CBC, PT/PTT, UA, UCX

Hydrocele                                    Scrotal U/S

Hydronephrosis                               Renal Bladder U/S, VCUG, Chem Profile(if done)

Incontinence                                 Renal Bladder U/S, VCUG, UA, UCX

Nuerogenic Bladder                           Renal Bladder U/S, VCUG, Chem Profile

Pelvic Pressure                              UA, UCX, Renal Bladder U/S, KUB

Posterior Urtheral Valves                    Renal Bladder U/S, VCUG, Chem Profile, CBC

Prenatal Hydronephrosis                      Renal Bladder U/S, VCUG




HPN SN 2008 Section 11 Referral Guidelines                                                    1
                     2008 HPN Southern Nevada Provider Summary Guide


Renal Mass/Bladder Mass                      All X-ray reports, UA, UCX, Urine Cytology, All old records

Retention MALE                               Renal Bladder U/S, VCUG, Chem Profile

Retention FEMALE                             Renal Bladder U/S, VCUG, Chem Profile

Stones                                       CT/KUB or IVP, UA, UCX, Random Urine Creantine and
                                             Calcium, Chem Profile

Testicular Mass                              Scrotal US w/ Doppler

Testicular Pain, Swelling                    Testicular US, UA, UCX

Ureterocele,                                 ALL Prior Records, Renal Bladder U/S, VCUG
Ureteral Duplication,
Ureteric Obstruction

UTI/ Pyelonephritis                          UA, UCX, Renal US, VCUG, Chem Profile

Varicocele                                   Sroctal US

Vesicoureteral Reflux                        Renal Bladder U/S, VCUG, ALL old records, UA, UCX




HPN SN 2008 Section 11 Referral Guidelines                                                       2

				
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