Urology Referral Intake & Hematuria Triage Automation

Urology Inbound Referral Challenges

Urology clinics receive referrals spanning urgent oncology consults (e.g., gross hematuria, elevated age-adjusted PSA), acute nephrolithiasis (kidney stones), and chronic elective conditions (benign prostatic hyperplasia, urinary incontinence, erectile dysfunction).

According to the American Urological Association (AUA) guidelines, gross hematuria in adults warrants expedited cystoscopy and multiphasic CT urography. In many practices, however, a fax referral for gross painless hematuria is sorted alongside routine vasectomy inquiries, risking delayed detection of urothelial carcinoma.

Sycana Urology Intake Automation

1. Clinical Diagnostic Extraction

Urinalysis & Culture: Distinguishes true microscopic hematuria (≥3 RBCs/HPF on microscopic exam) from dipstick false positives or active bacterial cystitis.
Prostate-Specific Antigen (PSA): Extracts total PSA, free PSA percentage, PSA velocity, and compares values against age-adjusted normal ranges.
Renal & Pelvic Imaging: Detects whether renal ultrasound, non-contrast CT, or CT urogram reports are attached to the referral.

2. Urology Triage (1–5 Urgency Scale)

Level	Clinical Urgency	Examples	Target Scheduling SLA
Level 1	Emergent	Testicular torsion, acute urinary retention with failed catheterization, septic stone	Immediate ED/urologist escalation
Level 2	Urgent	Gross painless hematuria, solid testicular mass on ultrasound, rapidly rising PSA (>10 ng/mL)	Consultation within 48–72 hours
Level 3	Semi-Urgent	Asymptomatic microscopic hematuria (AUA high risk), ureteral stone with managed pain, renal mass	Evaluation within 1–2 weeks
Level 4	Routine	BPH with moderate LUTS, recurrent uncomplicated UTIs, hydronephrosis follow-up	Routine scheduling (2–4 weeks)
Level 5	Elective	Elective vasectomy consultation, erectile dysfunction, mild Peyronie's disease	Standard queue

3. Cystoscopy Suite Scheduling

Sycana AI pairs clinical urgency with procedure room availability, allowing urology schedulers to coordinate initial consultation and office cystoscopy slots in a unified booking flow.