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For Referring Doctors · Manipur

Referring a patient
to urology.

A quick guide for GPs, physicians and colleagues across Manipur — when to refer, how urgently, what to send, and how to reach us directly.

● Direct WhatsApp for doctors● Same-day emergency review● Printable referral slip

💬 WhatsApp a referral When to refer ↓

Dr. Nameirakpam ShantajitMBBS (SPMC Bikaner) · MS Surgery & M.Ch Urology (RIMS Imphal) · MMC Reg. No. MNP 150

Reach us directly

For doctor-to-doctor discussion and referrals.

WhatsApp the clinic: 81328 57130 (messages only)
Start your message with "Referral", your name and the patient's details
Send reports as photos or PDF on WhatsApp
Emergencies: please WhatsApp before sending the patient

When to refer

How urgently to send

A simple guide to the urgency of common urology referrals. If in doubt, message us — we're happy to advise.

Simple rule: Fever with blockage, can't pass urine despite a catheter, pain you can't control or a painful testis → emergency today. Stable patient, no fever, but possible cancer or catheter in place → urgent, within 1–2 weeks.

Emergency — send todayWhatsApp 81328 57130 before sending · unstable, infected or organ-threatening

Urinary retention that cannot be relieved — catheter fails or cannot be passed
Stone or blockage with fever or sepsis — infected, obstructed kidney (needs urgent drainage)
Renal colic with pain not controlled by injectable painkillers, or vomiting and unable to keep fluids
Anuria, or rising creatinine with blockage of both kidneys or a single kidney
Acute painful scrotum in a child or young man — suspected torsion (do not wait for a scan)
Heavy haematuria with clots or clot retention
Paraphimosis; priapism lasting more than 4 hours
Fournier's gangrene; emphysematous pyelonephritis
Fever or sepsis with a DJ stent or nephrostomy in place
Injury with blood at the urethral opening — do not attempt a catheter

Urgent — within 1–2 weeksStable, no fever · suspected cancer or needs early review

Visible haematuria in an adult, without clots — even a single episode
Raised PSA for age, or a hard / irregular prostate on examination
Testicular lump
Solid kidney mass, or complex (Bosniak III–IV) cyst on imaging
Retention relieved by a catheter — for assessment and trial without catheter
Ureteric stone with pain controlled and no fever
Hydronephrosis with normal kidney function and no fever

RoutinePlanned OPD consultation

Lower urinary tract symptoms / BPH not settling on medicines
Non-obstructing kidney stones; recurrent stone formers (metabolic work-up)
Recurrent UTI; UTI in men
Urethral stricture; weak stream with low flow rate
Overactive bladder and incontinence
Erectile dysfunction, male infertility, varicocele
Paediatric: undescended testis, hydrocele, phimosis, VUR

What to send

Making the first visit count

Referral note

Clinical summary, urgency, and the question you'd like answered — or use our printable slip below.

Recent tests

Creatinine, urine routine and culture, blood sugar; PSA for prostate referrals; blood counts if febrile.

Imaging

Ultrasound and CT reports, with the CD or films where possible — it often saves a repeat scan.

Medicines

Especially blood thinners (aspirin, clopidogrel, warfarin, newer anticoagulants), diabetes medicines and steroids.

📄 Printable referral slip

One page with all the fields we need — print a stack for your clinic.

Before referral

Useful first steps

🪨

Stone with fever

Emergency. Start IV antibiotics after cultures and send immediately — an infected, obstructed kidney needs drainage (DJ stent or PCN), not antibiotics alone. Without fever and with pain controlled — urgent, not emergency.

🔴

Haematuria

Urine culture, creatinine and ultrasound KUB. Adults with visible haematuria need cystoscopy and CT urography even if a UTI is found.

🧪

Raised PSA

Exclude UTI and recent instrumentation; repeat PSA after about 6 weeks if infection was present. Send with prostate size if known.

🚱

Retention

Catheterise (don't force). If it fails — emergency, send to the hospital emergency and WhatsApp us. If it drains, note the volume, start an alpha-blocker if appropriate and refer urgently (1–2 weeks) for trial without catheter.

🦠

Recurrent UTI

Send cultures with sensitivities; check sugar and post-void residual. Men with a UTI should always be evaluated.

🧒

Acute scrotum

Do not wait for an ultrasound if torsion is suspected — send straight to the emergency.

Available here

Diagnostics & procedures

In the OPDConsultation, ultrasound KUB, uroflowmetry, flexible cystoscopy, DJ stent removal

StonesURS, RIRS and PCNL with Thulium Fibre Laser; DJ stenting

Prostate & bladderTURP for BPH; TURBT for bladder tumours; cystoscopy

After treatmentA written summary for you, and follow-up shared with the referring doctor

Procedures are performed at Raj Medicity Hospital, Imphal. OPD timings and locations are on the home page.

Our commitment

Working together

For referring doctors

We will send a short summary back after the consultation
Patients are referred back to you for ongoing care where appropriate
We are happy to advise by message before you refer

Ethics

NAM Consultants does not pay or accept any referral fee or commission, in line with National Medical Commission guidance
Patient information shared on WhatsApp should be the minimum necessary, with the patient's consent

Questions

Frequently asked questions

How do I refer a patient urgently?

WhatsApp the clinic on 81328 57130 (messages only, no calls), start the message with "Referral", and share the key details and reports. For emergencies — an infected obstructed kidney, retention that a catheter cannot relieve, uncontrolled colic or suspected torsion — please WhatsApp us before sending the patient. Stable patients without fever but with possible cancer (visible haematuria, raised PSA, kidney mass, testicular lump) are urgent and should be seen within 1–2 weeks.

What should I send with the patient?

A referral note with the urgency, recent creatinine, urine routine and culture, blood sugar, PSA for prostate referrals, ultrasound or CT reports with the CD if available, and the current medicines — especially blood thinners.

Will I get feedback on my patient?

Yes. A short summary of the assessment and plan is sent back to the referring doctor, and patients are referred back for ongoing care where appropriate.

Do you pay referral fees?

No. NAM Consultants does not pay or accept any referral fee or commission, in line with National Medical Commission guidance.

Book a consultation

NAM Consultants, Singjamei: mornings daily 6:00–9:30 AM (Mar–Oct) / 6:30–9:30 AM (Nov–Feb), evenings 4–6 PM Mon–Sat · Raj Medicity Hospital: Mon–Sat 11 AM–1 PM

💬 Say "Hi" to book Book online

Medically reviewed by Dr. Nameirakpam Shantajit, M.Ch Urology (MMC Reg. No. MNP 150) · Last reviewed: 10 October 2026

Patient name:	Age / Sex:
Phone / WhatsApp:	Date:
Urgency: ☐ Emergency (today) ☐ Urgent (1–2 weeks) ☐ Routine
Reason for referral / clinical summary:
Relevant findings (examination, vitals):
Creatinine / eGFR:	Urine routine / culture:
Ultrasound / CT (attach report):	PSA (if relevant):
Diabetes ☐ Hypertension ☐ Heart disease ☐ On blood thinners ☐ (name): ______________
Current medicines:
Treatment already given:
Referring doctor:	Registration no.:
Clinic / hospital:	Phone:

Referring a patientto urology.