Specialty Referral Guide

HBOT Referrals from Urology

  • OHIP-direct billing for covered indications
  • Same- or next-day urgent consults

Partner in Care

Radiation cystitis is one of the strongest evidence-supported HBOT indications. We see urology referrals for refractory hematuria and other late radiation effects in the lower urinary tract.

Referral Guide

When to Refer & What to Include

Conditions to consider for HBOT referral

  • Radiation cystitis with hematuria or refractory symptoms (OHIP-covered)
  • Fournier’s gangrene — typically post-debridement and post-discharge follow-up
  • Selected post-prostatectomy or pelvic surgery wound complications

What to include in the referral

  • Radiation history (cancer type, dose, date, field)
  • Cystoscopy findings
  • Severity and chronicity of hematuria or symptoms
  • Transfusion history if relevant
  • Prior interventions

The Evidence

Evidence Highlights

  • For radiation cystitis: Bennett 2016 Cochrane review and the RICH-ART randomized trial support HBOT for reducing hematuria and improving symptom scores.
  • For Fournier’s gangrene: post-debridement HBOT is supported by observational data.
Timing & urgency

Radiation cystitis: routine referral pathway. Patients with severe ongoing bleeding may benefit from urgent prioritization — call us to discuss.

Medical review

Dr. Vik Agarwal MD CCFP FRCPC CAQ-HP — President, Evolve Medical Group

Dr. Seema Agarwal MD CCFP CAQ-HP — Chief Medical Officer, Evolve Hyperbarics

Last reviewed: May 2026 · Next: May 2027

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