Introduction: Telemedicine is using telecommunication tools for education, evaluation, decision-making and treatment Urology is well suited to potentially lead it as a surgical subspecialty 1 Telemedicine has the power to make doctor visits more efficient2 such as outpatient hematuria referrals 3 Aim: early, safe and cost effective Urology outpatient clinic department (OPD) Methods: Urology electronic OPD appointments (patients >14 years) were reviewed one month ahead in AlWakra Hospital during (November 2019 – February 2020) Inclusion: new patients with incomplete workup, follow up patients whom new workup did not show abnormality Exclusion: patients need to attend for physical exam, abnormal labs/imaging, counselling for surgery, suspected malignancy or non compliance (medical record) Patients were called by hospital telephone, assessed, instructed to do labs/imaging (requested electronically), given refill medications and their future clinic appointment was managed accordingly All cases were registered electronically for quality control Patient satisfaction survey was carried out Results: 169 patients, age (16–89) years Eligible patients approached by telephone were 106, out of whom 82 responded (4 new, 78 follow up) Outcome of telecommunication (82): 28 refilled medications and rescheduled, 13 discharged from Urology clinic, 5 cancelled (double appointment), 5 booked into dedicated stone clinic and 31 instructed to complete workup/or refilled medications Gained OPD slots were 51 Patients with exclusion criteria, not responding or asked to attend, had kept original appointment Satisfaction survey: 75 satisfied, 3 not satisfied and 4 not sure Conclusion: Telemedicine in Urology clinic is applicable, offers early, safe, and cost effective management