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GUIDELINES FOR UROLOGIC SURGERY
RULES FOR EATING/DRINKING BEFORE SURGERY:
It is essential that you stop eating and drinking after midnight before your surgery, including small items such as chewing gum or hard candy. If your procedure is scheduled for the afternoon, the hospital may advise you to drink apple juice in the morning. Please refer to the Preparing For Surgery Booklet for more information. FAILURE TO COMPLY WILL RESULT IN YOUR SURGERY BEING CANCELLED.
Make sure to tell your urologist if you are taking blood thinners so that he can advise you if/when you should stop the medication prior to surgery. (Examples of blood thinners are: Warfarin, Coumadin, Plavix, Celebrex, Ticlid, Pradaxa, Eliquis, Ibuprofen, Aspirin.)
Metformin or Glucophage (a diabetic drug) should be stopped the day before surgery.
Any herbal supplements and/or vitamins should be stopped 7 days prior to surgery.
If you have any concern about the medications you are taking, please contact the doctor that prescribed the medication to determine whether it is safe to take before surgery.
PRE-SURGICAL APPOINTMENTS AND BLOODWORK
Please read the Preparing For Surgery booklet for hospital information. If you were advised that you will need a Pre-Surgical or Anesthetic Consult, you will need to call the phone number on Page 4 in the booklet to schedule this appointment.
There are two forms included with the booklet (Anesthetic Questionnaire, Admission Form). You will need to complete these forms and bring them with you to the Pre-Surgical appointment and/or the hospital on the day of your surgery.
If you are over 65 years of age you will need to have bloodwork and EKG done prior to surgery. You will be given a laboratory requisition to take to any lab where you normally have bloodwork done. This bloodwork should be done approximately 1-2 weeks prior to surgery. If you are over 75 years of age and booked for a Pre-Surgical Clinic appointment, this testing will be done for you at the hospital.
GETTING TO/FROM THE HOSPITAL
You will need to have a responsible adult to drive you home and stay with you for 24 hours following your surgery. If you do not have someone to pick you up from the hospital, your surgery will have to be postponed until you can make these arrangements.
Surgeries need to be performed in a specific order (example: children before adults) so your surgery time may change to accommodate this. Occasionally, a surgery date may need to be changed to accommodate a higher-priority or emergency case. Our office will keep in touch with you regarding any changes, and our staff will make every reasonable effort to ensure your scheduled date and time remain as originally scheduled.
CANCELLATION POLICY – PATIENT RESPONSIBILITY
If you wish to cancel your surgery, you must provide a minimum 2-week notice, otherwise a $150 cancellation fee will be applied. (Special exceptions, such as a sudden hospitalization will be exempted.)
BEFORE SURGERY: COMMON QUESTIONS
Will I be put to sleep for this procedure?
The doctor will advise you as to whether you will be asleep (general anesthetic) or awake (local anesthetic, or I.V. sedation) when he discusses your procedure with you in the office.
Will I have to stay overnight?
While most of our procedures are day surgeries and patients are able go home a few hours following their surgery, some cases require an overnight stay. Your surgeon will discuss this with you when you meet him in the office to discuss the details of your procedure. Regardless of whether you are having day surgery or being admitted overnight, you will need a responsible adult to drive you home and stay with you for 24 hours following your surgery.
Will I have a catheter?
Some procedures require post-operative catheterization, and some do not. Your urologist will discuss this with you when you book your surgery.
How will I know what to do with the catheter?
When we book your surgery with the hospital, we also arrange for it to be removed. If you are having a TURP or TURBT, you will also be scheduled for a Pre-Surgical appointment at the hospital, where you will receive instruction on catheter care. (Refer to Page 4 of your Preparing for Surgery booklet.) You may also refer to the Catheter Care handout on our Downloads and Resources page.
What medications can I take before surgery?
– Blood thinners must be stopped 3-7 days before surgery. (common blood thinner names include: Warfarin, Coumadin, Plavix, Celebrex, Ticlid, Pradaxa, Eliquis, Ibuprofen, Aspirin) Please confirm with your doctor which medication you are on and when you should stop taking it.
– Metformin or Glucophage (a diabetic drug) should be stopped the day before surgery
– Stop taking herbal supplements (including vitamins) 7 days prior to surgery
For any other prescription medications that are not mentioned here (example: narcotics, epilepsy medications) you should consult the doctor who prescribed that drug for guidance.
I have a cough due to cold/flu. Do I have to postpone my surgery?
The anesthesiologist will make the final assessment on whether you are fit for surgery, so prepare for surgery as normal, and go to the hospital as planned. If you cough is accompanied by fever and vomiting, then we may need to postpone your surgery until you feel better.
When will I see the doctor after surgery?
Your surgeon will advise our staff when he will want to follow up with you after surgery. Our office will book this for you and contact you via mail/e-mail after your surgery.
When can I resume normal activities?
This really depends on the type of surgery you are having. We recommend referring to the Post-Operative handout you were given at the time of surgery booking, which will have more personalized advice to the type of surgery you are undergoing.
AFTER SURGERY: COMMON QUESTIONS
When should I book my follow up?
Our office automatically books your follow up appointment after your surgery, as directed by the surgeon. We will contact you within a week after your surgery with a follow up appointment and any post-operative testing that may be required.
I think I have a urinary tract infection or bladder infection following my surgery. What should I do?
Contact our staff and ask for a requisition for a urine test, so we can ensure what type of infection, if any, which should be treated with the appropriate antibiotic.
I was given antibiotics; I am finished them now, and I would like more.
Patients are often given antibiotics to prevent infection after surgery, but do not need any more after they finish their course. However, if you feel that you may have the signs of infection, please refer to the question above.
I have a stent and/or catheter and I would like it removed early
The surgeon will direct our staff when to book your stent removal. While uncomfortable, stents are necessary to keep in for a specific time period to ensure no post-operative complications.
When can I resume normal activities?
The surgeon will advise you as to your specific case, as different types of surgery require different periods of recovery.
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