Procedure Instructions


Bowel Prep for Surgery (If your physician orders a Prep)

The bowel prep is given to cleanse and empty the bowel of any particles. This should be done the day before your scheduled surgery date.

  1. The day before surgery you will need to be on a clear liquid diet.  This should include:
    • Jello / popsicles (no red)
    • 7-UP, Ginger Ale, Sprite, weak tea
    • Weak coffee with no creamer
    • Soup broth with no food particles
  2. You will need to purchase a bottle of Citrate of Magnesia which is found with the laxative products at most stores. Place this in the refrigerator to get cold as this makes it easier to get down. Drink the entire bottle at 2 pm the day before surgery and stay close to the bathroom.
  3. The night before surgery, from midnight on, you should not have anything to eat or drink before surgery.
  4. The anesthesiologist will look over your medications and instruct you on which medications you can take the morning of surgery with a small sip of water.

Prostate Ultrasound

  1. Use a Fleets Enema one hour and a half before leaving home the day of the procedure.
  2. An antibiotic has been called in to the pharmacy. Take as directed.
  3. **IF YOU ARE ON PLAVIX, COUMADIN, ASPIRIN, VITAMIN E, IBUPROFEN OR OTHER ARTHRITIS MEDS, OR FISH OIL OMEGA- 3, PLEASE NOTIFY US BEFORE LEAVING OUR OFFICE.**

You may eat a light meal before the procedure (toast, juice, coffee).

If you are not able to keep this appointment, please notify our office at least 48 hours in advance or there will be a $125.00 charge which is not covered by insurance.

***YOU WILL RECEIVE A BILL FOR THE PROCEDURE AND THE PATHOLOGY READING FROM PALMETTO GREENVILLE UROLOGY. YOU CAN ALSO EXPECT TO RECEIVE A BILL FROM THE LAB THAT PREPARES THE PATHOLOGY SLIDES.***

Please inform us of your insurance company name and which lab is contracted with your insurance before your procedure is performed. Our nurses will need this information from you.

Urodynamics or CMG

We ask that you come to this procedure with as full a bladder as you can tolerate, unless you are wearing a catheter.

You should have received a questionnaire and voiding diary at the time your procedure was scheduled. This is vital to the success of this procedure. We ask that you complete it to the best of your ability. The voiding diary should be kept for a period of 24 hours. Please bring this questionnaire and voiding diary to your appointment.

If you are wearing a catheter you do not need to fill this questionnaire out.

If you are going to be any later than 10 minutes we ask that you call as you may need to reschedule, the time delay will run into the next patient's appointment time.

If you are taking one of the following medications you are asked to stop taking them for five (5) days prior to the procedure unless your doctor instructs you otherwise: Ditropan(oxybutinin), Detrol, Bethanechol(urecholine), Vesicare(solifenacin), Enablex(darifenacin), Sanctura(trospium chloride), Oxytrol Patches, Gelnique, Toviaz.

Ladies, if you happen to have your menses, the procedure will need to be rescheduled as this may cause false results.

Prostatectomy

After a prostatectomy, your urologist's goal is to keep you medically safe and to help you feel better and heal as quickly as possible. Your goal must be to follow these guidelines to help make it happen.

> Download Patient Guidelines

Vasectomy

  1. Someone from our office will call and notify you of your balance due at the time of procedure.

    A Vas Ligation is an elective procedure and may or may not be covered by your Insurance company. The fee includes the following:
    Procedure - $835.00
    (Semen specimen must be checked 8 weeks after the procedure and until the doctor releases you)
  2. Please make every effort to keep your appointment, since the time required for this procedure has been reserved for you. If you are unable to keep your appointment, please notify our office at least 24 hours in advance or there will be a $100.00 charge which is not covered by insurance.
  3. Shave as much hair from around the testicles and the penis as you possibly can on the evening before or on the day when the vasectomy is to be done. Do not use any other type of hair remover.
  4. After shaving the area, wash the penis and scrotum thoroughly; shower or bathe to remove all loose hairs.
  5. It is essential you have someone to drive you to and from the office.
  6. You may eat before you come in for a vasectomy.
  7. You must use some form of birth control until the doctor has released you.
  8. If you have any questions, please be sure to give us a call at (864) 295-2131.
  9. You will need to purchase a support strap and bring it with you to your appointment. You can find these at any drugstore or Walmart.

DO NOT TAKE ASPIRIN OR ANY ASPIRIN PRODUCTS (ADVIL, ALEVE, IBUPROFEN, GOODYS POWDER, ETC) AT LEAST 10 DAYS BEFORE YOUR VASECTOMY

VASECTOMY CONSENT FORM: Download here.

AFTER YOUR VASECTOMY

  1. Go home and lie down.
  2. Apply ice pack to scrotum until you go to bed at night.
  3. Tomorrow and the next day you may be up, but no physical activity. Take it easy.
  4. You may shower tomorrow morning.
  5. Abstain from strenuous activity including sexual intercourse for one week.
  6. You may have some bruising on the scrotum, even onto the penis. This is normal. If there is heavy bleeding from the incision, call us.
  7. Some swelling is normal. If the swelling becomes severe (golf ball size), call us.
  8. Expect some discomfort. Take Tylenol, if necessary. If your doctor gave you a prescription for pain medicine, you can use it sparingly.
  9. Wear suspensory or tight fitting underwear one week following your vasectomy or until you feel comfortable without one.
  10. It is important that you keep your follow-up appointment in one week.
  11. The stitches used will dissolve on their own.
  12. Collect semen specimens in the jars provided. Specimens may be dropped off in buildings 50 & 52 between 8:00 a.m. and 3:30 p.m.
  13. Continue birth control until your doctor has checked your semen specimen(s) and has told you that unprotected intercourse is safe.
  14. If it hurts, donít do it.
  15. Do not drive if you are taking narcotics.

IVP Prep

NO solid foods 4 hours prior to injection. Clear liquids are ok (water, sprite, 7UP, Crystal Light, black coffee, chicken broth, beef broth)

If you need to take a medication with food, a piece of toast is ok to eat with that medication.