Generally we want patients to be fasted for 6 hours prior to an anaesthetic for elective surgery. The hospital will inform you of when to fast depending on your position on the operating list. If you are admitted the hospital the day prior for bowel prep then the nursing staff will inform you of when to fast based upon my instructions.
Take all your regular medications with a sip of water. It is particularly important for medications relating to blood pressure and control of your heart rhythm (beta blockers).
Generally Aspirin or Plavix need to be ceased 10 days prior to your operation. This is to allow your blood to recover the ability to clot effectively. Please discuss this with me so that you understand what is required prior to the procedure as it may vary depending on your medical problems and the type of procedure.
Warfarin needs to be stopped 5 days before surgery. We start injections of clexane 4 days before surgery with the last one the night before. You will need your INR checked on the day of surgery. An INR of 1.3 or less is acceptable. We will restart clexane and warfarin as soon as possible after surgery. Please discuss this with me if you have questions as the regime is tailored for each patient, depending on their medical problems.
Please avoid any medicines containing vitamin E for 10 days prior to your procedure and for two weeks after your procedure.
Notify my staff as well as the hospital that you are diabetic. We will try and put diabetic patients first on the operating list.
It is essential that you bring your CT scan or ultrasound with you when you come. This is especially important if you are having surgery for stones or cancer surgery on your kidney. It helps me immensely. If you have forgotten your CT or ultrasound please let the nurses know.
For all urological procedures I prefer to have a urine test to ensure that there is no infection. Performing elective urological surgery on patients with infected urine is dangerous. We can perform a quick urine test in the hospital or surgery may be postponed if necessary. If you have not been given a request form to have your urine checked one week prior to surgery please contact my staff.
Our goal is to ensure that your procedure goes safely and smoothly and that you feel well informed and understand what is going to happen. Some of the above pointers may help in preparing for surgery. Please contact my staff if you have any questions before surgery. I will also speak to you before and after the procedure.