Pre-Operative Care Instructions for Urogynecology Surgery

1) Initial Consultation for Urogynecology Surgery:

shutterstock_194748680When you visit our Center for your initial Consultation, please be sure to provide the following:

  • bullet_tickAn accurate medical history containing any and all pertinent information. Preferably, bring a copy of your current medical conditions/medical charts from your primary care physician.
  • bullet_tickA list of all the medications, vitamins, supplements, and/or herbal products you take.
  • bullet_tickThese are very important as your medical history and medication intake must be carefully reviewed prior to creating a treatment plan and surgical appointment.

2) Reduce Complication Risks Early On for Urogynecology Surgery:

  • bullet_tickDiscontinue using aspirin (including medications/products that contain aspirin), Ibuprofen, and Vitamin E. Your surgeon may direct you to quit taking others as well.
  • bullet_tickMany medications/vitamins/herbs/supplements which act as blood thinners that may cause possible excessive bleeding, bruising, and other avoidable complications.
  • bullet_tickAbstain from smoking for about 1-2 weeks before and after your surgery. Cigarettes impair blood circulation, discourage healing, and promote scarring.
  • bullet_tickAbstain from drinking alcohol for about 1-2 weeks before and after your surgery. Alcohol has an effect on liver function as well as the efficacy of antibiotic(s).

3) Pre-Operative Consultation for Urogynecology Surgery:

  • bullet_tickBefore you are admitted or undergo surgery, you will meet again with your surgeon. At this time, you should notify your surgeon of any health developments such as influenza, bladder infections, diarrhea, etc.
  • bullet_tickDuring this appointment, you will meet with your anesthesiologist. He or she will talk about anesthetic options and what he/she feels is most suitable for you (based on health condition(s), prior history, and your surgical procedure(s)).

3.1) Pre-Operative Medication Instructions for Urogynecology Surgery

3.1.1) One Week Before Surgery:
  • bullet_tickDISCONTINUE taking any and all aspirin and aspirin-containing medicines (e.g., Anacin, Excedrin®, Pepto-Bismol®). Check any cold or pain medication to make certain aspirin is not contained.
  • bullet_tickSTOP smoking cigarettes and consuming alcohol for about 1-2 weeks prior to surgery.
3.1.2) Two Days Before Surgery:
  • bullet_tickDISCONTINUE taking any and all non-steroidal anti-inflammatory medications (e.g., Etodolac [Lodine®], Fenoprofen [Nalfon®], Ibuprofen [Advil®, Motrin®, Nuprin®], Ketorolac [Toradol®], Maproxen [Aleve®], Meclofenarnate [Meclomen®], Mefenamic acid [Ponstel®], Naproxen [Anaprox®, Naprosyn®].
3.1.3) The Day of Surgery:
  • bullet_tickTry to leave all of your jewelry and valuables at home. For your convenience, there is a valuables depository located on the 4th floor of the hospital.
  • bullet_tickIf you wear contact lenses, glasses or hearing aids, please bring proper storage containers/solutions with you. These items will be stored before your procedure.
  • bullet_tickTry not to wear any makeup, especially mascara. Please remove nail polish and/or nail shellac as your nail plate and lunula must be clearly visible during surgery.
3.1.4) The Morning of Your Surgery:
  • bullet_tickDO NOT TAKE digitalis medications (Crystodigin®, Digoxin, Lanoxin®, etc.).
  • bullet_tickDO NOT TAKE oral diabetes medications (chlorpropamide [Diabinese®], glyburide [DiaBeta®, Glynase®, Micronase®], glypizide [Glucotrol®], tolazamide [Tolinase®], tolbutamide [Orinase®], etc.).
  • bullet_tickTAKE your prescribed morning insulin dose. DO NOT TAKE your insulin dose if you must drive a long distance the day of your surgery.
  • bullet_tickDO TAKE ALL of your other usual morning doses of regularly prescribed medicines with a small sip of waterDO USE your asthma inhaler(s) and make sure to bring them with you to the hospital.

3.2) Pre-Operative Diet Instructions for Urogynecology Surgery

3.2.1) 8 Hours Before Surgery:
  • bullet_tickDO NOT EAT any solid foods as your stomach must be empty. This is a very important surgical safety precaution.
  • bullet_tickDO NOT DRINK any ‘heavy’ liquids including milk-based products and gelatins.
  • bullet_tickDO NOT DRINK any juices that contain pulp (orange juice, pineapple juice, nectars, etc.)
  • bullet_tickYOU MAY DRINK up to eight ounces of clear liquids up until 6 hours before your surgery appointment. Clear liquids include water, pulp-free juices (apple juice, grape juice), black tea, and black coffee.
3.2.2) 6 Hours Before Surgery:
  • bullet_tickTAKE NOTHING PER ORAL (NPO) except for maintenance medications that are approved by the above guidelines and/or your surgeon.
  • bullet_tickBefore undergoing an operative or diagnostic procedure under Sedation or General Anesthesia, you must refrain from eating, drinking, or taking anything per oral following your surgeon’s guidelines.
  • bullet_tickThis precaution is taken to ensure your safety. When you are unconscious, complications from nausea or vomiting must be avoided. Should you vomit while unconscious, stomach fluids can flood the lungs causing serious problems such as pneumonia. These complications can easily result in an extended hospital stay and unforeseen expenses.
  • bullet_tickFor your safety, be sure to follow the NPO time given by your surgeon or anesthesiologist.

If your surgical procedure does not entail a hospital stay, we are more than happy to assist you in booking a hotel or providing accommodation recommendations. A few hotels located near the hospital offer special rates for our patients. Feel free to contact us  for more information. 

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