Urology Outpatient General Instructions
One working day prior to your surgery, please call the toll free number at (866) 936-8800 between 8:00 and 11:30 a.m. Leave your name, telephone number and the date of your surgery on the voicemail system. The recovery room nurse will return your call by the end of the day. You will be given the time to report to the Admitting Office on the first floor of the Main Hospital one to two hours before your procedure. Notify your doctor if you develop a cold, sore throat, cough or other indication of illness prior to your scheduled procedure. We will then ask you to reschedule your surgery. If you must cancel your surgery, please call your doctor's office as soon as possible. If it is after 4:30 p.m. the day before your surgery, please call the Operating Room area at (734) 936-8470.
THE FOLLOWING INSTRUCTIONS CONTAIN IMPORTANT INFORMATION TO HELP YOU PREPARE FOR YOUR SURGERY
1. Unless you have a cardiac sent, stop taking aspirin, or other aspirin-like medication such as Bufferin, Excedrin, Ecotrin and Voltaren, for one week prior to your surgery. Stop taking Plavix for one week prior to surgery. If you are taking Ibuprofen (Motrin or Advil, etc.), stop taking this medication three days prior to your surgery. Please take Tylenol if you need pain relief during this time. If you are on Coumadin or another blood thinner, please notify us if we have not discussed this with you already.
2. Do not eat any solid food (including gum, hard candy or mints) after 12 midnight. Do not drink any carbonated beverages (soda pop) or milk products after 12 midnight. You may drink water only and any routine medications up to three hours before your surgery.
3. Wear loose, simple clothing which can easily be changed. Leave all jewelry and valuables at home.
4. Bring along to the hospital a responsible adult companion who will: Remain in the hospital, be available to hospital personnel during your procedure, and assist you upon discharge by driving you home with close observation of your condition.
5. Arrive at the Information Desk, first floor, Main Hospital at the time requested. Please allow for time to register and change your clothing. Hospital personnel will assist you and escort you to the designated area.
6. Please be sure to bring your blue University of Michigan Hospital card. It is necessary for admission.
After your surgery is completed, you will be taken to the recovery room where you will be cared for by special recovery room nurses and your anesthesiologist. When you are satisfactorily recovered, you will be assisted in preparing to go home. Your adult companion will then drive you home.
1. After cystoscopy, you will feel more comfortable if you stay quiet for the remainder of the day. It is normal to have discomfort and some bleeding when urinating for the first 24-48 hours, but it is important to empty your bladder every three to four hours. It is not uncommon to feel you need to empty your bladder every hour for the first day.
2. If you have difficulty urinating or any other disturbing symptoms should develop after leaving the hospital, call your doctor immediately. Between the hours of 4:00 p.m. and 8:00 a.m., call (734) 936-6267 and ask for the "Urologist on call."
3. Do not drive any motor vehicle or operated motorized equipment for at least 24 hours after your procedure.
4. Do not make any complex decisions, sign legal documents, or participate in activities potentially harmful to others, e.g., cooking, nursing infants, without supervision for at least 24 hours after your procedure. This is to allow time for the anesthetic to leave your body.
5. Do not drink alcohol for at least 24 hours after the procedure.
6. Begin your food intake slowly. Start with sips of liquids, followed by the addition of solid food as tolerated. If you do not feel like eating solids, take liquids. Nausea and/or vomiting commonly occur during this period and is not considered abnormal unless severe or persistent beyond the first day.
Due to the wide variety of insurance plans, the hospital and the physician's office are not familiar with the requirements of every patient's insurance coverage. However, pre-authorization for operative procedures is becoming an increasingly common requirement. To ensure coverage for this procedure, please contact your insurance company and your Primary Care Physician if necessary, to confirm their requirements for coverage. Without proper authorization, the procedure will not be covered by the insurance carrier.
If you have any questions, please call your Urologist's office.
revision date 10/13/10 J. S. Wolf