08_Approach copy

The following are pre-operative preparation checklists our patients follow before their surgery. If you have any questions or concerns about any items on our checklists, please contact our office immediately to ensure a smooth operation.

Please note that someone from the hospital will call you the day before surgery to tell you where to go and what time. 



 

General Instructions Before Your Procedure
Instructions for Bowel Prep For Ileal Conduit Cystectomy Patients
Instructions for Bowel Prep For Indiana Pouch Cystectomy Patients
Instructions for Bowel Prep For Neobladder Cystectomy Patients
Pre-Surgery Prep for Partial Cystectomy Patients
Instructions Before Nephrectomy
Pre-Surgery Prep for Partial Nephrectomy Patients
Prostatectomy Pre-Op Checklist
Pre-Operative Instructions for Retroperitoneal Lymph Node Dissection Patients
How to do Kegel Exercises

 

General Instructions For Patients Undergoing Surgery:

The hospital will call you the day before to tell you where to go and what time. Please adhere to the following instructions:

1. Do not eat or drink anything after midnight the night before your procedure.

2. Do not take any aspirin, Coumadin, Motrin, vitamins or herbal supplements for seven days before the procedure (Tylenol is OK).

3. If you usually take your blood pressure medication in the morning, please take it with a very small sip of water the morning of your surgery.

4. Please make arrangements to have an escort take you home.

Printable General Instructions for Patients Undergoing Surgery
 
 

Instructions for Bowel Prep for Ileal Conduit Cystectomy Patients

** 2 Days Before Surgery: Patient May East Breakfast Before 9am. Everything After Clear Liquid Diet.

1. Patient should start a clear liquid diet for 48 hours prior to surgery (2 days). This is anything that you can see through (clear broth, apple juice, cranberry juice, 7-up, etc.).

2. AT 3 PM the day before surgery: Drink 1 10-OZ bottle of magnesium citrate (can be purchased in pharmacy over-the-counter).

3. Drink plenty of fluids (again, clear liquids), especially the day before surgery.

4. Take 1 Tablespoon of Mineral Oil at bedtime the night before surgery.

5. Nothing to eat or drink after midnight the night before surgery.

6. Discontinue any aspirin, Coumadin or anti-inflammatory medications 7 days before surgery. Also, discontinue any vitamin or herbal preparations 7 days before surgery (Tylenol is OK).

7. If you are a diabetic, please check with your doctor regarding your diabetes medication, as you will be on a clear liquid diet for 2 days.

8. If you take blood pressure medications in the morning, please take them with a very small sip of water the morning of your surgery.

Printable Instructions for Bowel Prep for Ileal Conduit Cystectomy Patients
 
 

Instructions for Bowel Prep for Indiana Pouch Cystectomy Patients

** 2 Days Before Surgery: Patient May East Breakfast Before 9am. Everything After Clear Liquid Diet.

1. Patient should start a clear liquid diet for 48 hours prior to surgery (2 days). This is anything that you can see through (clear broth, apple juice, cranberry juice, 7-up, etc.).

2. Start the Fleet Prep Kit #1 the day before surgery. Follow the 24-hour instructions provided in the kit (this kit can be purchased over the counter at the pharmacy).

3. Erythromycin 1 GM at 1pm, 2pm and 6pm the day before surgery (RX given).

4. Neomycin 1GM at 1pm, 2pm and 6pm the day before surgery (RX given).

5. Fleet’s Enema: take one the night before surgery and one the morning of surgery (2 enemas).

6. Drink plenty of fluids (again, clear liquids), especially the day before surgery.

7. Take 1 Tablespoon of Mineral Oil at bedtime the night before surgery.

8. Nothing to eat or drink after midnight the night before surgery.

9. Discontinue any aspirin, Coumadin or anti-inflammatory medications 7 days before surgery. Also, discontinue any vitamin or herbal preparations 7 days before surgery (Tylenol is OK).

10. If you are a diabetic, please check with your doctor regarding your diabetes medication, as you will be on a clear liquid diet for 2 days.

11. If you take blood pressure medications in the morning, please take them with a very small sip of water the morning of your surgery.

Printable Instructions for Bowel Prep for Indiana Pouch Cystectomy Patients
 
 

Instructions for Bowel Prep for Neobladder Cystectomy Patients

** 2 Days Before Surgery: Patient May East Breakfast Before 9am. Everything After Clear Liquid Diet

1. Patient should start a clear liquid diet for 48 hours prior to surgery (2 days). This is anything that you can see through (clear broth, apple juice, cranberry juice, 7-up, etc.).

2. AT 3 PM the day before surgery: Drink 1 10-OZ bottle of magnesium citrate (can be purchased in pharmacy over-the-counter).

3. Drink plenty of fluids (again, clear liquids), especially the day before surgery.

4. Take 1 Tablespoon of Mineral Oil at bedtime the night before surgery.

5. Nothing to eat or drink after midnight the night before surgery.

6. Discontinue any aspirin, Coumadin or anti-inflammatory medications 7 days before surgery. Also, discontinue any vitamin or herbal preparations 7 days before surgery (Tylenol is OK).

7. If you are a diabetic, please check with your doctor regarding your diabetes medication, as you will be on a clear liquid diet for 2 days.

8. If you take blood pressure medications in the morning, please take them with a very small sip of water the morning of your surgery.

Printable Instructions for Bowel Prep for Neobladder Cystectomy Patients
 
 

Instructions for Pre-Surgery Preparation for Partial Cystectomy Patients

1. Starting the day before surgery: Patient May East Breakfast Before 9am. Clear liquid diet is to be followed throughout the day.

2. Remain on clear liquids up until midnight. Nothing to eat or drink after midnight the night before surgery.

3. If you are a diabetic, please check with your doctor regarding your diabetes medication, as you will be on a clear liquid diet for 1 day.

4. If you take blood pressure medications in the morning, please take them with a very small sip of water the morning of your surgery.

5. Discontinue any aspirin, Coumadin or anti-inflammatory medications 7 days before surgery. Also, discontinue any vitamin or herbal preparations 7 days

Printable Instructions for Pre-Surgery Preparation for Partial Cystectomy Patients
 
 

Pre-Operative Instructions for Patients Undergoing Nephrectomy

1. Starting the day before surgery: Patient May East Breakfast Before 9am. Clear liquid diet is to be followed throughout the day.

2. AT 3 PM the day before surgery: Drink 1 10-OZ bottle of magnesium citrate (can be purchased in pharmacy over-the-counter).

3. Nothing to eat or drink after midnight the night before surgery.

4. Discontinue any aspirin, Coumadin or anti-inflammatory medications 7 days before surgery. Also, discontinue any vitamin or herbal preparations 7 days before surgery (Tylenol is OK).

5. If you take blood pressure medications in the morning, please take them with a very small sip of water the morning of your surgery.

Printable Instructions for Patients Undergoing Nephrectomy
 
 

Pre-Operative Instructions for Patients Undergoing Partial-Nephrectomy

1. Starting the day before surgery: Patient May East Breakfast Before 9am. Clear liquid diet is to be followed throughout the day.

2. Nothing to eat or drink after midnight the night before surgery.

3. Discontinue any aspirin, Coumadin or anti-inflammatory medications 7 days before surgery. Also, discontinue any vitamin or herbal preparations 7 days before surgery (Tylenol is OK).

4. If you are a diabetic, please check with your doctor regarding your diabetes medication, as you will be on a clear liquid diet for 1 day.

5. If you take blood pressure medications in the morning, please take them with a

Printable Instructions for Patients Undergoing Partial-Nephrectomy
 
 

1. One day before surgery: Patient May East Breakfast Before 9am. Everything After Clear Liquid Diet.

2. AT 3 PM the day before surgery: Drink 1 10-OZ bottle of magnesium citrate (can be purchased in pharmacy over-the-counter).

3. Drink plenty of fluids (again, clear liquids), especially the day before surgery.

4. Fleet’s Enema: take one the night before surgery and one the morning of surgery (2 enemas).

5. Nothing to eat or drink after midnight the night before surgery.

6. Discontinue any aspirin, Coumadin or anti-inflammatory medications 7 days before surgery. Also, discontinue any vitamin or herbal preparations 7 days before surgery (Tylenol is OK).

7. If you take blood pressure medications in the morning, please take them with a very small sip of water the morning of your surgery.

8. If you are a diabetic, please check with your doctor regarding your diabetes medication, as you will be on a clear liquid diet for 2 days.

Printable Instructions for Patients Undergoing Prostatectomy
 
 

Pre-Operative Instructions for Retroperitoneal Lymph Node Dissection Patients

1. 2 Days Before Surgery: Patient May East Breakfast Before 9am. Everything after should be a clear liquid diet.

2. Drink plenty of fluids (again, clear liquids), especially the day before surgery.

3. AT 3 PM the day before surgery: Drink TWO 10-OZ bottle of magnesium citrate (can be purchased in pharmacy over-the-counter).

4. Take 1 Tablespoon of Mineral Oil at bedtime the night before surgery.

5. Fleet’s Enema: take one the night before surgery and one the morning of surgery (2 enemas).

6. Nothing to eat or drink after midnight the night before surgery.

7. Discontinue any aspirin, Coumadin or anti-inflammatory medications 7 days before surgery. Also, discontinue any vitamin or herbal preparations 7 days before surgery (Tylenol is OK).

8. If you take blood pressure medications in the morning, please take them with a very small sip of water the morning of your surgery.

9. If you are a diabetic, please check with your doctor regarding your diabetes medication, as you will be on a clear liquid diet for 2 days.

Printable Instructions for Patients Undergoing Retroperitoneal Lymph Node Dissection
 
 

Clear Liquid Diet Guidelines

Clear liquids are basically anything you can see through. When having soups, make sure you can see through them and that they have no pieces of vegetables. When having Jell-O or frozen ices, there should be no pieces of fruit.

Soups

You may have as much as you desire of the following:

  • Clear Consomme
  • Broth & Packaged Broth
  • Bouillion

You may not have any other type of soup, not even puree.

Fruit Juice

You may have as much as you desire of the following:

  • Apple Juice
  • White Grape Juice
  • Cranberry Juice

You may not have any other type of juice.

Other Beverages

You may have as much as you desire of the following:

  • Sanka
  • Weak Tea
  • Postum Coffee (black)

You may not have milk, milk products, cream, or any other beverages.

Desserts

You may have as much as you desire of the following:

  • Jell-O
  • Frozen Ices
  • Gelatin

You may not have icre cream or any other types of dessert.

Sweets

You may have as much as you desire of the following:

  • Granulated Sugar
  • Sugar Candy
  • Gum

You may not have any other type of sweets.

Printable Instructions for Clear Liquid Diet
 
 

Here is the Kegel exercise routine as developed at Beth Israel Hospital in Boston*.

1. While standing, squeeze the pelvic muscles and hold for up to 10 seconds. This is the squeezing you do to stop urination, a tightening up of the buttocks and anus. Remember to breathe while squeezing. It may help to count out loud.

2. Relax for a count of 10.

3. Repeat as often as you can, up to 15 times, until you are tired or unable to keep squeezing for the full 10 seconds.

4. Relax for a minute or so.

5. Do a short-cycle exercise. Squeeze for one second, then relax for a second. Repeat that 10 times, then rests for a moment.

6. Repeat the short-cycle pattern 10 times.

7. Do the exercises as often as your doctor allows. Exercise only the pelvic muscles. There is no benefit in tensing up other muscles during the routine.

6 cycles per day = totaling 60 mins ( 1 hour)
1 cycle = 10 short repetitions + 10 long repetitions with equivalent relaxation period.
1 cycle should take 10 minutes to complete.

*Taken from the American Cancer Society’s Informed Decisions: The Complete Book of Cancer Diagnosis, Treatment and Recovery.

Printable Instructions for Kegel Exercises