Instructions for Bowel Prep for Indiana Pouch Cystectomy Patients

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

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