When shall I stop eating and drinking prior to surgery?
Procedures performed under general anaesthetic require you to have be fasted for 6 hours prior.
Do I have to take my regular medications?
Antihypertensive (blood pressure control) and heart rate control tablets can be taken with a sip of water.
Aspirin, Clopidogrel, Ticagrelor have to be stopped 7 days prior to surgery and sometimes longer in patients with chronic kidney disease. Some procedures can be safely performed on Aspirin.
Apixaban, Rivoroxaban need at least 48 hours for the effect of these medications to wear off in order to minimise bleeding during surgery.
Warfarin needs to be stopped 5-7 days prior to surgery and INR checked on the day. INR less than 1.3 is considered safe for surgery.
Patients with metal heart valve or cardiac stents may require bridging with other shorter acting anticoagulants perioperatively such as Heparin or Clexane.
Therapeutic doses of Clexane can be given until 24 hours prior to surgery.
Vitamin E, fish oil – please stop these medications 7 days prior to surgery
Please bring any scans (USS, CT scan, MRI, Nuclear medicine scan, PSMA) and their reports with you on the day of your first consultation and day of surgery.
I should be able to find and review your scans online in the majority of cases when your scan is done with one of the main Radiology providers in South Australia – Benson Radiology, Dr Jones and Partners, Radiology SA.
How to choose the best Urologist
- Choosing your Urologist plays an important role in the treatment process.
- It is important to be able to build a relationship with this person who will see you through the sometimes complex and long treatment process.
- Choose someone who listens and cares.
- Choose someone who has time for you even when they are late.
- Choose the one who is knowledgeable, experienced and approachable.
- Choose the one who is an excellent communicator and provides timely and accurate GP updates in order to facilitate your ongoing outpatient urology care.
- Ensure they possess adequate qualifications from recognised regulating bodies with a good reputation.
- How skilled is your urological surgeon in the procedure that they offer? Have they done any additional training in that particular procedure? What are their caseload, operative times, complications, surgical results?
- At first glance it may look that everything is the same, but the difference is in the details.
You have to read the fine print!