What to Expect Before Your Prostate Surgery

Preparation for Prostate Cancer Treatment

Your primary care physician and/or urologist will assist you with the required preoperative tests. These tests should be done approximately three weeks before surgery. If you have any questions regarding pre-operative tests please contact Dr. Gholami or call 408-358-2030.

You will need an EKG, complete blood count, urine analysis, prostate ultrasound report, prostate pathology report, and chest x-ray.

Specific Pre-operative Instructions

1 month prior to surgery

  • Schedule pre-operative testing. This testing should be completed no sooner than four weeks prior to the date of surgery to ensure the results are current. This testing will help to ensure that we have not overlooked any serious medical complications with surgery. Pre-operative testing generally consists of a chest X-ray, routine blood testing, and an ECG (electrocardio gram, an electrical map of your heart that can reveal and diagnose electrophysiological problems with your heart). These tests can be done by your primary care physician or we can help arrange them for you.
  • Initiate a regular routine of male kegel exercises. These exercises strengthen the pelvic floor muscle group which are involved in stopping the flow of urine. By building them up now, you will speed up your return to continence after surgery. Also, strengthing the pelvic floor muscles improves orgasmic function, and thus will help you preserve and regain potency. In the interest of continence and potency, it is essential you begin a consistent regiment as soon as possible and continue to maintain it faithfully after surgery.
  • STOP taking most herbal supplements believed to be detrimental to your pre-surgery health. This includes: St. John’s Wort, Ma Huang, kava kava, ephedra, licorice, pennyroyal, germander, chaparral, borage, coltsfoot, comfrey, life root, sassafras, aristolochia fangchi.
  • STOP taking supplements that act as blood thinners and increase the chance of excessive bleeding during surgery including: ginko biloba, garlic, gensing, dong quai, willow, red clover.
  • STOP taking Vitamin E before surgery because it too can increase the risk of excess bleeding during surgery.

10 days prior to surgery

  • STOP taking any aspirin products, they increase your chance of excess bleeding during surgery.
  • STOP taking any Motrin (ibuprofen) or related non-steroidal anti-inflammatory drugs.
  • STOP blood thinners like Coumadin or Warfarin 72 hours prior to surgery. You should ask the doctor who prescribed this medication, if it is okay to STOP taking this medication in light of your impending surgery. While it is generally beneficial to stop taking these 7 days prior surgery, in certain cases it is not advisable. If your doctor does NOT allow you to discontinue taking these medications, please contact us.
  • Absolutely NO Alcohol or alcoholic beverages 48 hours prior to surgery and 48 hours after surgery. These can have disasterous consequences on the surgery as well as the anesthesia.

The Day before Surgery

  • Follow a clear liquid diet with lots of water, NO milk products.
  • Do a Fleet enema at 3-5PM to help clean yourself out.
  • After MIDNIGHT before surgery do not eat or drink anything. If you are scheduled for an afternoon surgery, you may drink water up to 7 AM the day of surgery, but NO later.
  • You may and probably should take any of these if they are currently prescribed to you:
  • DO NOT take Water Pills, Diabetic Pills… in addition to anything you have previously stopped taking in preparation for surgery (remember this includes aspirin, motrin, coumadin, warfarin)
  • Bring all medications currently prescribed to you in their labeled containers with you to the hospital.
  • Leave non-essential valuables (such as watches, jewelry, cell phones) at home to reduce the chance of misplacing or losing them in the hospital.
  • If you wear glasses, contact lenses, false teeth or related personal items remember to bring a case to store them in during surgery.

If you have any questions about these instructions, including what you should and should not be taking and any other questions, please contact us.
We recommend that you print these instructions out and keep them handy during the time leading up to your surgery. These instructions are given in your best interest and should be followed as carefully and closely as possible.

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