Preoperative Instructions for Prostate Biopsy, Aquablation, Barrigel

The time of your procedure may change. If your scheduled time changes, the facility will contact you and let you know what your new time is and when to arrive. PLEASE PLAN TO BE AVAILABLE FOR SURGERY AT ANY TIME THAT DAY

Enema

YOU MUST USE AN ENEMA (SALINE LAXATIVE FLEET) THE NIGHT BEFORE THE BIOPSY OR 2-3 HOURS BEFORE ARRIVAL TO THE HOSPITAL. A FLEET ENEMA MAY BE OBTAINED OVER-THE-COUNTER AT ANY DRUG STORE OR GROCERY STORE AND INCLUDES INSTRUCTIONS.

Diet

DO NOT eat or drink anything after midnight the night before surgery. You may take medicine on the morning of surgery with a sip of water.

Clearance

If you were instructed to obtain blood work, EKG, or medical or cardiac clearance, please contact your primary care provider to schedule.

Medications

• If you are on any blood thinners such as Eliquis (apixiban), Pradaxa (dabigatran), Xeralto (rivaroxaban), or warfarin (Coumadin), notify the surgery scheduler. You will need a plan from your prescribing doctor when to stop these medications before surgery and when to restart.

Stop one week before surgery:

• Aspirin or aspirin-like compounds NSAIDS such as ibuprofen, Advil, Nuprin, Motrin, Bufferin, Celebrex, Anacin Vitamin E, multivitamin and fish oil.

• GLPD-1 agonist injections such as Weygovy, Rybelsus, Ozempic (semiglutide), Trulicity (dulaglutide), Byetta, BCise, Bydureon (exenatide), Zepbound, Victoza, Saxenda (litaglutide), Mounjaro (tirzapatide), Lixisenatide (Adlyxin)

Stop 4 days before surgery:

• SGLT-2 inhibitors such as Steglatro (ertugliflozin)
• Medications for erectile dysfunction such as Cialis (Tadalafil), Levitra (Vardenafil), Stendra (Avanafil)

Stop 3 days before surgery:

• SGLT-2 inhibitors such as Invokana (canagliflozin), Farxiga (dapagliflozin), Jardiance (empagliflozin)

Stop 2 days before surgery:

• Viagra (Sildenafil)

Do not take the morning surgery:

• GLPD-1 agonist medication by mouth such as Rybelsus (semiglutide)
• You may continue Tylenol (acetaminophen) through surgery.

Clothing

• Please wear comfortable, loose fitting clothing the day of surgery.
• Leave jewelry and valuables at home.

Transportation

• A responsible adult (18 years of age and older) will need to provide transportation after your procedure.
• Surgical facilities do not permit patients to take taxis or any other public transportation after procedures.

Insurance

Please contact your insurance company directly for any questions regarding coverage or payment. Our office will obtain preauthorization from your insurance company; however, preauthorization is not a guarantee of coverage or payment. It is your responsibility to determine if you have coverage.

Locations

Inova Loudoun Ambulatory Surgery Center
44035 Riverside Parkway, Suite 200
Leesburg, VA 20176
Phone: (571) 209-6465
www.loudounsc.com
Please register on the website

Inova Loudoun Hospital
44055 Riverside Parkway
Leesburg, VA 20176
Preoperative Department
Phone: (703) 858-6768
www.inova.org

Reston Hospital Center
1850 Town Center Parkway
Reston, VA 20190
Phone: (703) 689-9005
www.restonhospital.com

Reston Surgery Center
1860 Town Center Drive, Suite G 100
Reston, VA 20190
Phone: (703) 639-3100
www.onemedicalpassport.com

StoneSprings Hospital
24430 Stone Springs Blvd
Dulles, VA 20166
Preoperative Department
Phone: (571) 349-4640