With the approval of your Family Dr. or Cardiologist please discontinue your blood thinner’s [aspirin, Eliquis, Coumadin, ibuprofen, Advil, Aleve etc.] no later than one week before your prostate biopsy and for an additional three days past your biopsy.  If you need pain control before or after your biopsy you may use Tylenol, tramadol or the Norco’s we prescribed you.
 

The night before surgery do not take anything by mouth that is either food or drink.  Your anesthesiologist will guide you when and how to take your daily medications.
 

The antibiotics and pain prescriptions you were given before surgery should be filled before your surgery but not consumed before your surgery.  Consumption of your narcotics medications before surgery will result in you not receiving any further narcotic medications other than Meloxicam or smaller dose of Tramadol.
 

After your surgery you will have both a vaginal and suprapubic [lower hairline] incision. The latter will be two 5 mm puncture wounds closed with two stitches that dissolve in 3 weeks and two band aids. Your vaginal incision is longer and will self -dissolve in 3-4 weeks.  After surgery 3-4 days you may experience vaginal bleeding so please do not take blood thinning medications until three days after your surgery.
 

Please start your pain and antibiotic medication immediately upon arrival back home and call the office should you not be tolerating either your antibiotic or pain medication and Amy, Paula or Nicole will call in another prescription.
 

If after surgery you experience difficulty urinating a feeling that you need to urinate, but nothing is coming out please report to Gateway Regional Medical Center Emergency room after 5 pm or if between 8-4:30 weekdays go to our home office at 2246 South Highway 157, Glen Carbon, Illinois to potentially have a Foley catheter placed by our expert staff.
 

The use of any narcotic medications require the use of over the counter stool softeners as MiraLAX, MOM, Senekot, Dulcolax are necessary and a prescription can be given to you upon request should these stool softeners not meet your expectations.