Contemporary memo

2000 Centre Pointe Blvd Tallahassee, FL 32308 TRANSRECTAL ULTRASOUND AND BIOPSIES
With local anesthsia
ABOUT ANESTHESIA

You will not be able to eat or drink anything after midnight the night before your surgery. This
also includes candy, gum and tobacco products. If you normally take medications in the morning
for your heart, blood pressure, thyroid or seizures, you may take these with a small sip of water when you first wake up. We will check your blood sugar when you arrive. If you use inhalers on a daily basis for asthma, you will need to bring these with you. If you use a CPAP at night when you sleep, you will need to bring that with you. If you take a narcotic medication on a daily basis for a chronic condition, you will need a family member present on admission to sign the operative
permit. NO MAKEUP, NAILPOLISH, JEWELRY OR CONTACT LENS. You will be
asked to remove dentures and glasses. Do bring a pair of warm socks for your feet. You may wear these back to the OR.
ABOUT PREOP

You will be asked to arrive 30 minutes prior to your surgery time. When you arrive you will be
asked to sign some paperwork and then you will be brought back to the preop area to be checked in. The nurse will ask you to sign consent forms. It is important that your physician has gone over the risks and benefits of your procedure and that you understand them prior to signing. Should any questions arise after your doctor has explained everything, feel free to ask the nurse and we will be happy to answer them. The nurse will take your vital signs.

Please tell your physician if you are taking any of the following medications. The following is a guideline for when they should be stopped.  ASPIRIN OR ASPIRIN CONTAINING PRODUCTS- 7 DAYS
 NSAIDS (MOTRIN, ADVIL, ALLEVE)- 7 DAYS
 LOVENOX- 2 DAYS
 TRENTAL- 3 DAYS
 PRADAXA – 3 DAYS
 PLAVIX- 5 DAYS
 COUMADIN- 5 DAYS
 TICLID- 7 DAYS
 AGGRENOX- 7 DAYS
You may take Tylenol as needed before the procedure. We may need guidance from the prescribing physician before you stop these medications. Your surgeon will let you know.
All patients must have a Fleets enema at least 2 hours prior to your arrival time. This can be
purchased at any pharmacy. You will be given a prescription for an antibiotic. Take one the night before and one the morning of the procedure. Take as directed after the procedure. Biopsies will be sent to Pathology Associates. Fees for this service, if applicable, will be billed separately by Pathology Associates. You may eat a light breakfast or lunch prior to the procedure and you may drive yourself home unless you are having general anesthesia.

ABOUT RECOVERY
You will be taken to the recovery room when your surgery is completed. When you arrive in
recovery, you will be just waking up. The nurse will be hooking you back up to the monitor to
measure your vital signs and they will ask you to take deep breaths frequently. The IV will remain in place until we are sure you can tolerate fluids by mouth and are able to urinate. We want to make you as comfortable as possible, so please let the nurse know if you have any pain or nausea. You will be in the recovery room approximately one hour if there are no complications. The doctor will usually talk with you and your family member about the outcome of your surgery and when he will see you for follow-up. When you are stable, the nurse will assist you to the bathroom to urinate. A responsible person will need to be present for the discharge instructions, sign them, and be able to drive you home. Your IV will then be removed and you will be escorted to your vehicle in a wheelchair. Should you have any problems after you have been discharged, you may
call 201-0505.

THE SURGERY
Transrectal ultrasound is a diagnostic procedure your physician has ordered to enhance the information gained by PSA , a blood test that is done to detect any abnormality in the prostate, and digital rectal exam. An ultrasound probe uses high frequency sound waves to take pictures of the prostate gland. The probe, which is slightly bigger than the doctor’s index finger is inserted into the rectum. Your prostate gland will be measured to see how big it is and biopsies will be obtained. A topical numbing agent and a nerve blocking agent will be used prior to the biopsies. This local anesthesia makes the procedure easier to tolerate. The biopsies will be sent to the pathologist to look for cancer cells.

POST OP

You will need to take it easy for 24 hours. No strenuous activity or exercise. You may resume activities of daily living. No sexual activity for 3 days. Do not strain to move your bowels. Drink plenty of fluids as this will help the blood clear faster. You will be given a follow- up appointment to get your results in approximately 2 weeks. It may take this long to get the results back from Pathology Associates. Calling our office will not
expedite reports and many of our doctors will not allow results to be given over the phone or
through the patient portal anyway.


YOU CAN EXPECT

BLOOD IN URINE FOR 1-2 DAYS
BLOOD IN YOUR NEXT BOWEL MOVEMENT
BLOOD IN SEMEN FOR 6-8 WEEKS

MEDICATIONS YOUR PHYSICIAN MAY PRESCRIBE
Antibiotics- Take as directed. Antispasmodics- Take as directed. These will help you feel less urgency and frequency. Bladder analgesic- Take as directed or as needed. These help with burning, urgency and frequency. Narcotic pain medication- Take as directed or as needed. COMPLICATIONS TO REPORT-201-0505

a. Fever greater than 101.5 degrees b. Inability to urinate c. Catheter stops draining urine d. Reaction to medication(hives, rash, itching , nausea, vomiting ,diarrhea, severe swelling ,inability IF YOU HAVE ANY QUESTIONS PRIOR TO YOUR PROCEDURE
PLEASE CALL 309-0400

Source: http://seuc.com/resources/Transrectal_Ultrasound_and_Biopsy_with_Local_Anesthesia.pdf