Required Medical Clearances

Obtain all necessary medical clearances prior to surgery, including cardiac clearance if you have a history of heart disease, pacemaker, stents, or recent cardiac events.
Other specialty clearances (e.g., pulmonology, hematology) may be required based on your medical history.
Bring copies of clearance letters or ensure they are sent directly to the Surgery Center.

Medications & Supplements

Stop any medications or supplements that may thin your blood at least 7 days prior to your procedure unless otherwise instructed. Examples include aspirin, ibuprofen, naproxen, fish oil, vitamin E, ginkgo biloba, and certain prescription anticoagulants.
If you are on prescription blood thinners such as warfarin, apixaban, rivaroxaban, or clopidogrel, discuss specific instructions with your prescribing doctor and our surgical team.

Fasting (NPO) Guidelines

No solid food after midnight before your procedure unless otherwise instructed.
You may drink clear liquids (water, black coffee, tea without cream, clear juices without pulp) up until 2 hours before arrival.

GLP-1 Medication Policy

If you are on GLP-1 receptor agonist medications (e.g., Ozempic, Wegovy, Mounjaro), do not take your injection for 1 week prior to your procedure.
If you have taken your GLP-1 injection within the week before surgery, you must be on clear liquids only the day before your procedure.

Special Instructions for Prostate Biopsy

If you are scheduled for a prostate biopsy, please use a Fleet’s enema exactly 2 hours prior to your scheduled procedure time.

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