Greenwich Urological Associates, P.C.
Contact us at 203-869-1285
49 Lake Ave., Greenwich, CT 06830
  

Procedure Instructions

Pre- and/or post-procedure instructions for:

Intravenous Pyleogram

24 hours before the procedure stay on a liquid diet. This consists of broth, jello, fruit juices, coffee, tea, and water. The day before the test, you should take 2 ounces of Milk of Magnesia in the morning and 2 more ounces in the afternoon. The day of the test you may only have clear liquids up until the test. If you have any questions or have had any bowel problem history please contact us immediately.

Transrectal Ultrasound and Prostate Biopsy

This biopsy is done in our office under local anesthetic and general takes less than 30 minutes to complete. The procedure consists of using a needle to remove small tissue samples from the prostate for analysis.

The evening before please use a Fleet’s enema to cleanse the bowel. If your biopsy will be done late in the day, you may use the enema in the morning before the procedure. You will also need to take an antibiotic the evening before which will be provided for you by our physicians. Avoid any aspirin or aspirin containing products for 5 days prior to the procedure. If you are taking coumadin make sure to discuss this with your primary care doctor and urologist before the biopsy. Come to the office with your bladder empty.

Semen Collection for Fertility Evaluation

Please follow the directions to ensure accurate semen analysis. Four days before collection, abstain from all sexual intercourse. We will provide you with a sterile container to collect the specimen in or you may obtain one from the Greenwich Hospital Laboratory. Collect the sample after masturbation and drop it off as soon as possible at the Greenwich Hospital Laboratory. The hours for reception are 8 to 11 AM Monday through Friday. Please remember to make an office visit appointment to discuss the results.

Semen Collection Post Vasectomy

The specimen should be collected 6 weeks after the vasectomy and then repeated again at 12 weeks. The above directions should be followed, however the timing of the drop off at the Greenwich Hospital Laboratory is not as critical. Please call the office 2 days later for the results.

Post Vasectomy

After your procedure, spend the next two days resting and avoiding strenuous activities. Keep your feet elevated and apply an ice pack on both sides of your scrotum for 20 minutes at a time. You should expect to be able to return to work in 3 days depending on the level of activity required by your job. The doctor will put you on antibiotics to avoid infection and possibly a pain killer if needed. Make sure that you do not take aspirin for the pain; Tylenol is fine to take. You may shower in 48 hours after the procedure. Remember to use your normal form of birth control for the next 2 to 3 months until your sample has been analyzed.

Male and Female Urinary Catheter Care

Urinary catheters are used to drain the bladder of urine and their care is very important in order to avoid infections. The catheter is secured into the bladder by a small balloon which is inflated after insertion. There is very little risk in the catheter falling out prematurely. The catheter will be connected to a drainage bag. The flow of urine into this bag should be continuous, and if it is not you may have a blockage. If you feel as if you have to urinate, but no fluids are draining into the bag, contact the office or the emergency room. In order to prevent blockages, you should drink between 6 and 8 glasses of water a day.

The most common cause of irritation is at the tip of the penis for men and at the end of the urethra for women. These areas should be cleaned daily with mild soap and warm water. Any clear antibiotic ointment, such as Neosporin or Bacitracin, should be applied to the tip of the penis twice daily. The bag should be emptied when needed by opening the spigot and letting the urine drain into the toilet or other appropriate container. The bags can be rinsed with warm water and soap; a teaspoon of vinegar can also be rinsed through to help reduce the odor.

Catheter removal is quick, easy and painless. There is nothing to be worried about, but if you have any questions feel free to contact our office.

Cystoscopy

This procedure allows our physicians to get a visual image of both the bladder and the urethra in order to properly diagnosis a patient. A flexible cystoscope or small camera will be inserted through the urethra and into the bladder to find any possible abnormalities. During a cystoscopy a local anesthetic jelly is used to numb the urinary channel and the procedure is generally painless. The whole procedure takes about 10 minutes to complete.

You may experience slight soreness when urinating or blood in your urine after the procedure. A warm bath usually helps to alleviate this discomfort. The doctor may also give you an antibiotic prescription to prevent infection.

24 Hour Urine Collection

As the name suggest, during this process you will be collecting your urine over a 24 hour time period. When you wake up in the morning, completely empty your bladder into the toilet and record the time. This will begin your 24 hours collection period. From this point on, your urine should be collected into the container we will provide you with. Make sure you wake up the next day at the same time you woke up the day you began and collect the urine into the container. By collecting the urine in the morning you will complete your 24 hour cycle. Please drop off your specimen at the Greenwich Hospital Lab between 8 and 11 AM Monday through Friday, or process as directed by Litholink.

Autologous Blood Transfusion Program

This program, provided by the Connecticut Red Cross, allows you to collect your own blood over a period of time to be used in the possible event that a transfusion will be needed during your surgery. If your upcoming surgery has a risk that you will need a blood transfusion, this service will allow you to use your own previously stored blood. If you are interested in such a preparation, please call our office. We will call the Connecticut Red Cross and inform them of your specific needs. The Connecticut Red Cross will then contact you to provide you with donation schedules and other specifics. The collection is usually one pint of blood per week for up to five weeks before surgery. There is an expense associated with such a program. Please discuss these issues directly with your insurance company and the Connecticut Red Cross.

BCG Instillations

BCG is a medication for the treatment of bladder cancer. The treatment will have two stages of dose frequency. After your biopsy or transurethral resection, the doctor will set up the initial round of treatment which consists of 1 dose every week for six weeks. After this period is over, the treatment frequency will slow to one dose every 3, 6, 12, 18, and 24 months after your initial dose.

For the medication to be effective, it is inserted into the bladder through the use of a catheter. The catheter is usually taken out after the medicine has been introduced. It is important that the medicine stay inside the bladder for 2 hours, but if you must urinate before the time is up make sure that you inform your doctor of how long you were able to hold the medicine. Try to remain active afterwards to keep the medicine from becoming stagnant in the bladder. After the two hours have ended, you may empty your bladder. Keep up the fluid intake to flush out the bladder and prevent burning and frequency of urination.

If you experience any of the following please contact us: fevers, chills, flu-like symptoms, continuous frequency or burning when urinating, blood in the urine, or incontinence.