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With over 1500 surgeries performed to date Metropolitan Urological Specialists is the most experienced provider of minimally invasive surgical techniques in the greater STL Metro Area and Missouri.
Robotic Prostatectomy Guide  >  Robotic Prostatectomy Surgery Preparations   Login
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Scheduling and Preparations Before Surgery

  1. Scheduling of Surgery Date: The robotic surgery scheduler will contact you after you have your consultation visit with your surgeon. The scheduler will arrange a specific date for your surgery and go over other pertinent information. Usually surgeries are scheduled six to eight weeks after the prostate biopsy in order to allow time for the prostate to heal.
     
  2. Pathology Report and Slides: If your prostate biopsy was performed at a medical facility other than St. John’s Mercy Medical Center or Metropolitan Urological Specialists, you will need to have the pathologist send the biopsy slides and pathology report to our office for review. It is critical that we confirm the diagnosis of prostate cancer.  We may need your written permission to receive these slides.
     
  3. Medical Clearance: Before surgery, some patient’s need medical clearance from their primary physician or cardiologist stating that you are cleared for surgery. Please have your primary physician or cardiologist fax this letter to the robotic surgery scheduler at 314-251-6248. You will be informed if you need this.  All patients are required to have a pre-operative appointment and meet with the anesthesiologist.
     
  4. Pre-Operative Visit and Pre-Registration Appointment: 1-2 weeks before your surgery, you will undergo a pre-operative visit to ask any questions that you may have. You will also receive your information on your bowel prep at this time. You will also have a pre-registration appointment at the hospital and meet with an anesthesiologist.
     
    Medications, Vitamins and Supplements to Stop Taking Before Surgery

  1. Please do not take PLAVIX at least 10 days prior to surgery.
  2. Please do not take Coumadin for one week prior to surgery.
  3. Please do not take any of the following for at least two weeks prior to surgery:
     
  4. Advil Darvocet ASA Indocin Nuprin
    Anacin Ecotrin Midol Relafen
    Anaprox Excedrin Motrin Stanback
    Aspirin Feldene Naprosyn Vitamin E
    Bufferin Goody BC Norgesic Voltaren
    Clinoril Ibuprofen NSAID's  

    Also: All multivitamins and herbal supplements.

  5. PLEASE NOTE: Be sure to notify your surgeon if you are on any type of blood-thinning medications (Coumadin, aspirin, or Plavix).

  6. Instructions for the Day Prior to Surgery- Some surgeons require a bowel prep. This will be gone over at your pre-op appointment

    If you have questions prior to surgery, please call 314-315-9914.
  
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The Day of Surgery

On the day of surgery, you will need to arrive at least two to three hours before your scheduled surgery in order to be admitted to the hospital and prepare for surgery.

A waiting room is available for family and friends. Your family will get updates from the operating room as the surgery progresses, and after the operation is completed, the surgeon or a member of the surgical team will come out and talk to the family. The surgery itself takes approximately two to three hours. You will spend anywhere from one to three hours after surgery in the recovery room.
  
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