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This allows your surgeon to precisely locate the stone within the kidney and place a small needle through the skin under xray guidance to directly access the stone. Once anesthesia is administered, your surgeon will perform cystoscopy (telescopic examination of your bladder) and instill xray dye or carbon dioxide into your kidney through a small catheter placed up through the ureter or drainage tube of the affected kidney to “map” the branches of the collecting system. PCNL is performed under general anesthesia with the patient lying face down on their abdomen. Therefore if you suspect that you may have a urinary tract infection (burning on urination, blood in the urine, urinary frequency and urgency, fevers), please notify your surgeon immediate so that proper cultures and treatment may be provided.
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It is very important that your urine remain free of infection prior to PCNL.Signs and Treatment of Urinary Infections Prior to Surgery: A formal list of these medications and others will be provided to you by our Surgery.Aspirin, Motrin, Ibuprofen, Advil, Alka Seltzer, Vitamin E, Ticlid, Coumadin, Lovenox, Celebrex, Voltaren, Vioxx, Plavix.Do not stop any medication without contacting the prescribing doctor to get their approval. Please contact your surgeon’s office if you are unsure about which medications to stop prior to surgery. Many of these medications can alter platelet function or your body’s ability to clot and therefore may contribute to unwanted bleeding during surgery. The following is a list of medications to avoid at least 7-10 days prior to surgery.Comprehensive Metabolic Panel (blood chemistry profile).During this consultation you will have the opportunity to speak to the anesthesia staff regarding the types of anesthesia available and the risks/benefits. These will be performed through a preoperative anesthesia consultation at the Presurgical Center at UF & Shands that will be arranged for you at your initial visit. Once your surgery date is secured by one of our Surgery Scheduling Coordinators, the items listed below will be ordered as necessary based upon your age, medical history and risk for surgery.If your surgeon determines that you are a candidate for PCNL, you will then meet with a Surgery Scheduling Coordinator to arrange for the date of your operation. All options for treatment of your stone(s) will be discussed at this time as well as the risks and benefits of each treatment. A urinalysis will also be performed at your initial visit. Your surgeon will review your medical history and perform a brief physical examination. KUB, CT scan, MRI, sonogram) and reports to bring to your surgeon for review.
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Prior to your initial consultation, it is important for patients to obtain all Xray films (e.g.What to expect during you preoperative consultation: GATORBITES | News from the UroGators Alumni Societyĭirector of MIS Education and New Technologies Gator Bites: News from the UroGators Alumni Society University of Florida Urology Endourology/Minimally Invasive Surgery Fellowship Where Do Our Residents Go For Fellowship?Įndourology/Minimally Invasive Surgery Fellowship Program What Are UF Urology Residents Publishing? Multidisciplinary MRI Fusion Prostate Biopsy ProgramĪorta-Lesion-Attenuation-Difference (ALAD)
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