Download Patient Instructions for Calypso Marker Placement

Patient Instructions for
Calypso Marker Placement
Seven Days Before Your Procedure:
Stop taking aspirin or other aspirin-like medications 7 days before and
after your biopsy. Below is a list of medications to stop. This is not a
complete list. Please talk with your doctor if you have questions about
stopping medications.
Medication Name
Medication Name
Advil®
Coumadin®
Aggrenox®
Ecotrin®
Aleve®
Excedrin®
Alka Seltzer®
Fish Oil
Anacin®
Herbal Supplements
Anaprox®
Motrin®
Aspirin
Naprosyn®
Ascriptin®
Nuprin®
Bufferin®
Plavix®
Celebrex®
Vitamin E
You may take your other medications as normal. If you take Coumadin®,
Plavix®, Aggrenox® or other blood thinners, you must contact your
doctor to determine if you need to discontinue these medications.
Medical clearance must be provided.
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One Day Before Your Procedure:
•
Take your antibiotic as directed and continue to take for 4 days
after the procedure.
•
Use an enema the evening prior to your biopsy, follow the
directions provided with the product. Do not use an enema if you
have kidney failure.
The Day of Your Procedure:
•
You should eat a light breakfast, such as coffee, tea, juice, and
toast and a light lunch if your biopsy is scheduled in the afternoon.
•
Take antibiotics as prescribed and directed.
•
Some men feel more comfortable having someone drive them to
their appointment. This is not necessary, just a suggestion.
•
You will be asked to provide a urine sample when you arrive at the
clinic.
•
You will be given fluids to drink and asked to urinate after the
procedure before you are discharged to go home.
Where Does the Procedure Take Place?
The procedure takes place at Dr. Wei’s clinic:
University of Michigan Urology Clinic, Center for Specialty Care
19900 Haggerty Rd., Ste. 111
Livonia, MI 48152
Phone number: (734) 432-7811
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What Can I Expect After My Procedure?
•
Burning with urination - This is a normal sensation after a prostate
biopsy and is usually present for the first 24 hours, but may last
for up to three days.
•
Frequent urination - This is normal, but will gradually improve over
the first 24 to 36 hours.
•
Blood in the urine - This is normal after a prostate biopsy. Most
often the urine may be slightly red-tinged, but it may also look
darker like, red wine. The bloody urine may last from 12 hours to 3
weeks.
•
Blood in stool - This is normal. Usually this is noticed on the toilet
tissue or there may be some bloody streaking on the stool. This
may last for up to 5 days.
•
Blood in the semen - This may persist for up to six weeks after
your biopsy.
How Can I Care For Myself After My Procedure?
•
Drink plenty of fluids. Water is the best choice, but any juice is
fine. This helps to keep the urine clear of blood clots from forming
which could interfere with normal bladder emptying. In addition,
drinking fluids can help to prevent bladder infection after your
prostate biopsy.
•
Take your antibiotics as directed. Complete the full dose given.
These are to prevent any infection.
•
Do not drink any alcoholic beverages until after completing your
antibiotics.
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•
Do not take aspirin or anti-inflammatory drugs, for 7 days
following prostate biopsy. If you were taking a blood thinner such
as Coumadin® or Plavix®, check with your doctor to see when to
start taking it again.
•
Generally, you can take Tylenol® or Extra Strength Tylenol® for
pain.
•
No heavy exertion for 7 days. This includes jogging, golf, weight
lifting, and aerobic exercise.
•
No sexual activity for 7 days.
•
You may shower after 24 hours.
When Should I Call the Clinic?
If you have any of these symptoms, call the University of Michigan
Urology Clinic, Center for Specialty Care at (734) 432-7811 and ask for
Dr. Wei’s nurse. If you have these symptoms after hours, or on the
weekend, call the Paging Operator at (734) 936-6267 and ask for the
Urology Resident On-Call.
Symptoms:
•
Persistent urinary frequency/burning or difficulty emptying your
bladder. This may be a sign of infection.
•
Fever greater than 101 degree Fahrenheit. This may be a sign of
infection.
•
Urine that is cherry red or has clots.
•
Rectal bleeding that is heavy (blood clots or pure bloody stools) or
persistent bleeding that lasts more than 7 days. This may be a sign
of abnormal bleeding from your prostate.
•
Any other problems such as persistent nausea, vomiting or if
you're not recovering as expected.
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Disclaimer: This document contains information and/or instructional materials developed
by the University of Michigan Health System (UMHS) for the typical patient with your
condition. It may include links to online content that was not created by UMHS and for
which UMHS does not assume responsibility. It does not replace medical advice from your
health care provider because your experience may differ from that of the typical patient.
Talk to your health care provider if you have any questions about this document, your
condition or your treatment plan.
Author: Judy Baker, RN, BSN, OCN
Reviewers: Daniel Hamstra, MD, Ph.D.
Patient Education by University of Michigan Health System is licensed under a Creative
Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License.
Last Revised: 12/2014
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