Extracorporeal Shockwave Lithotripsy Preoperative Instructions

The time of your procedure may be subject to change depending on the facility. If your scheduled time changes, the facility will contact you and let you know what your new time is and when to arrive. PLEASE PLAN TO BE AVAILABLE AT ANY TIME THAT DAY.

Clearance

If you were instructed to obtain blood work, EKG, chest x-ray or medical or cardiac clearance, please contact your primary care provider to make arrangements.

Diet

Follow a Clear Liquid Diet the day before the procedure. This minimizes stool and gas in the colon to improve vision of the stones during surgery.
DO NOT eat or drink anything after 12:00 midnight the night before the surgery.

Medications

If you are on any blood thinners, such as Eliquis (apixiban), Pradaxa (dabigatran) or warfarin (Coumadin), notify the surgery scheduler. You will need a plan from your prescribing doctor when to stop these medications before surgery and when to restart.

Stop one week before surgery: Aspirin or aspirin-like compounds NSAIDS such as ibuprofen, Advil, Nuprin, Motrin, Bufferin, Celebrex, Anacin Vitamin E, multivitamin and fish oil GLPD-1 agonist injections such as Weygovy (semiglutide), Ozempic (semiglutide), Trulicity (dulaglutide), Byetta, Bydureon (exenatide), Victoza, Saxenda (litaglutide), Mounjaro (tirzapatide).

Stop 4 days before surgery: Steglatro (ertugliflozin).

Stop 3 days before surgery: SGLT-2 inhibitors such as Invokana (canagliflozin), Farxiga (dapagliflozin), Jardiance (empagliflozin).

Do not take the morning surgery: GLPD-1 agonist medication by mouth such as Rybelsus (semiglutide).

You may continue Tylenol (acetaminophen) through surgery.

Transportation

A responsible adult (18 years of age and older) will need to provide transportation after your procedure. Surgical facilities do not permit patients to take taxis or any other public transportation after procedures. It is highly recommended that they stay with you after discharge for the rest of the day.

Preauthorization

Our office will obtain any necessary preauthorization from your insurance company. If you have questions regarding coverage/payment, please request the CPT procedure code from our office and call your insurance company.

Surgery Locations

Reston Hospital Center
1860 Town Center Drive, Suite G 100
Reston, VA 20190
Phone: (703) 639-3100
www.onemedicalpassport.com

StoneSprings Hospital Center
24430 Stone Springs Blvd
Dulles, VA 20166
Preoperative Department
Phone: (571) 349-4640