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Percutaneous Ablation of Renal Tumor Pre- and Postoperative Instructions

Preparations for the Procedure

Your physician will assess your imaging studies regarding size and location of the tumor to see if you are a candidate for ablation. The radiologist and urologist will help develop a plan for treatment. The procedure may require an overnight hospital stay. The only preparation is not to eat anything by mouth except medicine with sips of water for eight hours prior to the surgery. Any medication that can cause bleeding, including aspirin, Motrin, ibuprofen, Advil, Alka-Seltzer, vitamin E, Ticlid, Coumadin, Lovenox, Celebrex, Voltaren, Vioxx, Plavix, Naprosyn, Indocin, Celebrex, Bextra or any anti-inflammatory/arthritis medicines, need to be discontinued five days before the procedure. You should discuss discontinuing any medicine with your family doctor to be sure it is safe to stop.

During your appointment, your urologist will discuss your treatment options. If ablation is the option you choose, you will be scheduled for the procedure during your appointment in the Urology Clinic. The patient service coordinator will make these arrangements for you.

You will need blood work to be completed by your family doctor or primary care physician, including:

  • History and physical
  • Basic metabolic panel
  • Complete blood count (CBC)
  • Blood coagulation profile (PT/PTT)
  • Platelets
  • Urinalysis

If your procedure is being done at Johns Hopkins Bayview Medical Center, your doctor should fax this blood work to the radiology nurse station at 410-550-8188.

Please call 410-550-5731 prior to your appointment to verify receipt of lab work.

Day of arrival (Johns Hopkins Bayview patients)
You will be instructed as to what time to arrive at the first-floor Radiology Suite of the Johns Hopkins Bayview Medical Center on 4940 Eastern Ave. You will need to bring all of your X-ray films with you. On arrival to Radiology (imaging front desk) you will register and change into a hospital gown. The nursing staff will begin an IV (intravenous) line in your arm through which medicine will be given to help you relax and relieve any discomfort.

If your procedure is being done at The Johns Hopkins Hospital, your doctor should fax this blood work to the radiology nurse station at 410-614-2835 (phone: 410-502-2835).

Day of arrival (The Johns Hopkins Hospital patients)
You will be instructed as to what time to arrive at The Johns Hopkins Hospital, Blalock, fifth floor, Cardio Vascular Diagnostic Lab (CVDL). You will need to bring all of your X-ray films with you. On arrival to CVDL, you will register and change into a hospital gown. The nursing staff will begin an IV (intravenous) line in your arm through which medicine will be given to help you relax and relieve any discomfort.


What to Expect after Surgery

After the procedure you will be brought to the recovery area to be sure that you are comfortable. Once you are able to eat and urinate without difficulty, you will be discharged home. You should take it easy for the remainder of the day.

Most patients are able to resume full activities the day after the procedure. If you were on any blood thinner medicine that you discontinued prior to the surgery, you should wait 48 hours before restarting. If there is persistent blood in the urine, you should contact your physician prior to restarting these medicines.


Our Surgeon

Photo of Dr. Mohamad Ezzeddine Allaf, M.D.

Allaf, Mohamad Ezzeddine, M.D.

Professor of Urology
Associate Professor of Biomedical Engineering
Professor of Oncology
Executive Vice Chairman, Department of Urology
Director of Adult Urology
Director, Minimally Invasive and Robotic Surgery
Expertise, Disease and Conditions: Kidney Cancer, Laparoscopic Kidney Surgery, Prostate Cancer, Robotic Prostatectomy, Urology
 

Appointments

To make an appointment for consultation, please call 410-955-6100.

Directions to The Johns Hopkins Hospital

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