Before Surgery (preoperative)

Once a patient has been diagnosed with a kidney stone, there is a process to be followed to determine what treatment is best. If a doctor feels that surgical treatment is probably necessary, they are asked to send to the Center xrays or imaging studies from the patient, a medical history and physical exam, insurance information; and patient information including name, address, and telephone number so the patient can be contacted. The Center then reviews the medical information, verifies the insurance coverage, and the urologists at the Center review the case and studies making a recommendation as to the best treatment. We do have a procedure for reviewing cases where there is no insurance coverage.

There is a mandatory second opinion rendered agreeing as to the best treatment. If the case is to be treated at the Center, the case is then scheduled with the patient and referring doctor’s office. Once scheduled, the patient is given specific instructions as to diet, when to stop eating and drinking, and what medications to take and what not to take. (See the restricted Medication list) The patient is told when to appear at the Center for treatment. If these instructions are not followed, the case may be cancelled. The patient and referring urologist are also told what laboratory tests are necessary before treatment. Depending upon the patient’s medical condition the tests required may be minimal or extensive and may include blood tests, urine tests, xrays, and cardiograms. These tests should be done 1-2 weeks before surgeryand sent to the Center. Our staff reviews all the information 1-2 days before treatment to make sure that treatment will be safe.