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Gaker Urology
112 S. Main St.
Middletown, OH
45042
Phone:
(513) 423-0739

Douglas L. Gaker M.D., Inc.

Specializing in Urology

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Picture of Dr. Douglas Gaker.
Dr. Douglas Gaker
Adult & Pediatric
Urologist & Surgeon


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Pre-Operative Checklist

IN ADVANCE OF YOUR PROCEDURE:

  • Make arrangements for someone to drive you home after your procedure (not necessary for patients receiving local anesthesia).  Your ride should be in the facility and readily available when your procedure is complete.
  • Make arrangements for a responsible adult to stay with you for at least 24 hours following your procedure (not necessary for patients receiving local anesthesia).

THE NIGHT BEFORE PROCEDURE:

  • Do not eat or drink after midnight.  If your procedure is later in the day, the Registered Nurse may give you instructions to have clear liquids up to 8 hours prior to your surgery.  You may take any medication the Registered Nurse has instructed you to take the day of surgery with a sip of water.

  • It is recommended that you refrain from smoking and drinking alcohol after midnight.

THE DAY OF YOUR PROCEDURE:

  • Brush your teeth, but do not swallow any water.

  • You may shower, but please do not wear any make up or perfume.

  • Wear loose fitting, comfortable clothing. Make sure that your clothes will be easy to put on after surgery, depending on your procedure, and will fit over any bandages.

  • If instructed, bring crutches/walker with you. You may leave them in the car unless you need them to enter the facility.

  • Wear flat shoes that are easy to put on.

  • Leave all valuables at home (except cash or credit card necessary for payment).

  • Remove all jewelry, including body jewelry.

  • If you wear contact lenses, you will be asked to remove them prior to your procedure. Please wear or bring your glasses and a contact case.

  • If you use oxygen, or other equipment, please bring them with you. (If you use a C-Pap machine at night, please leave this at home.)

  • Bring any inhalers or insulin with you if instructed to do so by the nurse.

  • Children having surgery are encouraged to bring a favorite toy or blanket. Young children having surgery are to have at least one parent or guardian in the facility throughout the surgery period. Children may come in their pajamas. Please bring whatever bottle or sippy cup your child uses if they can't drink from a cup.

  • To be considerate of other patients and their families, please do not bring children under the age of 12 to the Surgery Center. Also, please limit family/friends to 2 adults only.

  • Bring all insurance information and picture ID with you.

  • If you are not feeling well please call the surgery center at
    (513) 425-0930.

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    Post-Operative Instructions
    (Vasectomy)

    Vasectomy Quick Reference:

    We recommend you bring your spouse to the initial consultation so that both of you have an opportunity to ask questions and discuss any concerns you may have about vasectomy.

    Please arrange for someone to drive you home the day of your vasectomy. Go directly home and rest.

    Guide to Post Vasectomy Care:

  • You may use Tylenol for pain, but only Tylenol. Do not take aspirin or ibuprofen for 2-3 days following the procedure as they both thin the blood. You can expect some discomfort at first but lasting or significant pain is uncommon. Contact our office if you experience any sudden fever, chills, increasing pain, swelling or drainage.

  • Ice the scrotal/groin area for 4-5 hours, 20 minutes on, 20 minutes off. This will help reduce any bruising or swelling. Elevate your legs, stay off your feet and "take it easy" for the first 48 hours. (A small bag of frozen peas can be used as an ice pack and can be refrozen for re-use. Do not open and discard after use.) Do no lift anything heavier than a gallon of milk (approximately 8 pounds) for 2-3 days. Do not exert yourself.

  • In about 24 hours you may take a shower but do not allow the water to spray directly onto the scrotal/groin area. Do not take a bath for the first 4 to 5 days. You may resume your normal bathing habits in 4 to 5 days.

  • Use the gauze pad and antibiotic ointment for 2 days, changing twice a day.

  • We will require you to bring in 2 semen samples, one at 4 weeks and one at 8 weeks following the vasectomy. We will provide you with a sample cup. These can be dropped off during normal appointment hours. Do not drop them off when the doctor is not in, samples will not "keep" for long periods of time and he needs to check your sample the same day. Anyone can drop a sample off for you, please make sure you have your name on the sample cup.

    • This guide is intended to provide you with a quick reference. Please be prepared to ask Dr. Gaker detailed questions about pre and post-operative care or concerns at your initial consultation.

    Contact our office with any further questions or concerns:
    (513) 423-0739