Rochester urology, p

Rochester Urology, P.C.
Robert A. Badalament, MD & Fred Lee, MD Dear Sir:
You are scheduled for transrectal ultrasound of the prostate on _______________________________
at ________ AM / PM.
Although prostate biopsies are not always performed, you should be prepared to have a prostate
biopsy. If you are on coumadin, aspirin, almost all over the counter pain medications (motrin,
aleve, arthrotec, etc), or vitamin E
discontinue these medications for 7 days prior to your
appointment. Tylenol is permissible. If you take plavix, this must be discontinued for 10 days prior to
your appointment. If you have any questions please call our office or your doctor prescribing the blood
thinners to be sure if it is safe to stop them. If your doctor does not want you to stop these
medications, please inform our office so we can properly schedule your appointment.
Occasionally patients on coumadin or plavix have severe medical disorders and cannot stop these
medications. We may decide to perform your ultrasound with the knowledge we cannot do a biopsy at
the same time. If an abnormal area is seen and needs biopsy, it will have to be done under special
conditions on another day. Additionally, when you come in for your appointment please remind
the nurse and doctor that you are still on coumadin or plavix.

Bring with you (do not send) copies of your previous history pertaining to the prostate such as prior
PSA values, prostate ultrasound reports and pathology reports from biopsies. If you have had prior
treatment for prostate cancer, please bring these records as well.
If you have had prior biopsies showing prostate cancer bring both the reports and glass slides for
review at our institution. If you have CT scans, MRI scans, bone scans or chest x-rays to stage your
prostate cancer please bring the written reports and not the actual films.
Please obtain a PSA within a month of your transrectal ultrasound of the prostate (unless you have had
a prostate biopsy within 6 weeks because the PSA will be elevated from the biopsy).
It is your responsibility to obtain any insurance clearance or authorization for this visit. If we do not
participate with your insurance, you will personable be responsible for payment in full at the time of
your appointment. Please call our office for our current fee schedule.
Many of our out of town patients (especially after prostate biopsy) may request a telephone discussion
rather than incur the expense of lodging and/or transportation for a return appointment. Telephone
discussions are not a covered benefit and will be an out of pocket expense. To facilitate telephone
discussions, we will be getting a copy of your credit card to be placed on file.
You will be billed a $50 charge for canceling an office visit after 3:00 PM the work day prior to the
scheduled appointment or for not showing up for a scheduled appointment.
Thank you for your attention to the above.
[1041 New RU TRUS Instructions 09-08-2009]


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