Many of our patients need to be seen right away. We will schedule your appointment based on the urgency of your medical situation when you call. We see non-emergency patients within one to two weeks.
Contact our receptionist at 310-423-4700. Please bring with you as much information about your diagnosis as possible. Bring the following with you to your exam:
- Any prior X-ray films (actual films needed)
- Medical records and lab reports
- A letter from your physician detailing your medical condition
This information is important in forming a treatment recommendation without duplicating any testing.
Your Institute physician will evaluate your condition. He or she will discuss management and treatment options available to you. We may need to order more tests to make a diagnosis. These may include urinalysis, X-rays or other imaging, ultrasound and blood tests. Some more complex imaging studies may be required. The Institute's staff will coordinate these if necessary.
The Urology Academic Practice schedules surgery on the spot. Our scheduler and your primary physician will coordinate this. Your primary physician will perform the pre-surgery exam and lab tests. You will have your surgery at Cedars-Sinai Medical Center. Many procedures are performed on an outpatient basis. This means you may go home after your surgery and recover in your own home.
This depends on several factors:
- How urgently the procedure is needed
- Whether other surgical team members are needed
- How quickly your primary care doctor can do your preoperative testing
Most patients plan surgery around their own schedules. Emergency surgery is handled without delay.
From the beginning, we keep your referring or primary care doctor informed. We believe it is important to communicate with your primary physician. He or she will be taking care of you before and after your surgery.
Our physicians give your doctor detailed information about your condition and treatment. If you need surgery, we will contact your physician for your pre-surgical testing. After surgery, we will send your physician an operative note and progress report.
Your surgical team will include:
- A surgeon
- An assistant surgeon or endourology fellow
- An anesthesiologist
- Endourology technicians
- Endourology nurses
Other team members may include:
- Infectious disease specialists
- Kidney specialists
- Nurse specialists
- Social workers
- Transplant surgeons
The Institute accepts most health insurance plans, Medicare and Medi-Cal. If you do not have insurance, we will arrange a financial screening. You will meet with the business office. You may discuss payment options and terms at that time.
Prior to surgery, all patients are required to undergo a preoperative physical exam and testing by their primary physician or internist. This generally involves a physical, some blood and urine testing, chest X-rays and an electrocardiogram (EKG). Some patients may need additional testing, depending on their medical status and the opinion of their primary physician. For more information click on the link below.
Medications should be discussed with your primary physician at the time of your preoperative medical clearance physical. You should not discontinue any medications that your physician does not tell you to. You may also be directed to take preoperative antibiotics or bowel cleansing medications. If these are needed, their use will be discussed with you when your surgery is scheduled, during consultation with our surgical coordinator.
This depends on several factors, including the type of surgery you have and your general medical condition. Most patients who undergo minimally invasive endoscopic surgical procedures on an outpatient basis are able to return to work activities within one week but are "up and about" the next day. Patients who have undergone laparoscopic surgery requiring an overnight stay in the hospital are generally able to return to work in about two weeks time. These are generic guidelines, and each individual case will vary. Your particular recovery plan should be discussed with your surgeon at the time of consultation.
Again, this depends on the type of surgery you have, your general medical condition and your specific job-related duties. Patients with sedentary jobs are able to return to their normal work activities sooner. Patients with more physically active jobs may require a modification of job duties to permit total healing. Your particular recovery plan should be discussed with your surgeon at the time of consultation.
Every patient is required to have a responsible adult take him or her home following surgery. Patients without transportation will be required to stay overnight in the hospital until they walk about unassisted and no longer have anesthesia in their systems. Insurance carriers do not cover hospital stays for this purpose, so if you have a planned outpatient surgery and arrive without a ride home, you procedure may be canceled. Following surgery, it is wise to have someone who can stay with you overnight to help you with medications and food. For the most part, a full time caregiver is not required (with the exception of elderly, disabled, children or patients who have undergone significant surgical procedures). For more information click on the link below.