PATIENT AND MEDICAL INFORMATION FORMS
PATIENT PRACTICE CONTRACTS
PROCEDURE INFORMATION AND CONSENT FORMS
- Fluid hernia or congenital hydrocele
- JJ-stent placement
- JJ-stent removal
- International Prostate Symptom Score for men (IPSS)
- Kidney stone manipulation
- Laparoscopic nephrectomy
- Percutaneous Nephrolithotomy - PCNL
- Prostate ultrasound and biopsy
- Robotic-assisted laparoscopic prostatectomy
- Sexual Health Inventory for Men (SHIM)
- Testicular torsion repair
- Transurethral resection of the prostate (TURP)
BEFORE YOUR SURGERY
The patient is responsible to obtain the necessary authorization for the procedure. You will need the procedure codes and ICD 10 code (practice will provide) to obtain the authorization. Inform the practice of the authorization number 1 week prior to your procedure for the theatre booking to be done.
The patient is not allowed to drive after the procedure. Please arrange with someone to pick you up from the hospital.
If the patient gets sick (flu, coughing, fever, etc.) please phone the practice for possible cancellation of the procedure. Please take note that the time of your procedure may change at any time during the day. Do not make any other arrangements or appointments for your day of theatre.
Please contact the practice after the hospital discharge to book a follow-up appointment or procedure.
The consent must be signed before the procedure otherwise no procedure can be performed.
Testing for covid-19 infection must be done for all patients undergoing planned surgery. Because of the amount of covid-19 testing, the laboratories are under extreme pressure to provide results timeously. Therefore testing must be conducted 48 hours before the planned admission and before 10:00. Self-quarantine is mandatory from the time of testing until actual admission.
Take note: Because of the COVID-19 pandemic and for your own safety, your procedure may be canceled on short notice. Your procedure may also be rescheduled for another date and another hospital. The practice appreciates your understanding in this matter, as these circumstances are beyond the control of the practice.
Our urologists make use of different anesthetics firms. Please contact the anesthetic firm used by your urologist and familiarise yourself with the billing structure and possible co-payments.
Private patients must settle the account in full on the day of the consultation. The patient will get a quotation for the procedure. Payment for procedures must be done 2 days before by EFT or at the practice. Please email proof of payment to Practice.
PATIENTS FROM OUTSIDE OF SOUTH AFRICA
Gauteng Urology does not work with any international medical aids or any medical insurances. The patient will pay for the consultation himself and claim it back themselves.