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Urologic Surgeons of Washington

Bowel Prepatation Instructions

Bowel Prep - Mechanical Only

1. Start a clear liquid diet early in the morning on the day prior to your surgery date. A clear liquid is any liquid that you can see through. Examples of clear liquids are water, apple juice, gatorade, tea, black coffee (without milk), etc. Refrain from drinking OJ, milk, etc.
2. On the day prior to your surgery start your mechanical bowel prep: Golytely – 4 liters (1 gallon) by mouth starting around 10-11 am and finish by 2 pm.
3. Please do not eat or drink anything the day of your scheduled surgery.
4. DO take your normal medications on the day of surgery as instructed by your surgeon and primary care physician. Use small sips of water to take the medications.

Bowel Prep - Mechanical and Antibiotics (All Dr. Engel patients)

1. Start a clear liquid diet early in the morning on the day prior to your surgery date. A clear liquid is any liquid that you can see through. Examples of clear liquids are water, apple juice, gatorade, tea, black coffee (without milk), etc. Refrain from drinking OJ, milk, etc.
2. On the day prior to your surgery start your bowel prep:
   1. Golytely - 4 liters (1 gallon) by mouth starting around 10-11 am and finish by 2 pm.
   2. Neomycin 1 gram by mouth at 5PM, 7PM, and 9PM on the day prior to surgery.
   3. Metronidazole 500 mg by mouth at 5PM, 7PM, and 9PM on the day prior to surgery.
3. Please do not eat or drink anything the day of your scheduled surgery.
4. DO take your normal medications on the day of surgery BUT ONLY as instructed by your surgeon and primary care physician. Use small sips of water to take the medications.