TUNA / Prostiva Patient Instructions

Valium 5 mg # 3
Levaquin 500 mg # 6
Ultracet # 20

  • Please take one valium 30 minutes prior to your procedure. You may take a second tablet of Valium while waiting in the reception room ONLY if you are still nervous. Save the third tablet in case you will need it later.
  • Levaquin 500 mg should be taken one tablet daily. Start the antibiotics (levaquin) the day before your procedure.
  • Ultracet should be taken one to two tablets every four to six hours only if you experience pain after the procedure.
  • If you are taking Aspirin or blood thinners, they should be stopped 3 days prior to your procedure.
  • Please purchase a Fleet’s enema from your pharmacy. The enema should be used two hours prior to your procedure.
  • Please arrange transportation to and from the treatment facility.
  • Wear comfortable loose fitting clothes.
  • Decrease or eliminate your alcohol, caffeine and tobacco 48 hour prior to the procedure.
  • Blood in urine is quite common. You will be asked to remove your catheter a day prior to your follow up visit, and will be instructed how to do so.
  • Fevers are never normal after a TUNA. If you are experiencing an emergency that cannot be accommodated by an office visit the same or the next business day in either of our locations, please dial 911 or go to your nearest or favorite emergency room and ensure that Dr. Engel or Dr. Tobon are contacted to take part in your care. As a reminder, USW physicians have privileges at Reston Hospital Center, Holy Cross Hospital Silver Spring, and Holy Cross Hospital Germantown.

If you need to reschedule your procedure, kindly give us 48 business hour notice to avoid a $100 cancellation fee.


Urologic Surgeons of Washington is a proud member of Privia Medical Group. The best doctors in our community have joined together to form Privia Medical Group (PMG), a multi-specialty, high-performance medical group that puts patients first. Our physicians are united by the mission of providing better, more coordinated care for their patients.

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