Before Surgery



Please read these instructions carefully so that together we can achieve the best possible surgical results and prevent the cancellation of your surgery.

Medications (unless otherwise advised by your doctor):

  • STOP 2 weeks prior to your procedure
    • Phenteramine and All Herbal Supplements/Teas (Black Cohash, Echineasa, Ephedra, Fererfew, Garlic, Ginkgo Biloba, Ginseng, GBL/BD/GHB, Goldenseal, Hoodia, Kava, Licorice, Saw Palmetto, St John's Wort, Valerian)
  • STOP 10 days prior to your procedure
    • Aspirin or aspirin-containing medicines
    • Plavix
    • Fish Oil and Vitamin E
  • STOP 5 days prior to the procedure
    • Coumadin/Warfarin
  • STOP 2 days prior to the procedure
    • NSAIDS (Motrin, Advil, Ibuprofen, Aleve, Naprosyn, Celebrex)
  • If you take heart or blood pressure medications, please take them the morning of your procedure with a small sip of water.
  • Discuss changes in your Insulin dosage with your Primary Care provider
  • Tylenol is safe to use as a pain reliever
  • Continue all other medications. You may brush your teeth.
  • A&D Ointment or Desitan along with Cottonelle moist flushable wipes are recommended for anal irritation.

Please call the office at 410-730-1712 if you have any questions concerning these instructions.

  • Diet
    • 8 hours before your surgery: No solid food.
    • You may have Clear Liquids (liquids which you can see through...No milk, cream, or OJ) up until 4 hours before your surgery.
  • Prep
    • 2 Hours before leaving your home give yourself one Fleets enema.
    • Repeat 1 hour later with a second Fleets enema.
    • This is not necessary if  you completed a full bowel prep the day before.


  • Make sure that you have your health insurance cards with you and ?a list of any medications which you are taking, including the dosage. Be prepared to answerer questions about your medical history.
  • YOU CANNOT DRIVE YOURSELF HOME following the procedure. Please arrange for a responsible adult to drive you home. You will not be able to take a cab or bus ride home.

Please call the office at 410-730-1712 if you have any questions concerning these instructions.

Surgery Instructions


CRSA is one of the largest specialized groups of its kind in the state of Maryland. We’re committed to delivering superior, compassionate care to patients in the Baltimore area, including Howard County and Anne Arundel County. Dr. James Zalucki, Dr. Vincent Cifello, and our staff use the best and most up-to-date techniques available in our field; we place particular focus on educating our patients and on communicating effectively with healthcare providers, in order to facilitate the best outcomes.


4801 Dorsey Hall Drive
Suite 216
Ellicott City, MD 21042
Phone: 410-730-1712
Fax: 410-730-1713

1404 S. Crain Highway
Suite 111
Glen Burnie, MD 21061
Phone: 410-760-9996
Fax: 410-582-9314