Before your consult

What records should I bring?

Please bring copies of your past medical records, operative notes, imaging reports, and a list of current medications.

Before surgery

Scheduling Your Surgery

  • After your appointment, Dr. Figler will send the necessary information to our surgery scheduler.
  • This process may take a few days.
  • The scheduler will then call you to review available dates.
  • If you do not receive a call within 7–10 days, please contact: Nikki Flood (Surgery Scheduler): 919-445-0449

Risks of Surgery

All surgeries carry some risks, including those related to anesthesia (such as pneumonia, heart attack, or stroke), bleeding, and infection.

Serious complications, although uncommon, may include:

  • Deep vein thrombosis (blood clots in the legs)
  • Pulmonary embolism (blood clots in the lungs)
  • Stroke or heart attack
  • Bowel or major blood vessel injury
  • Death

Risks specific to your procedure will be discussed in clinic and reviewed again when you sign your surgical consent.

Pre-Operative Appointments and Clearance

  • Dr. Figler will let you know if you need pre-op appointments or clearance letters (for example, from a cardiologist before stopping blood thinners).
  • If you are unsure, check your clinic note in MyChart under “Surgery Scheduling Checklist.”

Cost of Surgery

To receive an estimate of your costs, please call the UNC Surgery Estimate Department: 984-215-6899

Blood Thinners and Medications

The following medications are usually stopped before surgery (with your prescriber’s approval):

  • Aspirin 325 mg
  • Plavix
  • Ticlid
  • Coumadin
  • Brilinta
  • Pradaxa
  • Xarelto

If you take one of these and have not already discussed a plan with Dr. Figler, please send us a MyChart message.

Other medications to continue:

  • Aspirin 81 mg (for heart health): continue before and after surgery.
  • NSAIDs (Motrin, Ibuprofen, Aleve, Celebrex): continue before and after surgery.

Travel for Surgery

  • If traveling from outside the area, we recommend staying locally at least one night after discharge. Some surgeries require longer stays—your team will let you know.
  • Options include:
    • MedStay (free reservation service): 877-633-7829 | medstaychapelhill.com
    • Holiday Inn Express Hillsborough: ~ $90/night | 202 Cardinal Dr, Hillsborough, NC | 877-859-5095
    • Rizzo Center (UNC hotel): ~ $140/night | call 919-913-2098, code UNCFAM
    • SECU Family House (subsidized housing): $45–60/night | 919-932-8000 | referral required | secufamilyhouse.org

If driving or flying home after surgery, walk every 45 minutes to lower the risk of blood clots.

One Week Before Surgery

  • You will receive a MyChart message one week before surgery with critical information about your surgery.
  • Please read this message, follow the instructions, and let us know if you have any questions.
  • If you are not signed up for MyChart, sign up now at www.myuncchart.org/MyChart/signup

Day of surgery

Day of Surgery Guidelines

  • Most surgeries are at UNC Hospitals Hillsborough Campus (430 Waterstone Dr, Hillsborough, NC). Some are at UNC Hospitals Main Campus (101 Manning Dr, Chapel Hill, NC).
  • You will receive a call the business day before surgery with your arrival time.
  • If discharged the same day, you must have:
    • A responsible adult (age 18+) to drive you home.
    • Someone to stay with you after discharge.
    • Uber/Lyft/taxis are not allowed after anesthesia.

After surgery

General Post-Operative Instructions

  • Driving: No driving while taking pain medicine, and for at least 24 hours after anesthesia.
  • Activity: Walking is encouraged to prevent blood clots.
  • Showering: You may shower, but do not soak wounds for 2 weeks. Wash gently with mild soap, pat dry, and allow 10–15 minutes before dressing. A hairdryer on cool setting can help dry incisions.
  • Incision: Some swelling and bruising is normal, lasting 2–3 weeks.
  • Sexual activity: Avoid until cleared by your surgical team.

Post-Operative Appointment

  • A follow-up appointment will be arranged after surgery.
  • You will usually receive a call 1–2 days after surgery to schedule.
  • If you do not hear from us within 1 week, please send a MyChart message (preferred) or call.

FMLA / Work Forms

If you need FMLA or other work forms completed:

  • Upload them through MyChart (preferred), or
  • Leave them with the front desk staff.

When to Contact Us After Surgery

Red Light – Call 911 or go to the ER immediately:

  • Bleeding that will not stop
  • Trouble breathing or chest pain
  • Passing out or new seizure
  • Thoughts of harming yourself or others

Yellow Light – Call our office the same day:

  • New or worsening pain
  • Fever >101°F
  • Nausea/vomiting preventing eating or drinking
  • Shortness of breath or worsening cough with mucus
  • No urine for 12 hours
  • New swelling/pain in one leg
  • Confusion or vision changes
  • Depression/anxiety
  • Catheter or tube issues (falls out, clogged)
  • Wound problems (opens, spreading redness, pus, rapid swelling)

Green Light – Symptoms under control:

  • No new or worsening issues
  • Able to eat, drink, and take medications

Non-urgent questions: Send a MyChart message. These are triaged by staff—please allow up to 1 week for a reply. Call for urgent concerns.

Contact Information

  • Weekdays (8 AM – 4 PM): Urology Clinic 984-974-7337
  • Nights & weekends (emergency): Call 984-974-1000 and ask for the Urology resident on call