Surgery and Diabetes/Weight Loss Drugs?

The final frontier. Deciding when, if and how.



Courage
Posts: 107
Joined: Thu Oct 26, 2023 8:51 pm

Surgery and Diabetes/Weight Loss Drugs?

Postby Courage » Wed Nov 27, 2024 5:10 pm

I scheduled surgery today and the lady I talked with said I'd need to stop Mounjaro (same drug as Zepbound, similar to Ozempic/Wegovy) a week beforehand.

If you are on one of these medications, how long did they tell you to wait *after* surgery before resuming? It's put my diabetes in remission and helped with my weight significantly so I'd rather not interrupt too long.

I did ask but she didn't know. I'll ask the doctor but I think I've tried his patience with questions for a little while. :lol:
Middle-aged SGM with lifelong ED. IPP Implanted January 2025. IPP explanted due to infection February 2025 and replaced with salvage malleable. Looking to get revision.to IPP.

wilsonmill
Posts: 387
Joined: Mon Mar 11, 2019 9:50 am
Location: Raleigh NC

Re: Surgery and Diabetes/Weight Loss Drugs?

Postby wilsonmill » Wed Nov 27, 2024 5:55 pm

As soon as surgery is over you can use it. The only reason you have to stop is for when they put you under. Taking any of those drugs causes your food to stay in your stomach a lot longer, so they are worried that you might try to throw up and it gets lodged in your throat when they have you under. Now every hospital is different, in June I had a revision and they wanted me to stop ozempic for 2 weeks and 3 days on clear fluids only. I am scheduled for shoulder replacement in 3 weeks and was going through pre-op yesterday different hospital . They said 1 day clear fluids only and do not take ozempic the day of surgery, go figure.
Age 64, type 1 diabetic, Married 20+ years, Titan implant 23 cm 27Feb2019, Duke Medical Hospital, Dr Lentz, failed March of 2024, revision 25Jun24 AMS700 LGX 18cm 5rte's Dr Andrew Chang associated urology Raleigh NC, Rex Hospital

easymoney
Posts: 812
Joined: Tue May 09, 2023 10:28 am
Location: West Coast Fl.

Re: Surgery and Diabetes/Weight Loss Drugs?

Postby easymoney » Wed Nov 27, 2024 8:34 pm

I was told one week before and could go back to it day after surgery ... I would go the i week before route have heard it from all of my drs .
Rigicon since 6-2023 happy to share my experience and do show and tell

LetoMan
Posts: 158
Joined: Tue Apr 09, 2024 1:25 pm

Re: Surgery and Diabetes/Weight Loss Drugs?

Postby LetoMan » Wed Nov 27, 2024 9:15 pm

I concur with everyone here: was told skip a week, but can start again immediately after surgery.
50. Implanted 5/21/2024 at Kaiser SSF. AMS 700 CX 21cm, 3cm RTE. Penoscrotal. Venous leak my whole life. Pills helped, but hated the side effects; worked less as I aged. Skipped injections. Grateful to bionic brotherhood that helped me make this decision.

IndianRasputin
Posts: 283
Joined: Wed Nov 20, 2024 11:04 am

Re: Surgery and Diabetes/Weight Loss Drugs?

Postby IndianRasputin » Wed Nov 27, 2024 10:00 pm

LetoMan wrote:I concur with everyone here: was told skip a week, but can start again immediately after surgery.


My urologist says I should be content with my weight as I am not too heavy age 24 220 lbs 5”10
Tactra 27 cm 13mm diameter
Satisfied

easymoney
Posts: 812
Joined: Tue May 09, 2023 10:28 am
Location: West Coast Fl.

Re: Surgery and Diabetes/Weight Loss Drugs?

Postby easymoney » Thu Nov 28, 2024 8:27 am

Age 70 .. 5'11 ... 244 lbs. down from 264 from 3 months ago and I do feel the weight loss on my back and knees ... if you don't think weight makes a difference on your body wear a 20lb weight vest and walk around the block .. then take it off and walk again amazing what a difference ..
Rigicon since 6-2023 happy to share my experience and do show and tell

Taggart423
Posts: 67
Joined: Wed Jun 26, 2024 5:51 pm

Re: Surgery and Diabetes/Weight Loss Drugs?

Postby Taggart423 » Thu Nov 28, 2024 8:31 am

I am on Mounjaro. Started back in January and have lost 80 pounds so far.

Dr. Clavell's instructions were to stop 1 week prior to the surgery and I started back up a couple of days later after surgery on my weekly shot day.

Tracy
61 years old,T2 since 2008, ED since 2010. Pills have stopped working and not interested in shots. Implanted 11/20/2024 by Dr. Calvell with AMS 700 CX 21cm+1cm RTE

IndianRasputin
Posts: 283
Joined: Wed Nov 20, 2024 11:04 am

Re: Surgery and Diabetes/Weight Loss Drugs?

Postby IndianRasputin » Thu Nov 28, 2024 9:16 am

easymoney wrote:Age 70 .. 5'11 ... 244 lbs. down from 264 from 3 months ago and I do feel the weight loss on my back and knees ... if you don't think weight makes a difference on your body wear a 20lb weight vest and walk around the block .. then take it off and walk again amazing what a difference ..


You’re pretty tall your kids must be hella tall
Tactra 27 cm 13mm diameter
Satisfied

GoodWood
Posts: 1018
Joined: Sun Jun 16, 2019 1:07 pm

Re: Surgery and Diabetes/Weight Loss Drugs?

Postby GoodWood » Thu Nov 28, 2024 11:13 am

The ASA (American Society of Anesthesiologist) guideline on GLP-1 agonists is to hold the GLP-1 medication that is taken daily for a day, the GLP-1 medication that is taken weekly for a week.

This class of medication helps lose weight by slowing GI motility. Food stays in your stomach longer, you feel full longer, you eat less. Voilà! Weight loss! (Not quite THAT simple, but you get the point.)

The risk of a “full-stomach” is serious to surgeons and anesthesiologists. If you aspirate even a tiny bit of gastric contents (VERY acidic) the damage to the lungs can be catastrophic.

Regardless of whether you take the daily or weekly version, follow your doctors guidelines. You don’t want this complication and you don’t want to get your surgery cancelled because you didn’t follow orders.

https://www.asahq.org/about-asa/newsroo ... eoperative
56yo, NYC. ED started at 40. Pills, then shots for 10 years. 24cm Coloplast Titan w/classic pump by Dr Eid 3/25/2025. Will meet for show & tell.
Implant journal: [url] viewtopic.php?f=6&t=26225[/url]

Bigdog4all
Posts: 206
Joined: Mon Jul 16, 2018 4:02 pm

Re: Surgery and Diabetes/Weight Loss Drugs?

Postby Bigdog4all » Fri Nov 29, 2024 9:47 am

I too am a diabetic....Took all the standard drugs....Blood pressure, Lantus Solastar, Aspirin, and many others. The doctors had me STOP all meds 7 -10 days before my D-day. And I did.....Me being very cautious and scared shytless. I took no chances taking any of those meds. Once surgery was over, I got back to my med schedule. And I must say, the after effects were all a 10. No problems or issues, except that damn pump ball was hard as a rock. But with several meetings with the AMS support reps, all worked out. My personal problem, I was afraid I would hurt something down there. But once I was convinced that you can't hurt or damage anything down there.....I was given the GREEN light.
72, AMS 700 LGX. Married to an Angel. Discovered ED at 67. Path = Diabetic, Supplements, Pills, Needle, Pump, and finally AMS 700 (2-8-24).


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