Patient Resources

Forms, instructions, and tools to support your care

Patient Forms and Records

New Patients
Once you schedule your appointment the new patient paperwork will be emailed and texted to you. Please fill out your paperwork online prior to your visit. Please arrive to your appointment 30 minutes early so we can complete your chart and have you ready for the provider at your scheduled time. If you have difficulty completing the forms online you can download them here and bring them to the appointment.
Established Patients
Please arrive to your appointment 15 minutes early so we can verify your chart and have you ready for your provider at the scheduled time.
Medical Release Form
Attached are the records release forms to transfer your records here or request to send them to another provider. Please complete and email to [email protected]
What to Bring

Surgery Instructions

Review your pre‑operative sheet to understand what to expect, reduce anxiety, and prepare your caregivers. This is the same document included in your pre‑operative packet.
Prior to Surgery with Dr. Gauta

7 Days Before Surgery

  • Stop taking aspirin and NSAIDs (non-steroidal anti-inflammatory medications: Motrin, Advil, Aleve, Excedrin and Ibuprofen) 7 days before surgery. Tylenol is OK to take up until the date of surgery.
  • Stop taking Fish Oil and Vitamin E 7 days before surgery.
  • If you are taking medications that interfere with blood clotting such as Warfarin, Eliquis, Pradaxa, Xarelto, Coumadin or other anticoagulants, management will be done both pre and post op by your Internist or Cardiologist.

Eating and Drinking

  • Avoid solid foods 8 hours before surgery and fluids 2 hours before surgery.

Pick Up Your Medications

Go to the pharmacy and pick up the prescriptions and medications prescribed.

Normal prescription medications include:

  • Pain medication
  • Anti-nausea medication

Normal non-prescription medications include:

  • Miralax
  • Pads
  • Fleet Enema – this should be done the night before and morning of the procedure ONLY if you are having a Laparoscopic Sacral Colpopexy
  • Do not shave or mark your skin anywhere near the surgical site.
  • Do not wear makeup.
  • All jewelry, including body piercings, must be removed.
  • Wear loose, comfortable clothing.
  • Remove your pessary if you can.
  • Please arrive on time.
  • You must be accompanied by a responsible adult when you leave the surgery center or hospital, and should have someone stay with you for 12-24 hours after the surgery. You MAY NOT drive yourself home.
  • You should start moving as soon as possible. This helps to prevent blood clots.
  • Use good common sense when planning activities – if something you are doing hurts, don’t do it.

How much pain is expected after surgery?

Moderate pain is normal the first 1-2 weeks after surgery, but should improve with time. During a laparoscopic procedure, gas is used to inflate your belly. Some of this gas remains in your belly after surgery, which can irritate the diaphragm and its nerve causing pain that travels to your shoulder. This is temporary and will improve quickly with activity. With certain procedures, you may experience buttock pain but this is also temporary. You should alternate Tylenol and Ibuprofen and if pain is still not controlled, you can take the narcotic medication that was prescribed. Gas pain is also common and Mylicon can be taken for this.

Should I take a stool softener?

Constipation is a common complaint after surgery, especially if taking narcotic pain medication. Take Miralax daily AFTER surgery to avoid constipation – 1 capful in 8 oz of water. If you do not have a bowel movement in 2 days after surgery, you can take 2 tablespoons of Milk of Magnesia 1-2 times per day until you have a bowel movement. If still no results, you can drink magnesium citrate.

How tired will I be?

Fatigue is a normal response after surgery and will improve with time. Plan frequent rest periods.

Will I go home with a catheter?

If you go home with a catheter, it will be removed 1-2 days after surgery. If home health has been set up, they will contact you to set up removal. If your insurance does not cover home health, the catheter will be removed in the office and an appointment will be set up for this.

Will I have vaginal bleeding?

With vaginal incisions, it is normal to have vaginal bleeding for 1-2 weeks following surgery. The bleeding should be light, so you should call if you pass large clots or have to change a pad every hour. If vaginal packing is used at the time of surgery, you may have a watery/bloody discharge. The packing is removed 1-2 days after surgery. Several weeks after the procedure you may experience increased discharge or odor as the vaginal sutures dissolve.

Can I lift?

You may not lift anything more than 5-10 lbs for 2 weeks after surgery.

Can I climb steps?

Yes, but do this with caution.

Can I have sex?

You cannot have sex until you are cleared by your provider at your post-op appointment. Generally though, you can have sex 2-4 weeks after surgery, depending on the procedure. You should also avoid putting anything in the vagina (tampons, douches, suppositories) for 2 weeks.

Can I take a bath or shower?

You can shower as soon as you get home, even if you have a catheter. Allow soapy water to run over your abdominal incisions. Vaginal incisions do not need special attention. Avoid baths for 2 weeks.

Can I swim?

You can swim in a pool 2 weeks after the surgery. Swimming in open waters can resume after 4-6 weeks.

Can I drive?

Do not drive until you can do so without discomfort and you are not using pain medication.

Do I need to change my diet?

You may eat and drink as tolerated. If nauseated, start with clear liquids, soup or crackers.

When can I go back to work?

This will depend on the type of surgery you are having. You may return to work when you feel ready. For most patients, however, you may return to work after 1-2 weeks.

Call the office at 239-449-7979 if:

  • You have a temperature of 100.4° or higher over a 6 hour period
  • You have chills
  • You have abdominal bloating accompanied by nausea, vomiting or inability to pass gas
  • You have symptoms of a urinary tract infection (urgency, frequency, burning)
  • You have pain unrelieved by pain medication
  • You have vaginal bleeding heavier than a period
  • You experience chest pain, shortness of breath, pain in the calves or redness/drainage from incisions

If you believe you are having an emergency, go to the emergency department right away.

Visit Requirements and Policies

Privacy Practices
Your information is protected under HIPAA‑compliant procedures.
Cancellation Policy
Appointments canceled with less than 24 hours notice will incur a $50 fee. Surgeries cancelled with less than 10 days notice will incur a $500 fee.
Hospital Privileges
Dr. Gauta practices at NCH Health System, Naples Community Hospital – North Collier Hospital, and Surgery Center of Naples.

Billing, Insurance, and Payments

Billing Department
Insurance Information
We accept most private insurance plans and Medicare. Some plans require prior authorization.
Note: We are not in‑network for all plans or government programs.

Prescription Support

Prescription Refills
Request refills through your pharmacy.

How to Find Us

Our Patient Portal is an efficient, secure way to discuss your health issues if you are an established patient.
Hours for Appointments
Phones are answered from 8:00am until 4:30pm Monday through Thursday, and 8:00am until 1:00pm on Friday
CAT (Collier Area Transit) stops in front of North Collier Hospital. Cross Immokalee Road, to the South side. We are about one block to the East, at the end of SW Health Pkwy in the three-story Gulf Coast Medical Arts Building, behind Naples Urgent Care.

Frequently Asked Questions

Should I have a full bladder for my tests or procedures?

Ultrasound: not required unless bladder‑specific.
CMG/urodynamic testing: arrive with a full bladder.
Hysteroscopy/Essure/endometrial ablation: no bladder preparation.

Light bleeding or discharge is common for days or weeks. Use pads, not tampons.
Pain medications may cause nausea, constipation, or dizziness. Antibiotics may cause nausea, yeast infections, or diarrhea.
Common after hysterectomy due to changes in ovarian blood flow. Usually temporary.
Possible if you are still menstruating. Tubal procedures have a small failure risk.
No. Ablation is not a contraceptive method.
Pelvic rest for 2–4 weeks. Avoid heavy lifting after prolapse surgery or hysterectomy.
Our billing team helps determine benefits and responsibilities. Discounts may apply for uninsured patients paying in full.
Yes. A companion is required if anesthesia may cause drowsiness.
Avoid sex until discharge resolves, typically 2–4 weeks.
Seek evaluation when symptoms affect daily life, confidence, or social activities.
A full urogynecologic evaluation is recommended to identify other contributing conditions.

Clinical Tools and Trackers

Bladder Tools
Bladder symptom trackers and
evaluation guides.
Bowel Tools
Bowel activity diaries and standardized scoring tools.
Pelvic Health Tools
Pelvic educational materials and
procedure guides.

Additional Educational Content

Supplemental information related to pelvic health, bladder care, bowel function, and surgical recovery.

Stories of Hope

You Don't Have to
Suffer in Silence

Pelvic health issues are common, but they don’t have to be
your new normal. You deserve to feel confident,
comfortable, and in control. We’re here to listen, find the
root cause, and help you get back to living a life you love.

Kelly Medina, PA‑C
Certified Physician Assistant
Kelly Medina delivers pelvic health care grounded in both urology and urogynecology. Her experience includes diagnostic evaluation, symptom management, and treatment planning for bladder dysfunction and pelvic floor concerns. She earned her Master of Medical Science in Physician Assistant Studies from Nova Southeastern University and her undergraduate degree from Florida International University.
Gabrielle Wright, PA‑C
Certified Physician Assistant
Gabrielle Wright provides pelvic health evaluation and treatment with advanced training in gynecologic and urologic assessment. She supports individuals through initial consultations, diagnostic review, and management of bladder dysfunction, pelvic floor symptoms, and recurrent urinary issues. She completed her Master of Science in Physician Assistant Studies at the University of Dubuque, following academic training in biology and business administration.