It is best to contact our office by calling (514) 694-4848 and leaving a voicemail or emailing us at admin@wicolorectal.ca to notify us of your cancellation or need to reschedule. If necessary, we will contact you back with an alternative date and time.

Please be advised, cancellation without valid reason within 48h of the appointment will result in a charge of $95 being applied to the patient’s account which will need to be settled prior to booking the next visit, UNLESS the appointment is on a Monday.  In that case, the appointment must be cancelled before noon by the previous Friday.

A Consultation with the colorectal surgeon includes a discussion with the doctor, a physical examination that includes an anoproctoscopy, and any agreed-upon procedures that can be done in the clinic unless otherwise indicated by the doctor.

Please take into consideration the following steps when preparing for your consultation:

1. Please advise the team if you are taking a blood thinner or using a wheelchair, as both will affect the date and time and preparation process for your appointment.
2. Please make sure to do your 2 fleet enemas before your appointment unless explicitly mentioned by the doctor or the booking team.
3. Wear pants or a skirt/dress that is easy to remove.
4. You can come either alone or accompanied, as you prefer.
5. You can take 1 Tylenol and 1 Advil before your appointment.
6. Some of our patients wear an adult diaper for more comfort and security.
7. Bring reading material in case the waiting times are higher than anticipated.
8. If you are coming during the winter season, please bring a second pair of shoes, as we ask all patients to remove their outdoor boots before they walk in.

The Fleet Enema is the preparation required for the consultation with the doctor, which includes an anoproctoscopy. The fleet is done to clear out and empty the rectum and ensure the doctor can see the state of the rectum and colon during the physical examination. The first fleet enema must be done a minimum of 2 hours before leaving the house, and the second must be done a minimum of 1 hour before leaving the house. You can do the fleet earlier than the recommended time if that is more convenient for you, as long as it’s not done later than recommended.

Make sure to get the Fleet Sodium Phosphates Enema and NOT the Mineral Oil Fleet. You can get it at most pharmacies, and you do not need a prescription to obtain it. If you prefer, an alternative fleet enema is available—the tap water fleet enema.

The Tap water enema is an alternative to the Sodium Phosphates fleet enema. Some patients prefer this alternative, as the tap water enema is gentler on the system, even though it is a little more complex to set up. The tap water enema kit can be purchased from the pharmacy. On the day of your appointment, you must perform two enemas, each with 500ml (about 2 cups) of warm tap water. The enema usually takes 15 minutes to work but may take up to an hour. Start the first enema 2 hours before leaving the house and the second 1 hour before leaving the house.

Fill the enema bag with 500ml (about 2 cups) of warm tap water. Do not use hot water. Hang the enema on a nail, hook, or solid shower rod, or have someone hold it about 12 to 19 inches above your rectum. Lie on your left side with your knees bent toward your chest. You may choose to perform the enema in the washroom. Remove the enema tip. Gently insert the enema tips about 3 to 4 inches into your rectum. Open the clamp and allow the water to flow slowly into your rectum. Hold the water in your rectum for as long as possible – at least 15 minutes – then expel it into the toilet. Do the second enema after you have evacuated the water from the first one.

No, please let the medication do its intended work, making sure it empties the entire rectum.

The fleet preparations are simpler than the preparations for a colonoscopy. The fleet preparations require two enemas. The first is done 2 hours before leaving the house. The second is done 1 hour before leaving the house. You can do the fleet earlier than the recommended time if that is more convenient for you.

A Colonoscopy is a more complex procedure done through the anus, requiring oral preparation and sedation.

No

This really is at your discretion. Many of our patients come alone to their appointments, and others prefer to be accompanied. You should be able to drive yourself back, as no anesthesia is required for the appointment. 

Please send us a copy of your insurance form with the patient section filled out, and we will ensure the doctor fills out the medical professional section. Please note that the fee to have the doctor fill out the insurance forms is $95.

We ask that you confirm with your insurance to determine what is covered, as each insurance company proceeds differently.

Yes, you need to sign a new consent form for all private clinic appointments. The consent is valid for the day’s appointment.