What to Expect After a Cystoscopy Procedure

A cystoscopy is a medical procedure that allows a doctor to examine the inside lining of the bladder and the urethra, the tube that carries urine out of the body. This is achieved by inserting a thin, flexible or rigid tube with a light and a camera (called a cystoscope) through the urethra and into the bladder. The primary purpose of a cystoscopy is to diagnose or treat various urinary tract issues, such as investigating causes of blood in the urine, frequent urinary tract infections, painful urination, or to identify bladder stones or tumors.

Common Sensations Immediately After

Following a cystoscopy, it is common to experience a range of sensations, primarily due to irritation from the instrument. Many individuals report a burning or stinging sensation during urination, which typically lasts for one to two days. This discomfort arises from the sensitivity of the urethral and bladder lining. You may also notice an increased urge or frequency to urinate, as well as a feeling of urgency.

Another common observation is the presence of a small amount of blood in the urine, which can make it appear pinkish. This occurs because the procedure can cause minor irritation of the delicate tissues. This light bleeding typically subsides within a day or two. Some individuals might also experience mild abdominal discomfort or bladder spasms. These symptoms are generally considered normal reactions to the procedure.

Steps for a Smooth Recovery

Promoting a smooth recovery after a cystoscopy involves several self-care measures. Staying well-hydrated is a primary recommendation; drinking plenty of fluids, especially water, helps to flush the bladder and dilute urine, which can reduce burning and irritation. Aim for at least eight 8-ounce glasses of water daily for the first few days, unless otherwise advised by your doctor.

Over-the-counter pain relievers such as acetaminophen or ibuprofen can effectively manage any pain or discomfort. Always follow dosage instructions. Applying a warm, damp washcloth to the urethral opening or taking a warm bath can also provide soothing relief. Avoid bladder irritants like caffeine, alcohol, and spicy foods for a few days, as these can exacerbate urinary symptoms.

Rest is important, especially in the first day or two. Avoid strenuous activities such as heavy lifting or vigorous exercise until your doctor approves. Most individuals can resume light daily activities and return to work within one to two days. If antibiotics were prescribed, complete the entire course as directed to prevent infection.

Recognizing When to Seek Medical Advice

While most post-cystoscopy symptoms are mild and temporary, it is important to be aware of signs that may indicate a complication requiring medical attention. Contact your healthcare provider if you develop a fever, typically defined as 100.4°F (38°C) or higher, or experience chills, as these can signal an infection. Severe or worsening pain that is not relieved by over-the-counter medication also warrants medical evaluation.

An inability to urinate, despite feeling the urge, is a serious concern that requires immediate medical help. This could indicate swelling or blockage in the urinary tract. Additionally, contact your doctor if you observe heavy or persistent bleeding, such as bright red blood or large blood clots in your urine, or if pink-colored urine does not improve after a few days. Cloudy, foul-smelling urine, or pain in your lower back or side, could also be indicators of a urinary tract infection or other issues.