Cystoscopy Recovery: What to Expect and Self-Care

Cystoscopy (bladder endoscopy) is typically an outpatient procedure (10-20 minutes). Most patients go home the same day.

Common Post-Procedure Symptoms (1-3 days)

  • Dysuria (burning on urination) — most common.
  • Urinary frequency and urgency.
  • Hematuria (pink/red urine) — usually mild.
  • Suprapubic discomfort.
  • Mild nausea (from anesthesia/sedation).

Red Flags — Contact Urologist Immediately

  • Inability to urinate (retention).
  • Heavy bleeding with clots.
  • Fever >38°C (100.4°F) or chills.
  • Severe abdominal/flank pain.

Self-Care Instructions

  1. Hydrate aggressively: 2-3 L water/day to flush bladder, reduce irritation.
  2. Analgesia: Acetaminophen 1g q6h ± NSAID (if no contraindication). Phenazopyridine (Pyridium) 200mg TID × 2 days for dysuria (colors urine orange).
  3. Activity: Avoid strenuous activity 24-48h; walking encouraged.
  4. Hygiene: Shower OK; avoid tub baths/swimming 24-48h if biopsy taken.
  5. Antibiotics: Only if prescribed (e.g., post-TURBT, high-risk patient).

Follow-Up

Results discussed at follow-up (1-2 weeks). Biopsy results may take 5-7 days.

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