What to expect after a cystoscopy

Follow the discharge instructions from your urology team because recovery differs after a flexible cystoscopy, a rigid cystoscopy, a biopsy, or an anaesthetic.

The cystoscope passes through the urethra into the bladder. Temporary irritation can therefore cause stinging during urination, lower abdominal discomfort, urgency, or more frequent trips to the toilet. A small amount of blood may tint the urine pink, particularly if tissue was sampled. These effects should trend toward improvement rather than become stronger.

Your clinician may discuss findings immediately, while results from a biopsy or urine sample require a later appointment or message. The appearance of blood after the test does not by itself explain the original bladder problem or establish a cancer diagnosis.

Drink fluids as advised by your care team, unless you have been told to restrict fluids because of a heart, kidney, or other condition. Passing urine regularly can reduce irritation. Use only pain relief that your clinician or pharmacist says is suitable for you, especially if you take blood-thinning medicine or have kidney, stomach, or liver problems.

Resume activity according to the type of cystoscopy and anaesthetic you received. After sedation, spinal anaesthesia, or general anaesthesia, follow the specific restrictions on driving, alcohol, machinery, work, and having another adult with you. Keep any instructions about antibiotics, catheter care, and restarting regular medicines.

Contact your urology team promptly if burning or pain persists instead of easing, urine becomes cloudy or foul-smelling, bleeding grows heavier, or you pass clots. Fever, chills, worsening lower abdominal or back pain, nausea, or vomiting may accompany an infection or another complication and need timely assessment.

Get urgent medical help if you cannot pass urine, have severe or rapidly worsening pain, feel faint or very unwell, or have heavy bleeding. Inability to urinate can mean the bladder is not emptying and may require drainage with a catheter.

Ask when and how you will receive the cystoscopy findings, whether samples were taken, and who to contact if symptoms change after clinic hours. Confirm when to restart exercise, sexual activity, driving, work, blood-thinning medicine, and any medicine paused for the procedure. If a catheter was placed, ask how to care for it and what should trigger an earlier review.