How It Feels continued...
If a local
anesthetic is used, you may feel a burning sensation or an urge to urinate when
the instrument is inserted and removed. Also, when your bladder is irrigated
with sterile water or saline, you may feel a cool sensation, an uncomfortable
fullness, and an urgent need to urinate. Try to relax during the test by taking
slow, deep breaths. Also, if the test is lengthy, lying on the table can become
tiring and uncomfortable.
If a spinal anesthetic is used, you may
find it uncomfortable to lie curled up on your side while the anesthetic is
injected. You will probably feel a brief stinging sensation when the anesthetic
is injected. You may feel tired and have a slight backache the day after the
Cystoscopy generally is a very safe test. If a
general anesthetic is used, there are some
risks of general anesthesia. There is no risk of loss
of sexual function.
The most common side effect is a temporary
swelling of the urethra, which may make it hard to urinate. A catheter
inserted in your bladder can help drain the urine until the swelling goes away.
Bleeding sometimes occurs, but it usually stops on its own.
may have a mild infection in the urinary tract after cystoscopy. This can
usually be prevented or treated by taking medicine before and after the test.
In rare cases, the infection can spread through the body, and in very rare
circumstances, usually with seriously ill people, the infection can be
Another rare complication is a puncture of the
urethra or bladder by one of the instruments, which requires surgery to
After the test
After the test, you may need to
urinate frequently, with some burning during and after urination for a day or
two. Drink lots of fluids to help minimize the burning and to prevent a urinary
A pinkish tinge to the urine is common for
several days after cystoscopy, particularly if a biopsy was performed. But call
your doctor immediately if:
- Your urine remains red or you see blood clots after you have
urinated several times.
- You have not been able to urinate 8 hours after the
- You have a fever, chills, or severe pain in your flank or
belly. These may be signs of a
- You have symptoms of a
urinary tract infection. These symptoms include:
- Pain or burning upon urination.
- An urge to urinate frequently, but usually passing only small
quantities of urine.
- Dribbling or leakage of urine.
- Urine that is reddish or pinkish, foul-smelling, or
- Pain or a feeling of heaviness in the lower abdomen.