After flexible cystoscopy

Flexible Cystoscopy

Diet

• Flexible cystoscopy is usually performed without a full general anaesthesia (local anaesthetic or light sedation only).
• You may resume your normal diet immediately.
• Drink plenty of water (1.5–2 L over the next 24 hours) to help flush the bladder and reduce irritation.
• If you notice blood in the urine, increasing your fluid intake can help clear it more quickly.

Urinary / Bladder Symptoms

It is common to experience mild urinary symptoms for 24–48 hours, occasionally up to a few days:

• A small amount of blood in the urine (pink tinge is common)
• Burning or stinging when passing urine
• Increased frequency or urgency

These symptoms should gradually settle.

A catheter is not usually required. If one is required, you will be given specific instructions.

Activity

• You may resume normal daily activities immediately.
• Avoid strenuous exercise or heavy lifting for 24 hours if you have ongoing bleeding or discomfort
• You may shower as normal
• Driving is permitted immediately if no sedation was used

Medications

• Continue your regular medications unless advised otherwise
• If you are on blood thinners, follow the specific instructions provided
• Occasionally, a single dose or short course of antibiotics may be prescribed (take as directed)
• For discomfort:
• Paracetamol is usually sufficient
• Anti-inflammatories (e.g. ibuprofen) can be used if appropriate

Postoperative appointment

• For simple diagnostic cystoscopy, follow-up may not be required unless otherwise discussed
• If additional procedures were performed or you need additional treatment or investigations, a follow-up appointment will be arranged
• Please contact the rooms on 08 8119 0961 if you are unsure or need to arrange a review

Call the office or present to the Emergency Department if:

• You develop fever or chills
• You are unable to pass urine
• You have increasing or severe pain
• You pass large clots or have persistent heavy bleeding (bright red urine that does not clear with fluids)
• Symptoms do not improve after 48–72 hours or are worsening