Post-Cystoscopy Concerns: Blood in Urine and Pain Management

Q: Post-Cystoscopy Concerns: Blood in Urine and Pain Management

Xiao Chen： Hello! 1. Yes. 2. It may cause pain in the penile urethra. 3. Local heat application can accelerate tissue repair. If there are any concerns, you can visit a nearby medical facility for relevant tests or further treatment. If there are any u

Post-cystoscopy

Hello, doctor.
I have been on dialysis for about six years.
Three weeks ago, I experienced hematuria and visited a large hospital for treatment, where I was prescribed medication.
About a week ago, I had a sudden episode of blood in my urine, and the doctor recommended a cystoscopy.
I underwent the procedure three days ago under local anesthesia, which took about 40-50 minutes due to my anxiety.
I have a few questions:
First, after the procedure, I noticed blood in my urine and some pain (although the urine volume is low).
The doctor prescribed medication, but three days later, I still have this condition.
I asked my nephrologist, who mentioned that dialysis patients typically have poorer coagulation function, which may lead to prolonged bleeding.
Is this normal?
Second, during the procedure, I was quite nervous, and the cystoscope had difficulty entering the bladder.
To facilitate the procedure, the operator had to pull on the penis quite forcefully.
Could this cause any injury? It has been three days since the procedure, and I find it difficult to achieve an erection or even move it slightly.
I still have some pain in the perineal area.
Should I rest for a while? (I am quite concerned about this.) Thank you.

Xiao Chen, 40~49 year old female. Ask Date: 2015/08/23

Dr. Xu Weikai reply Urology

Xiao Chen: Hello! 1.
Yes.
2.
It may cause pain in the penile urethra.
3.
Local heat application can accelerate tissue repair.
If there are any concerns, you can visit a nearby medical facility for relevant tests or further treatment.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet should only be used as a reference; if necessary, it is still important to seek medical care at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/08/23

More Info

After undergoing a cystoscopy, it is not uncommon for patients to experience some discomfort, including blood in the urine (hematuria) and pain. Given your history of dialysis for six years, it is important to consider how this may affect your recovery and healing process.

1. Blood in Urine and Pain Management: It is normal to have blood in the urine for a few days following a cystoscopy. The procedure can cause irritation to the bladder and urethra, leading to bleeding. In patients with a history of dialysis, the coagulation function may be impaired, which can prolong bleeding. Therefore, it is not unusual for you to experience blood in your urine for a longer duration compared to someone without such a medical history. However, if the bleeding persists or worsens, or if you experience severe pain, it is crucial to contact your healthcare provider for further evaluation.

2. Concerns About Injury During the Procedure: The use of a cystoscope can sometimes be challenging, especially if the patient is anxious or tense. If the medical staff had to exert significant force to insert the cystoscope, there is a possibility of trauma to the urethra or bladder. This could lead to additional pain or complications. If you are experiencing persistent pain, particularly in the perineal area, it is advisable to discuss this with your doctor. They may recommend imaging or further evaluation to ensure there are no injuries or complications from the procedure.

3. Recovery and Rest: After a cystoscopy, it is generally recommended to rest and avoid strenuous activities for a few days. Pain and discomfort can be managed with over-the-counter pain relievers, but if the pain is severe or does not improve, you should seek medical advice. It is also important to stay well-hydrated, as this can help flush out the bladder and reduce irritation.

4. Follow-Up Care: Given your history of dialysis and the recent procedure, it is essential to have a follow-up appointment with your healthcare provider. They can monitor your recovery, assess any ongoing symptoms, and adjust your treatment plan as necessary. If you have concerns about your diagnosis or treatment, seeking a second opinion from a urologist or nephrologist may provide additional reassurance and clarity.

In summary, while some bleeding and discomfort after a cystoscopy can be expected, especially in patients with compromised coagulation, it is important to monitor your symptoms closely. If you experience any worsening of your condition, do not hesitate to reach out to your healthcare provider for further evaluation and management. Your health and comfort are paramount, and addressing any concerns promptly can help prevent complications.

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