Is Red Urine After Ureteroscopy Normal? Post-Procedure Symptoms - Urology

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Experiencing red urine after ureteroscopy is a concern that many patients may have following the procedure. Ureteroscopy, a minimally invasive surgical technique used to remove stones from the urinary tract, can lead to various post-operative symptoms, including hematuria (blood in urine).
In the immediate aftermath of ureteroscopy, it is not uncommon for patients to notice a change in urine color. The presence of blood in the urine can be attributed to several factors related to the procedure itself. During ureteroscopy, the ureter and bladder are subjected to instrumentation, which can cause minor trauma to the lining of these structures. This trauma can lead to bleeding, resulting in red or pink urine.
Typically, this hematuria is transient and should gradually resolve within a few days post-procedure. In many cases, patients may notice that their urine appears red or pink for the first 24 to 72 hours after the surgery, and it may take up to a week for the urine to return to its normal color. If the bleeding is mild and resolves on its own, it is generally considered a normal part of the healing process.

However, there are several factors that can influence the severity and duration of hematuria. For instance, if a patient had larger stones that required more extensive manipulation or if there were pre-existing conditions such as urinary tract infections or inflammation, the likelihood of experiencing prolonged bleeding may increase. Additionally, if a stent (such as a double-J stent) was placed during the procedure, it can also contribute to irritation and bleeding.

In your case, you mentioned that you took transamin (likely referring to tranexamic acid, which is used to reduce bleeding) and that your urine color returned to normal afterward. This suggests that the bleeding was likely mild and manageable. However, if you continue to experience red urine beyond a few days, or if you notice other concerning symptoms such as severe pain, fever, or difficulty urinating, it is crucial to follow up with your healthcare provider. These could be signs of complications such as infection, significant bleeding, or obstruction.

In summary, while red urine after ureteroscopy can be a normal occurrence due to minor trauma from the procedure, it is essential to monitor your symptoms. If the hematuria persists or worsens, or if you have any additional symptoms, seeking medical advice is important to rule out any complications. Always remember that your healthcare provider is the best resource for addressing your specific concerns and ensuring a smooth recovery.