You don't always need antibiotics after a cystoscopy, but your doctor might prescribe them, especially if you have risk factors for infection (like advanced age, smoking, or urinary tract issues) or if you're having other procedures done, to prevent a urinary tract infection (UTI). While some sources suggest they aren't strictly necessary for simple cystoscopies, it's common for providers to give a short course for prophylaxis, so always follow your doctor's specific instructions.
The recommended antibiotic prophylaxis includes a single dose of either a fluoroquinolone or trimethoprim-sulfamethoxazole. Alternatively, an aminoglycoside (with or without ampicillin), a first- or second-generation cephalosporin, or amoxicillin-clavulanate may be administered.
There's a small chance of getting a urinary tract infection after a cystoscopy. A UTI is an infection of your urinary tract, which can include your bladder, kidneys, and the various tubes that connect them. You'll usually need to take antibiotics to treat a UTI.
After the cystoscopy, your urethra may be sore at first, and it may burn when you urinate for the first few days after the procedure. You may feel the need to urinate more often, and your urine may be pink. These symptoms should get better in 1 or 2 days.
You can go back to doing your usual activities after your cystoscopy. You can go back to having sexual activity when there's no blood in your urine. If you're feeling pain, ask your healthcare provider if it's safe to take medicine, such as acetaminophen (Tylenol).
Infection: there is a risk that you will develop a urine infection after your cystoscopy, which could result in a fever and pain when you pass urine. Drinking plenty of water after the procedure will reduce the likelihood of this.
Walking and light exercise is important in preventing Deep Vein Thrombosis. You should expect to return to work in 1 week or less. You should reduce your activity levels for the first 1 to 2 weeks while healing. Use stairs gently for the first week.
Symptoms include needing to pee often, pain while peeing and pain in your side or lower back. Antibiotics can treat most UTIs.
Side effects after cystoscopy might include:
Getting your cystoscopy results
You may need a follow-up appointment to talk about your results and next steps. If a sample of cells was removed for testing (biopsy), it usually takes 1 to 2 weeks to get the results. If your results show you have cancer, you'll be referred to a specialist cancer care team.
Symptoms of a kidney infection may be similar but can also include:
Results: A total of 335 adverse events related to flexible cystoscopes were identified. Most adverse events associated with patient harm were caused by infection (n = 121), which included 19 cases of sepsis, one ICU admission, and one death.
The 5 key warning signs of a bladder infection (Urinary Tract Infection or UTI) are: pain/burning during urination, frequent/urgent need to pee (even with little output), cloudy/bloody/strong-smelling urine, lower belly/pelvic pressure, and feeling like your bladder isn't empty, with fever or back pain signaling a more serious kidney infection, requiring immediate medical attention.
Here's a list of the best antibiotics that can treat a UTI.
Antibiotics typically stay in your system anywhere from a few hours to several days after you stop taking them. Many factors (including the type of antibiotic you're taking, its dosage and your age) can affect the amount of time the drug stays in your system.
The mean pain score on a scale of 1—no to 4—severe pain was 1.7 after immediate cystoscopy compared with 1.6 after delayed cystoscopy (p ⫽ 0.9). The mean linear analog self-assessment score on a scale of 1—no to 10—most pain was 2.1 after immediate cystoscopy versus 1.8 after delayed cystoscopy (p ⫽ 0.7).
After the cystoscopy, your urethra may be sore at first, and it may burn when you urinate for the first few days after the procedure. You may feel the need to urinate more often, and your urine may be pink. These symptoms should get better in 1 or 2 days.
Moderate risk. You may have a cystoscopy at 3, 9 and 18 months after treatment. After that you may have a cystoscopy once every year for up to 5 years after treatment. Then you might not need to see your doctor again.
1.9% to 4.3% of patients experience a UTI following a cystoscopy.
Certain STIs, such as chlamydia and gonorrhea, can mimic UTI symptoms. Burning during urination and pelvic pain are common to both conditions. However, STIs often include additional symptoms like unusual vaginal or penile discharge, itching, or sores.
“Stress does not directly cause UTIs, but it can make you more susceptible to an infection through its effect on our immune system,” Mathis said.
Cystitis signs and symptoms may include:
THE '2-week rule' represents a significant organisational change in the referral of patients with suspected cancer. Targets set by the rule include that secondary care specialists should be notified within 24 hours and see patients within 2 weeks from when the general practitioner (GP) decides to refer a patient.
The standard of care for patients with muscle-invasive bladder cancer is radical cystectomy, the surgical removal of the bladder. However, this is a major operation, with a significant risk of complications and potentially, even death.
How the Test is Performed. A bladder biopsy can be done as part of a cystoscopy. Cystoscopy is a procedure that is done to see the inside of the bladder using a thin lighted tube called a cystoscope. A small piece of tissue or the entire abnormal area is removed.