Cystoscopy with Retrograde

Cystoscopy with retrograde is a procedure where your provider will examine the bladder with a lighted telescope. The cystoscope is placed into the bladder and a small tube is inserted into the opening of the ureter. Contrast is then injected into the small tube and fluoroscopy is done evaluating images of the ureter and kidney. A sample of fluid may be taken during this procedure or a ureteral stent may be placed.

What to expect after surgery?

  • You may have blood in your urine for the first 2 to 3 days.
  • You may have a ureteral stent placed that will help urine pass and keep the ureter open from swelling.
  • There may be burning sensation with urination for 2 to 3 days.
  • Avoid strenuous activity, exercise or work for 24 hours following the procedure.
  • Walking will help in passing the stone fragments.
  • Your bowels may be sluggish after surgery and pain medication can increase constipation. Follow the postoperative bowel program handout.
  • To relieve discomfort, drink two 8 oz glasses of water each hour for two hours.
  • A warm bath or applying a warm washcloth over the urethral opening may help with the burning feeling.
  • You may shower when you go home.
  • Use your pain medication as directed if needed. If pain is mild you can use acetaminophen (Tylenol).

Activity and postoperative restrictions

  • 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 2 to 3 days while healing.
  • Do not drive while taking narcotics.

Diet

You may return to your normal diet. You may want to avoid acidic foods and drinks that may cause burning with urination. Drinks with caffeine may cause frequency and irritation to your bladder. If you’re not on a sugar or salt restriction diet, drink 8 to 10 glasses of water and Gatorade daily to avoid constipation and to prevent possible urinary tract infections.

Medication

  • You should resume your pre-surgery medication unless told otherwise.
  • Do not take any aspirin products for the first two weeks.
  • If you are taking Warfrin or Plavix, follow-up with your primary care provider postoperatively. They will discuss with you when to resume medication and dosing recommendations.
  • If you are taking pain medication or iron supplements you should also be taking a stool softener to keep from becoming constipated.
  • If your pain is mild you can stop taking the pain medication and switch to acetaminophen

Medications and items to have at home before surgery

  • Stool softener
  • Fiber
  • Milk of Magnesia
  • Acetaminophen

If you experience any of these symptoms please call Urology Northwest at 425-275-5555:

  • Fever over 101 Fahrenheit by mouth
  • Pain not relieved by medication
  • Rash, itching after taking pain medication
  • Continued nausea and vomiting
  • Inability to urinate
  • Swelling of the calf, ankle or foot
  • Increased warmth of the leg
  • Pain in the leg
  • Bluish discoloration of the skin or leg

Postoperative follow-up

You will need a follow-up appointment to monitor your progress in 2 to 3 weeks post operatively. You will be called for a postoperative follow-up 1 to 2 days after surgery. You can make your postoperative appointment at that time or by calling and speaking to a receptionist. If you have a stent, your follow-up appointment will typically be within 1 to 2 weeks after surgery.