Is Blood in Urine Normal After a Cystoscopy?

It's not uncommon for patients to notice blood in their urine or experience mild discomfort during urination following a cystoscopy. This is generally considered a normal and temporary side effect of the procedure. The presence of hematuria—medical terminology for blood in urine—often results from minor trauma to the urinary tract lining caused by the cystoscope. As the thin, flexible instrument passes through the urethra and into the bladder, it may cause slight abrasions to the mucosal tissue, particularly around sensitive areas such as the bladder neck or trigone region.

Common Symptoms After Cystoscopy

Alongside hematuria, many individuals report symptoms such as frequent urination, urgency, and a burning sensation while urinating. These are collectively known as lower urinary tract symptoms (LUTS) and typically vary in intensity from person to person. Some may only experience light pink-tinged urine with minimal discomfort, while others might notice brighter red discoloration and more pronounced irritation.

Mild Hematuria: What to Expect

In cases of mild bleeding, where blood in the urine is faint and there are no severe signs of bladder irritation, medical intervention is usually unnecessary. The body often heals on its own within 1 to 2 days. To support recovery, patients are strongly encouraged to drink plenty of fluids, especially water, which helps flush out the urinary system and reduces the risk of infection. Adequate rest and avoiding strenuous physical activity can also speed up healing.

When to Seek Medical Attention

If the hematuria is more pronounced—such as visibly bright red or clotted urine—and accompanied by intense urinary urgency, pain, or difficulty passing urine, additional care may be needed. In such cases, doctors often prescribe a short course of antibiotics to prevent potential urinary tract infections. Patients should continue hydrating well, avoid alcohol, and refrain from sexual activity for at least 2 to 3 days post-procedure to allow tissues to heal fully.

Supporting Recovery and Preventing Complications

While seeing blood after a cystoscopy can be alarming, it's important to remember that it's a common and expected outcome for many. Staying hydrated, monitoring symptom progression, and following your healthcare provider's advice are key steps in ensuring a smooth recovery. If symptoms persist beyond a few days, worsen over time, or are associated with fever or chills, prompt medical evaluation is recommended to rule out complications such as infection or significant internal trauma.