Cystoscopy Instructions

Preparation for Cystoscopy

Your urologist has recommended a diagnostic procedure called cystoscopy. Cystoscopy is a direct visual examination the urethra and lining of the bladder using an instrument similar to a microscope.  This takes only a few minutes and can usually be performed in our offices under local anesthesia. The cystoscope is lubricated and gently inserted into the natural urinary opening.  It is not usually painful, but there is often some mild discomfort during the procedure.  The following instructions explain how to prepare for this exam. Certain insurance plans may require pre-authorization before having this exam. If you are not sure, please contact your insurance company and/or primary physician beforehand.

The following instructions explain how to prepare for this exam. Certain insurance plans may require pre-authorization before having this exam. If you are not sure, please contact your insurance company and/or primary physician beforehand.

  1. If you are allergic to any medications, have a history of frequent urine infections or need to take antibiotics before having dental work, please notify your doctor or nurse.  In some cases, additional antibiotics may be required before cystoscopy.
  2. This procedure cannot be performed safely if you have a urinary tract infection. The urologist may order a urinalysis and urine culture if they have not been performed recently. These tests must done before your appointment. PLEASE NOTE: If your urologist has ordered urine tests before cystoscopy, we must have the complete results before performing cystoscopy. If the tests indicate that you have an infection, your urologist will notify you and prescribe antibiotics. The appointment for cystoscopy may also need to be changed if this is the case.

  3. If you take aspirin, anti-inflammatory drugs (such as Motrin, Alleve, Vioxx, Celebrex etc.) or any blood thinners (such as Coumadin or Plavix). You may need to temporarily stop these medications prior to cystoscopy.  If you are not sure, review your medications with your doctor or nurse.  If another doctor prescribed these medications, you must contact them before you stop taking them.  If they cannot be safely interrupted, please contact our office before coming in. 

Cystoscopy is an important and useful diagnostic procedure that has a very low incidence of complications if you are properly prepared.  We will discuss specific risks associated with this procedure in more detail and answer any remaining questions you have when you come in for your procedure. If you need to change your appointment or have any problems with preparation, please call (631) 444-6270.

Post-Cystoscopy Instructions

  1. You may notice blood-tinged urine or experience mild discomfort when urinating after having cystoscopy. This is normal and usually resolves within two or three days. Do not resume taking aspirin, blood thinners or anti-inflammatory medications for at least three days after cystoscopy (or as directed by your primary doctor).
  2. We advise increasing your fluid intake for several days after cystoscopy, especially if there is blood visible in the urine. If you must restrict your fluid intake for medical reasons, please contact your primary doctor for specific advice.
  3. In certain cases, the urologist may prescribe antibiotics for you prior to and/or after this procedure. If antibiotics are prescribed, be sure to finish all the medication as directed, even if you feel fine.
  4. Please contact our office immediately if you cannot urinate or develop excessive bleeding, abdominal pain or fever after cystoscopy. Telephone numbers are provided below.

Weekdays 8:30 a.m. through 5:00 p.m.

24 Research Way, Suite 500
(631) 444-6270
(631) 444-4000

Weekends/After hours: (Emergencies only)

Call U.H. operator and page Urology resident on call
(631) 444-1444