Complications After Cystoscopy/ Now Have Cathader HELP PLEASE!!

Updated on December 05, 2011
A.Y. asks from Fresno, CA
9 answers

I went in on dec 1 for a cystoscopy, to look for kidney stones (none present) the night of the surgery i started bleeding heavily and passing clots through my urine. i went to bed and the following morning, I couldnt pee. I went into the ER and they inserted a cathader and said there was a liter of blood in my bladder. so since they werent the hospital that did my surgery they sent me on my way with a foley, and a leg bag. That afternoon i was still in a considerable amount of pain so i went into the er that perforned my surgery. they gave me pain meds, irrigated my bladder and did an ultrasound to check for blood clots in my bladder. They took out my cathader and sent me home with a pain med script. The following day i had to return to the er because i couldnt pee again. I had gone over 9 hours without peeing, so they put in another cathader. looked for infection, did another ultra sound and sent me home with the foley cathader. I have an appointment with my urologist tomorrow morning, and im a little nervous. I do not know what to expect or really even what to ask when i go in. Im not real familiar with the doctor and would like to come prepared to my appointment. do any of you have any advice?

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J.B.

answers from Louisville on

If possible, I would take someone with me so they could take notes, as I am always terrible about remembering what the doctor said. I would ask if this was normal, and how long will this be going on? I would also ask if you should call him or keep going to the ER for this. I also might tend to want a second opinion, as this does not sound normal to me. I have never had this done and I am not a doctor, though. Good luck and I wish you weren't having to go through this.

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☆.A.

answers from Pittsburgh on

I think it's good advice to take someone along if you can.
Maybe a notepad & pen to write down any info so you can refer to it later.
And make a list of any specific questions you might have right now.

Here are some issues with cystoscopy:

A complication unique to cystoscopy is the risk of perforation or a tear. A perforation can occur anywhere along the urinary tract-the urethra, bladder, or ureter. The risk of perforation increases with the complexity of the procedure being performed. Most perforations can be managed conservatively, without open surgery. A small flexible tube called a stent can be placed in the ureter to bridge a perforation of the ureter and to allow urine to drain into the bladder. Similarly, a Foley catheter (a flexible rubberized tube) can be placed into the bladder to divert urine from the bladder and urethra while a perforation heals.

Cystoscopic procedures can also create scar tissue. This tissue can cause a stricture, or narrowing, in the urethra, which may cause difficulties during urination. Sometimes an additional cystoscopic procedure is necessary to remove the scar tissue. This complication is almost exclusive to males and most commonly results from urethral manipulation such as resection of the prostate.

For a variety of reasons, urinary retention (inability to urinate) can occur after cystoscopy. This will generally require the placement of a catheter to drain the bladder.

Swelling caused by the procedure can obstruct the flow of urine.

The bladder can also become distended during the procedure, which temporarily weakens the voiding muscles.

Anesthesia plays a significant role in the development of urinary retention as well. Even people who have surgery in areas of the body away from the urinary tract can have difficulty urinating after surgery.

This info is from: http://www.emedicinehealth.com/cystoscopy/page2_em.htm

Good luck tomorrow. Hopefully it's some swelling from the scope or a slight perforation which heals quickly!

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R.Y.

answers from New York on

I had a similar problem after the birth of my second child. I couldn't pee on ly own for several days. It took 5-6 days to resolve (I was in the hospital the first 4). At the point when I went home from the hospital I had a catheter for 48 hours at home and then I was okay on my own. Yes, things swell with trauma. Also ask about antibiotics so you don't get a bladder infection. I hope you are feeling better soon.

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P.M.

answers from Portland on

Wow, what an awful problem. The one thing I've found MOST helpful during challenging medical appointments is to have a level-headed person with me to help remember what questions to ask and what the answers were. It can also help to write down any important topics you wonder about before the appointment.

Wishing you well.

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K.B.

answers from Tulsa on

:0( Take the pain meds on time, even if you think you are better. Keeping the pain under control will hopefully allow you to sleep.

Pack a bag just in case you have to go to the hospital for an IV.

I hope they get it all figured out tomorrow and your health improves soon.

1 mom found this helpful
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J.C.

answers from Philadelphia on

Aww... That really stinks. I can't really help you other than to tell you my story... After the birth of my first daughter my bladder wasn't working either. They sent me home with the leg bag. They let my bladder rest for a few days and then my OBGYN took the catheder out. I ended up in the ER because it still wasn't working. The next day my insurance company sent a nurse out and they taught me to insert the catheder when I had to go. After 9 or 10 days my bladder just started working again. The docs felt my bladder was traumatized as a result of a vaginal delivery. They told me the bladder is a muscle and was probably just injured through the birth. Best of luck to you!!!

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D.B.

answers from Charlotte on

In addition to the urologist, did you have a nephrologist? You should see both. The nephrologist deals with the kidney. The urologist deals with everything leading from the kidney.

I would want the nephrologist and urologist to put their heads together here for you.

So sorry you are going through this.
Dawn

1 mom found this helpful

L._.

answers from San Diego on

I had the same problem, possibly for different reasons. I never had kidney stones. I did have a kidney study done because I could not pee. They withdrew 3 quarts of urine from my bladder. I also had blood clots. But they sent me home with a piece of catheter that I had to stand over the toilet and insert each time. It was horrible and it lasted for 2 months. Finally, I just decided that I would not use it anymore and let the chips fall where they may. I read in a book about taking 2000 miligrams of vitamin c, every hour on the hour, and to not stop doing that until the bladder symptoms went away. It worked. 10 years of struggling mostly ended. I've never been that bad again. If I could make myself remember to take the vitamin c all the time, it would never get bad. But I usually wait until I have a "bad bladder day" to start loading up on water and vitamin c again. You need to flush out your bladder.

Pray about what you want to do. The doctors did way more harm to me than good.

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★.O.

answers from Tampa on

A large issue which may be adding to the main problem is trauma to your urethra which causes inflammation BIG TIME. The scope insertion, then TWO catheterizations... definitely didn't help. I hope they find the root of the issue they caused during your out patient procedure.

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