Cystoscopy and botulinum toxin injection aftercare

Obstetrics and gynaecology

You have just had a procedure called a cystoscopy, which is when a thin telescope is inserted through your urethra (the tube through which urine (wee) leaves the body) into your bladder (where your wee is held inside your body).

You have also had an injection of botulinum toxin into your bladder to improve your urinary symptoms.

A doctor or a nurse will explain what they have found and what has been done to you. If you do not understand anything, please ask before you go home.

Another appointment will be made for you if it is needed. 

Your doctor or nurse will talk to you about the importance of drinking more over the next 24 hours to flush your system through.

What you can expect when you get home

You may have some pain and notice some bleeding when you pass urine for 24 to 48 hours after your procedure.

It can take up to 3 weeks for the botulinum toxin to take full effect.

If you have any questions, concerns, problems with emptying your bladder or have any urinary tract infection (UTI) symptoms please contact Gynaecology at Greenoaks on 01709 427641 9am to 5pm, Monday to Thursday and 9am to 1pm on Fridays.

For advice outside of these hours please contact Ward B11 on 01709 424349.

Symptoms of a UTI may include:

  • pain or burning when passing urine (dysuria) – after the initial side effects of the injection
  • feeling the need to pass urine more often
  • feeling the need to pass urine more often during the night (nocturia)
  • an increase in urinary urgency
  • cloudy urine
  • blood in your urine - after the initial side effects of the injection
  • lower abdominal pain or back pain
  • a high temperature or feeling hot and shivery
  • a very low temperature, below 36 degrees Celsius

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  • Page last reviewed: 21 April 2025
  • Next review due: 30 April 2027