Fulguration of Bladder Lesions

What to expect after the procedure...

Expect to wake up in the recovery room with the urge to urinate. Manipulation of the bladder initially makes it a bit excitable, causing this sensation despite the fact that the bladder is usually emptied completely after the procedure. Your nurse will give you a bedpan or urinal if needed - however, don't be surprised if not much urine is released.

In some patients (perhaps 1 in 10), a temporary catheter is left in the bladder, to be taken out either in the recovery room or in the office the next day. This is done for a variety of reasons; usually as a safety measure.

If fulguration is being performed for the pain associated with a Hunner's ulcer, the pain usually settles down over the first 48 hours.

Pain medication may be dispensed for discomfort related to your procedure. The type and amount of medication is prescribed on a patient by patient basis.

You will be asked to take oral antibiotics for a few days after the procedure to prevent the development of a urinary tract infection.

When urinating for the first time and for the next few days, you may experience some burning. This sensation ultimately passes and may be relieved somewhat by drinking lots of fluids and taking a medication called Pyridium. Pyridium is an oral medication that turns your urine a bright orange color and works as an anesthetic.

You will probably see some blood in your urine. This is normal and generally clears over the next few days. It's normal to see occasional blood in the urine, sometimes weeks after the procedure. This is usually mild and should be followed by increasing your fluid intake and avoiding strenuous activity for a few days. If it persists or progressively worsens, please call your doctor. Patients sometimes see little dark flecks in the urine. This likely represents the "scab" coming off the region of fulguration - nothing to worry about.