Should I be concerned about the post-operative symptoms after recently undergoing a cystoscopy retrograde pyelogram?

Hi doctor,

I had a cystoscopy and retrograde pyelogram three days back, as suggested by a urologist, to help diagnose unexplained microscopic haematuria. And now, I am experiencing post-operative pain or symptoms not mentioned in the post-operative guidance. I will be traveling for 24 hours tomorrow (long haul flights and trains) with limited access to medical care, and I want to confirm if I should be taking any action for my symptoms before I travel. Also, I would like to add that I am drinking approximately 3 to 4 liters of water daily. While voiding, the urine is clear and has no smell with minimal or no stinging sensation. I have a few symptoms, like a constant dull ache in my lower left back or flank, which started after my first void in the hospital. The sensation is like pressure on a bruise. It has not worsened or been better since the surgery three days ago. I rate my pain as two out of ten on a scale of ten. I have constant pain when lying down. And I rate the pain as four out of ten when sitting or standing for more than five minutes. Also, the pain increases to seven out of ten post void if I fully empty my bladder and coincides with bright red blood in the urine (blood only visible at the termination of void).

My GP, hospital, and specialist are not answering the phone today because they are closed. Could you please advise on suggested actions for the above? Does this sound normal and likely to improve over the next few days without intervention?

Please give your suggestions.

Hi doctor,

Thank you for the reply.

Can you please clarify what you mean by "DJ in addition to cystoscopy retrograde"? I had a rigid cystoscopy and a retrograde pyelogram. From your experience, is it normal to have lower back or kidney pain after this procedure?

Please answer.