Urethrotomy, also known as Direct Visual Internal Urethrotomy (DVIU), is a surgical procedure to repair the narrowing of the urethra and relieving bladder pressure. Urethra is the tube through which urine passes from the bladder to the outside of the body.
DVIU is performed to treat urethra scarring that may be caused by an infection or injury. If not treated in time, urethral stricture can cause further aggravate in infection leading to inability to urinate or empty bladder. It can also cause prostate problems in men.
The doctor will recommended this surgery when:
The patient has trouble urinating
The patient is diagnosed with urethral stricture by his doctor through cystoscopy or prior urethrotomy
The doctor will recommend:
A thorough physical exam, urine test and routine tests, based on the medical history
Stopping blood thinning medications at least 10 days before the procedure
Fasting for 8 to 10 hours prior to the procedure
The procedure is performed under general or spinal anesthesia, and takes around 30 to 60 minutes.
During the procedure,
The area to be operated is cleaned with an anti-infective medication.
After the patient goes under anesthesia, a flexible cystoscope is guided to the narrow part of the urethra.
In Holonium Laser Urethrotomy, the scarring tissue is removed using laser. This technique is used for patients with posterior urethral strictures, or in patients with bladder neck contracture after prostatic surgery.
In Internal Urethrotomy, a special cold knife is used to cut the scarring tissue. This method is used in patients with bulbar urethral strictures.
The catheter is attached to drainage system (leg bag) via a tube which helps drain out urine.
Generally, the patient can go home on the same of the procedure.
For a few weeks after the procedure, the doctor will recommend to:
Take care of cathether and drainage system till it is removed.
Avoid any strenuous physical activity like lifting heavy objects or jumping.
Avoid sexual activity.
The catheter is removed in about a week from the surgery. Complete recovery takes about 3 to 4 weeks.
Risk and Complications
Urethrotomy may have the following complications:
Pain when urinating
Damage to urethra
Discomfort in Penis
If you have any additional questions, talk to our in-house doctors. Call 1800-1022-733 (toll free).
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