Synonym: Direct Vision Internal Urethrotomy (DVIU)
Internal Urethrotomy, also known as Direct Vision Internal Urethrotomy (DVIU) is a surgical procedure used to treat urethral strictures (narrowing) due to scarring. Internal Urethrotomy can be categorized as Reconstructive Urology procedure where the normal anatomy and function of the urethra is restored by dilatation of the urethra. Internal Urethrotomy is a minimally invasive endoscopic procedure where a small cut is made in the narrowed part to fix the abnormal narrowing of the urethra.
Where can I get Internal Urethrotomy?
Cost of procedure performed in the US: $4,000 to $8,000.
All prices are in US dollars and include the cost of the procedure and minimum hospital stay. Estimates and minimum hospital stay will vary depending upon individual needs and requirements.
If you have a narrowing of your urethra due to any of the causes i.e. repeated episodes of urethritis, benign prostatic hyperplasia, scarring from a previous surgery, injury or trauma to the pelvic region or if there is narrowing of your urethra due to a tumour pressing on it, then you are an ideal candidate for Internal Urethrotomy.
A thorough pre-operative assessment by your urologist would comprise of physical examination, urinalysis for the presence of blood and white cells, urine culture for infection and Cystoscopy to confirm the diagnosis of urethral stricture. The standard urethral imaging procedures like Retrograde Urethrogram (RUG) and Voiding Cystourethrogram (VCUG) will be performed. You will be hospitalized at least one day before the surgery. Inform your surgeon about your other health conditions and medications (including all the prescription, non-prescription medications, nutritional supplements i.e. vitamins, minerals and herbal products) that you are taking. Refrain from taking aspirin or Ibuprofen at least 2 weeks before Internal Urethrotomy. Stop smoking a few weeks before Internal Urethrotomy to prevent healing problems during recovery period. Do not eat or drink any thing for at least 10 - 12 hours before the Internal Urethrotomy procedure.
The urinary bladder will be emptied using a suprapubic catheter before the Internal Urethrotomy to prevent urinary tract infection. You will lie on your back on the operating table with your legs wide apart. Internal Urethrotomy is performed in a hospital setting under general anesthesia. An endoscope with a sharp cutting edge (knife) is inserted into the urethra and an incision is made to open the narrowed portion of the urethra. A catheter is inserted to hold the urethra open until the internal cut heals.
You will be instructed to stay in bed for the next 2 days, you will be given pain killers and antibiotics for the next few days to help you deal with the pain and risk of infection. The indwelling catheter will be retained for 3 - 5 days. Avoid performing strenuous activities like lifting something heavy, playing sports or having sexual intercourse for at least 2 weeks after Internal Urethrotomy. You will be able to perform all your routine daily activities in about 2 weeks time. You will be called in for follow up Cystoscopy after 4 weeks of Internal Urethrotomy.
The success rate reported for Internal Urethrotomy to treat urethral stricture is 70 - 80%. Internal Urethrotomy has optimal results in case of small strictures i.e. 2 cm or less.
B . R . A . N . D . of Internal Urethrotomy
Keywords: Urethritis, Benign Prostatic Hyperplasia, BPH, Urethral Obstruction, Urethral scar, Anterior Urethral Stricture Disease, Scarring in the Corpus Spongiosum, Urethroplasty, Urethral Dolatation, Permanent Urethral Stents, Kidney Stones, Renal Hypertension, Intravenous Pyelogram (IVP), Urinalysis, Kidney Stones, Bladder Stones, Cystitis, Urinary Tract Infection, Hematuria (Blood in urine), Urethral Stricture, Ureteroscope, Cystoscope, Intravenous Pyelography (IVP), Urinary Incontinence, Overactive Bladder, Urinalysis, Bladder Catheter, Kidney Operation, Painful Urination, Pelvic Pain, Interstitial Cystitis, Urinary Blockage, Narrowing of the Urinary Tract, Stone in the Urinary Tract, Bladder Cancer, Bladder Biopsy, Kidney Tumor, Minimally Invasive Procedure
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