Direct vision internal urethrotomy (DVIU) is a medical procedure used to treat urethral strictures, which are narrow sections in the urethra that can make it difficult or painful to pass urine.

What is a Direct Vision Internal Urethrotomy?

Direct Vision Internal Urethrotomy (DVIU) is a medical procedure used to treat urethral strictures by cutting and removing the narrow portion of the urethra. During the procedure, a small telescope called a cystoscope is inserted into the urethra to allow the surgeon to see the area. A small knife or laser is then used to cut through the narrow area and remove it.

How is DVIU Performed?

DVIU is usually performed under general anesthesia, which means that you will be asleep during the procedure. The surgeon will insert a cystoscope into your urethra and will use it to visualize the stricture. The narrow section of the urethra will then be cut and removed using a small knife or laser. The procedure usually takes about 30 minutes to an hour.

What Should I Expect After the procedure?

After the procedure, you may have a catheter inserted into your bladder to help drain urine. You may also experience some discomfort or pain when urinating for a few days, and you may notice some blood in your urine. It is important to drink plenty of fluids and follow your doctor’s instructions for pain management and care of the catheter, if one is inserted.

What are the Risks Associated with DVIU?

Like any medical procedure, DVIU has some risks. These may include bleeding, infection, scarring, and recurrence of the stricture. Your doctor will discuss these risks with you before the procedure and will answer any questions you may have.

When Can I Expect to Return to Normal Activities?

Your recovery time will depend on the severity of the stricture and your overall health. You may be able to return to work and normal activities within a few days after the procedure, but it is important to follow your doctor’s instructions and avoid strenuous activities for a few weeks.

How Can I Prepare for the Procedure?

Your doctor will provide you with specific instructions for preparing for the procedure. This may include fasting for a certain period of time before the procedure, stopping certain medications, and arranging for transportation to and from the hospital or clinic. It is important to follow these instructions carefully to ensure the procedure is successful and to minimize any risks or complications.