Direct Vision Internal Urethrotomy

Direct vision internal urethrotomy (DVIU) is a surgery to repair a narrowed section of the urethra. This is referred to as a stricture. The urethra is the tube through which urine passes from the bladder to the outside of the body.

  • Call Your Doctor

    Call your doctor if any of the following occurs:

    • Increasing pressure or pain
    • Catheter does not drain properly
    • Difficulty passing urine after catheter is taken out
    • Changes in frequency or volume of urine
    • Signs of infection, including fever or chills
    • Excess blood in urine

    If you think you have an emergency, call for medical help right away.

  • Definition

    Direct vision internal urethrotomy (DVIU) is a surgery to repair a narrowed section of the urethra. This is referred to as a stricture. The urethra is the tube through which urine passes from the bladder to the outside of the body.

  • What to Expect

  • Reasons for Procedure

    Urethral stricture is due to scarring of the urethra. This scarring may be caused by infection or injury. DVIU cuts through the scar tissue and opens the urethra.

    Male Urethra
    si55550234 male urethra
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    Urethral stricture can result in:

    • Prostate problems in men

    • Infections of the
      bladder, ureters, which are tubes that carry urine from the kidneys to bladder, or
      kidneys
    • Inability to urinate or empty the bladder completely

  • Possible Complications

    Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:

    • Reaction to anesthesia
    • Excessive bleeding
    • Blood clots
    • Infection
    • Pain when urinating
    • Damage to urethra
    • Recurrent stricture
    • Need for more procedures
    • Penis pain
    • Erectile dysfunction

    Factors that may increase the risk of complications include:

    • Bleeding disorders or taking medications that reduce blood clotting
    • Obesity
    • Smoking

    Discuss these risks with your doctor before the procedure.