Deanna M. Neff, MPH
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.
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.
Urethral stricture can result in:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Factors that may increase the risk of complications include:
Discuss these risks with your doctor before the procedure.
Your doctor may do the following:
Talk to your doctor about your medications. You may be asked to stop taking some medications up to 10 days before the procedure.
In the days leading up to the procedure:
anesthesia will be used. It will block any pain and keep you asleep or sedated through the surgery.
After you are asleep, a special tube called a cystoscope will be placed in your urethra to locate the stricture. Next, the DVIU scope will be placed into your urethra. A special tool will be used to cut away the scar tissue inside your urethra to make it wider. The scar tissue may be removed by cutting or using a laser or heat source. After the tissue is removed, the urethra and bladder area will be examined.
About 30 minutes
Anesthesia prevents pain during surgery. Ask your doctor about medication to help with the pain.
You will be able to go home the same day in most cases.
When you return home, do the following to help ensure a smooth recovery:
Call your doctor if any of the following occurs:
If you think you have an emergency, call for emergency medical services right away.
National Institute of Diabetes and Digestive and Kidney Diseases
Urology Care Foundation
Canadian Urological Association
Cystoscopy with internal urethrotomy. Cleveland Urology Associates website. Available at:
http://www.clevelandurology.net/internal_urethrotomy. Accessed January 12, 2015.
Direct vision internal urethrotomy. Flint Urology website. Available at:
http://www.flinturology.com/dvi_urethrotomy.shtml. Accessed January 12, 2015.
Direct visual internal urethrotomy (DVIU) home care after surgery. University of Wisconsin Hospitals and Clinics website. Available at:
http://www.uwhealth.org/healthfacts/B_EXTRANET_HEALTH_INFORMATION-FlexMember-Show_Public_HFFY_1105110082515.html. Updated August 2013. Accessed January 12, 2015.
Last reviewed January 2015 by Adrienne Carmack, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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