Direct vision internal urethrotomy (DVIU) is surgery to repair a narrowed section of the urethra. This is referred to as a stricture. The urethra is the tube that carries urine 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:
After you are asleep, a special tube called a cystoscope will be placed in your urethra to locate the stricture. Next, a special tool will be placed through the cystoscope and 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.
A catheter may be placed once the surgery is complete. A catheter is a plastic tube placed through the urethra into the bladder.
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.
During recovery immediately after surgery your vital signs will be monitored. Pain medication will be delivered as needed. The catheter will be checked to make sure urine is passing as expected.
You will be encouraged to move around and have some food before leaving.
A catheter may be left in place once you leave the hospital. The catheter will help urine pass and keep the urethra open while it heals.
Certain physical activities will be limited in the first few weeks such as heavy lifting or sexual activity.
Call your doctor if any of the following occur:
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
Direct vision internal urethrotomy. Flint Urology website. Available at: http://www.flinturology.com/dvi_urethrotomy.shtml. Accessed January 29, 2021.
Direct visual internal urethrotomy (DVIU) home care after surgery. University of Wisconsin Hospitals and Clinics website. Available at: https://www.uwhealth.org/healthfacts/genitourinary/4416.html. Accessed January 29, 2021.
Last reviewed March 2020 by EBSCO Medical Review Board Adrienne Carmack, MD Last Updated: 1/29/2021