Direct Vision Internal Urethrotomy
(DVIU; Endoscopic Internal Urethrotomy)
Reasons for Procedure
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- Reaction to anesthesia
- Excessive bleeding
- Blood clots
- Pain when urinating
- Damage to urethra
- Recurrent stricture
- Need for more procedures
- Penis pain
- Erectile dysfunction
- Bleeding disorders or taking medications that reduce blood clotting
What to Expect
Prior to Procedure
- Conduct a physical exam and ask about your medical history
- Order imaging, blood, and urine tests
- Talk about the anesthesia being used and its potential risks
- Aspirin or other nonsteroidal anti-inflammatory drugs, such as ibuprofen or naproxen
- Blood thinners, such as warfarin
- Anti-platelets, such as clopidogrel
- Take a shower before the procedure as directed.
- Arrange for a ride home from the hospital.
- Do not take anything by mouth starting eight hours before your procedure. Ask the doctor how you should take your regular medications on the morning of your procedure.
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- You will be monitored while you recover from the anesthesia.
- The nurses will help you eat and move around again.
- You will be given pain medication.
- A catheter will be placed temporarily after the procedure. A catheter is a tube placed through the urethra to the bladder to empty it.
- Take medications as directed for pain. You may feel pain for up to two weeks.
- Care for your catheter as directed. The catheter may need to remain in place from a few days to two weeks. Your doctor may ask you to insert a catheter a few times a week to keep the scar tissue from closing again.
- Avoid lifting heavy objects for two weeks.
- Drink plenty of fluids.
- Do not drive or have sex until your doctor says it is okay.
- Ask your doctor when you can return to work. You may be able to go back to work in a few days.
- Take a shower instead of a bath until the catheter is removed.
- Follow all your doctor's instructions.
Call Your Doctor
- 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
American Urological Association http://www.urologyhealth.org
National Institute of Diabetes and Digestive and Kidney Diseases http://www.niddk.nih.gov
Canadian Urological Association http://www.cua.org
Health Canada http://www.hc-sc.gc.ca
Cystoscopy with internal urethrotomy. Cleveland Urology Associates website. Available at: http://www.clevelandurology.net/internal%5Furethrotomy. Accessed May 21, 2013.
Direct vision internal urethrotomy. Flint Urology website. Available at: http://www.flinturology.com/dvi%5Furethrotomy.shtml. Accessed May 21, 2013.
Direct visual internal urethrotomy (DVIU) home care after surgery. University of Wisconsin Hospitals and Clinics website. Available at: http://www.uwhealth.org/healthfacts/B%5FEXTRANET%5FHEALTH%5FINFORMATION-FlexMember-Show%5FPublic%5FHFFY%5F1105110082515.html. Updated April 26, 2010. Accessed May 21, 2013.
- Reviewer: Adrienne Carmack, MD; Brian Randall, MD
- Review Date: 05/2013 -
- Update Date: 03/18/2013 -