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Direct Vision Internal Urethrotomy

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by Neff DM

(DVIU; Endoscopic Internal Urethrotomy)


What to Expect

Prior to Procedure

Your doctor may do the following:
  • 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
Talk to your doctor about your medications. You may be asked to stop taking some medications up to ten days before the procedure, including:
  • Aspirin or other nonsteroidal anti-inflammatory drugs, such as ibuprofen or naproxen
  • Blood thinners, such as warfarin
  • Anti-platelets, such as clopidogrel
In the days leading up to the procedure:
  • 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.


General or spinal anesthesia will be used. It will block any pain and keep you asleep or sedated through the surgery.

Description of the Procedure

After you are asleep, a special tube called a cystoscope will be placed in your urethra to locate the stricture. Next, the doctor will place the DVIU scope into your urethra. A special tool will be used to cut away the scar tissue inside your urethra to make it wider. The doctor may remove the scar tissue by cutting or using a laser or heat source. After the tissue is removed, the doctor will examine the urethra and bladder area.

How Long Will It Take?

About 30 minutes

How Much Will It Hurt?

Anesthesia prevents pain during surgery. Ask your doctor about medication to help with the pain.

Average Hospital Stay

You will be able to go home the same day in most cases.

Post-procedure Care

At the Care Center
  • 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.
At Home
When you return home, do the following to help ensure a smooth recovery:
  • 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.


American Urological Association

National Institute of Diabetes and Digestive and Kidney Diseases



Canadian Urological Association

Health Canada



Cystoscopy with internal urethrotomy. Cleveland Urology Associates website. Available at: Accessed May 21, 2013.

Direct vision internal urethrotomy. Flint Urology website. Available at: Accessed May 21, 2013.

Direct visual internal urethrotomy (DVIU) home care after surgery. University of Wisconsin Hospitals and Clinics website. Available at: Updated April 26, 2010. Accessed May 21, 2013.


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