Learn about Direct Visual Internal Urethrotomy Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Direct Visual Internal Urethrotomy and request assistance for cost estimates or appointments.

About Direct Visual Internal Urethrotomy

Direct Visual Internal Urethrotomy (DVIU) is a minimally invasive surgical procedure performed by a urologist to treat urethral strictures, narrowings or blockages in the urethra, the tube that carries urine from the bladder out of the body. Under direct vision using a specialized cystoscope, the surgeon inserts a small blade or laser fiber through the urethra to precisely cut and open the scar tissue causing the stricture. This restores normal urine flow. It is typically an outpatient procedure performed under spinal or general anesthesia. DVIU is a common first-line surgical treatment for short, non-complex strictures, offering a quicker recovery compared to open surgery. While effective, some strictures may recur, requiring additional procedures or more definitive surgical reconstruction.

Key Highlights

    Minimally invasive procedure with no external incisions.Performed under direct vision for precision and safety.Typically done as a day-care or short-stay procedure.Primary goal is to restore normal, comfortable urine flow.Quicker recovery and return to normal activities compared to open urethroplasty.Often serves as an effective first-line surgical treatment for suitable strictures./ul

Who is this surgery for?

  • Symptomatic urethral stricture causing poor urine stream, straining, or spraying.
  • Recurrent urinary tract infections (UTIs) due to incomplete bladder emptying.
  • Urinary retention (inability to urinate).
  • Strictures that are short (usually less than 2 cm), bulbar (in the mid-portion of the urethra), and not too dense or recurrent.
  • Strictures that have not responded adequately to simple dilation.
  • Pre-operative preparation for other urological procedures requiring urethral access.

How to prepare

  • Complete a pre-operative medical evaluation, which may include blood tests and an ECG.
  • Undergo diagnostic tests like a retrograde urethrogram or urethral ultrasound to map the stricture.
  • Inform your urologist about all medications, especially blood thinners (which may need to be paused).
  • Fast (no food or drink) for 6-8 hours before the procedure if general or spinal anesthesia is planned.
  • Arrange for someone to drive you home after the procedure.
  • Discuss anesthesia options (spinal or general) with your anesthetist.

Risks & possible complications

  • Bleeding from the incision site in the urethra, leading to blood in the urine (hematuria).
  • Infection, including urinary tract infection (UTI) or, rarely, epididymitis (infection of the testicular tube).
  • Perforation of the urethra or injury to surrounding tissues.
  • Recurrence of the stricture, which is the most common long-term risk.
  • Temporary or, very rarely, permanent urinary incontinence.
  • Erectile dysfunction is uncommon but a potential risk.
  • Reaction to anesthesia.

Recovery & hospital stay

  • You may have a temporary urinary catheter for 1-3 days to allow healing and ensure drainage.
  • Expect blood-tinged urine for a few days; drink plenty of water to flush the bladder.
  • Antibiotics and pain medications will be prescribed to prevent infection and manage discomfort.
  • Avoid strenuous activities, heavy lifting, and sexual intercourse for 2-4 weeks as advised.
  • You may return to non-strenuous work within a few days to a week.
  • Attend all follow-up appointments for monitoring and to assess urine flow. Your urologist may recommend periodic self-dilation or follow-up cystoscopies.
  • checked Typical hospital stay: 0-1 days (typically outpatient/day-care)
  • checked Expected recovery time: 1-2 weeks for normal activities, 4-6 weeks for full recovery and strenuous work

Frequently Asked Questions

If you are considering direct visual internal urethrotomy in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for direct visual internal urethrotomy compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India USD 381 – USD 925 0-1 days (typically outpatient/day-care) ~ 1-2 weeks for normal activities, 4-6 weeks for full recovery and strenuous work Know More
Turkey USD 2,818 – USD 6,845 0-1 days (typically outpatient/day-care) ~ 1-2 weeks for normal activities, 4-6 weeks for full recovery and strenuous work Know More

Top hospitals for Direct Visual Internal Urethrotomy in India

These partner hospitals in India have dedicated urology teams and experience managing patients undergoing direct visual internal urethrotomy.

Artemis Hospital Gurgaon

  • IconGurgaon, India
  • Icon141 Doctors

Manipal Hospital Rangapani

  • IconSiliguri, India
  • Icon13 Doctors

Manipal Hospital Goa

  • IconPanaji, India
  • Icon79 Doctors

Manipal Hospital Whitefield

  • IconBangalore, India
  • Icon105 Doctors

Manipal Hospital Patiala

  • IconPatiala, India
  • Icon52 Doctors

Gem Hospital Aminjikarai

  • IconChennai, India
  • Icon200 Doctors

Manipal Hospital Bhubaneswar

  • IconBhubaneshwar, India
  • Icon55 Doctors

Manipal Hospital Ranchi

  • IconRanchi, India
  • Icon41 Doctors

Miot Hospital Chennai

  • IconChennai, India
  • Icon250 Doctors

Manipal Hospital Malleshwaram

  • IconBangalore, India
  • Icon105 Doctors

Medanta The Medicity

  • IconGurgaon, India
  • Icon900 Doctors

Kamineni Hospital LB Nagar

  • IconHyderabad, India
  • Icon67 Doctors
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Urologists for Direct Visual Internal Urethrotomy

Explore experienced urologists who regularly perform direct visual internal urethrotomy and provide pre- and post-operative care in India.

Dr. Vishnu Vardhana Reddy
  • 16 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital Vijayawada

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Dr. P Sampath Kumar
  • 9 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital Vijayawada

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Dr. Manas Ranjan Pradhan
  • 19 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Bhubaneswar

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Dr. Ravi Koti Reddy
  • 16 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital King Koti

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Dr. P.V.L.N Murthy
  • 46 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital King Koti

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Dr. (Col) S. V. Kotwal
  • 49 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon

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Dr. Piyush Gupta
  • 41 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon

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Dr. Rajiv Yadav
  • 28 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon

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Dr. Siddharth Kumar
  • 12 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Ranchi

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Dr. V. Surya Prakash
  • 26 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital LB Nagar

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Dr. Rajiv Goel
  • 25 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Gurgaon

OPD-desk synced • Updated
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Gurgaon

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Dr. V. Vishnu Vardhana Reddy
  • 16 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital LB Nagar

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Dr. Sandeep Harkar
  • 19 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Gurgaon

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Dr. Nitin Shrivastava
  • 14 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Gurgaon

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Dr. D R Dhawan
  • 27 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jaipur

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Dr. Ashwini Giridhar
  • 10 Years Experience
  • Urologist
Speaks: English, Kannada, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Cytecare Hospital Bangalore

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Dr. Deepak Jain
  • 22 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Ghaziabad

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Dr. Sanjay Garg
  • 22 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Ghaziabad

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Dr. Mahesh Bagaria
  • 12 Years Experience
  • Urologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jaipur

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