Urethrotomy

What is Urethrotomy?

A urethrotomy is an operation which involves incision of the urethra, especially for relief of a stricture. It is most often performed in the outpatient setting, with the patient (usually) being discharged from the hospital or surgery center within six hours from the procedure's inception.

Urethrotomy (often referred to as DVIU, or Direct Visual Internal Urethrotomy) is a popular treatment for male urethral strictures. However, the performance characteristics are poor. Success is less than 9% for the first or subsequent urethrotomies. Most patients will be expected to experience failure with longer followup and the expected long-term success rate from any urethrotomy approach is 0%. Beginning in 2003, several urology residency programs in the northeastern section of the United States began advocating the use of urethrotomy as initial treatment in the young stricture patient, versus urethral dilatation. It is theorized that the one-to-two years of relief from stricture disease will allow the practitioner and the patient to plan the most effective treatment regimen without having the concern that undergoing multiple dilitations cloud the judgment of the patient. Furthermore, should urethroplasty be selected by the patient, minimal scar tissue will have developed at the site of the stricture in the urethrotomy patient, as opposed to the patient who had undergone the more conventional (dilitation) route.

Questions and answers on "Urethrotomy"

Can a urethral dilation be done as an outpatient at a clinic?

doctor1 MD

Brief Answer:
Blind dilatation of urethra is considered to be outdated procedure.

Detailed Answer:
Hello
Thanks for query .

Blind Dilatation of...

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1) Your comments on the current medication.
2) Will 3 injections of Netilmycin 300mg cure the infection (E Coli)? Do I go ahead with it?
3) Your...

doctor1 MD

Brief Answer:
You can take Inj Netilmycin.

Detailed Answer:
Hello
Thanks for your query,based on the facts and reports that you have posted it...

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I went through TURP about 4 weeks before and I have no problems. I have erection and when I indulge in stroking my penis, I got a pain where the...

doctor1 MD

Brief Answer:
You did not ejaculate due to Retrograde Ejaculation .

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have...

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Recent questions on  Urethrotomy

doctor1 MD

Can a urethral dilation be done as an outpatient at a clinic?

doctor1 MD

I am a 52 year old male in good health, i am having extreme difficulty urinating and have some pain in testicle area 1) I do not have a burning...

doctor1 MD

Hello doctor. I have had urinary voiding problems for the last 8 months. The urologist found scar tissue, but removing it did not fix the problem....

doctor1 MD

Yes I m a 60 yr old male having urethral reconstruction due a stricture from radiation treatment for prostate cancer. this will remove the anterior...

doctor1 MD

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doctor1 MD

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doctor1 MD

I used to do enlargement exercise I saw online for few weeks before I stopped. I woke up few weeks ago to urinate,while I was urinating,I tried to...

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