Clinic review to discuss findings and further treatment plan.
Internal urethrotomy, also known as direct visual internal urethrotomy (DVIU), is an endoscopic procedure performed under general or spinal anaesthetic to treat a short segment urethral stricture.
A rigid cystoscope is used to pass a cold knife or urethrotome to incise the stricture under direct vision, restoring urethral patency and improving urinary flow. A transurethral catheter is typically left in place for 3–5 days to allow the incision to heal.
This procedure is often indicated in men with recurrent bulbar strictures following urethroplasty, who present with obstructive voiding symptoms such as poor urinary stream, hesitancy, or urinary retention—typically as a temporising measure before considering revision urethroplasty.
Due to the high rate of recurrence, a follow-up flexible cystoscopy is routinely scheduled at 3 months post-procedure to assess for re-stricture and guide further management.
