Visual Internal Urethrotomy (VIU) involves the use of a specialized endoscope inserted through the urethra to locate and incise strictured segments, widening the narrowed urethral passage and restoring normal urine flow. This procedure is less invasive than open surgery and typically performed under local, regional, or general anesthesia depending on the case.
Why is VIU Performed?
- To treat urethral strictures causing urinary difficulty, weak stream, or retention
- To relieve recurrent strictures where dilation alone is inadequate
- As a first-line, minimally invasive procedure before considering open urethroplasty
The VIU Procedure
- Performed under appropriate anesthesia for patient comfort
- A urethrotome (special endoscope with a cutting blade) is introduced through the urethra
- Under direct vision, the stricture site is identified and incised from inside the urethra
- The incision releases the narrowing, allowing urine to pass freely
- A catheter is usually placed for a few days post-procedure to maintain urethral patency
The procedure is usually brief, lasting about 15 to 30 minutes, often on an outpatient basis.
Benefits of VIU with Dr. Sadashiv Bhole
- Minimally invasive with no external incisions
- Quick recovery with short hospital stay or same-day discharge
- High success rate for short strictures
- Reduced discomfort compared to open surgery
- Allows repeated procedures if strictures recur
Recovery and Aftercare
- The catheter remains for 2 to 7 days as advised by Dr. Sadashiv Bhole
- Patients may experience mild discomfort or bleeding initially
- Drinking plenty of fluids and avoiding strenuous activity are recommended
- Follow-up visits are scheduled to monitor healing and urinary function
Location & Contact Details
Dr. Sadashiv Bhole
Ketki Nursing Home & Bhole Urology Hospital
Plot No. 12/2, Second Floor, Hyatt Medicare,
Khare Marg, Dhantoli-440012, Nagpur, Maharashtra
Phone: +91 93708 03532
Email: bholeurology@gmail.com
Frequently Asked Questions (FAQs)
1. What is the success rate of VIU?
VIU has a good success rate for short (<2 cm) urethral strictures, though some may recur requiring repeat treatment.
2. Is VIU painful?
The procedure is done under anesthesia, so no pain is felt during surgery. Mild discomfort after the procedure is common and manageable.
3. How long does the procedure take?
Typically 15 to 30 minutes.
4. What are the risks or complications?
Risks include infection, bleeding, or stricture recurrence. These are minimized with expert care.
5. How soon can I resume normal activities?
Most patients can return to light activities within a few days, avoiding strenuous exertion until cleared.
6. Is catheterization necessary after VIU?
Yes, a catheter is usually placed temporarily to keep the urethra open during healing.
7. What if the stricture returns?
Repeat VIU or further surgical interventions may be required depending on the severity and length of recurrence.
8. How do I book a VIU consultation with Dr. Sadashiv Bhole?
Call +91 93708 03532 or email bholeurology@gmail.com to schedule your appointment or obtain more information. For expert, compassionate, and efficient VIU care in Nagpur, trust Dr. Sadashiv Bhole, a leading urologist with over 1,800 VIU surgeries performed, at Ketki Nursing Home &
