What indicates OIU (Optical Internal Urethrotomy)
Internal urethrotomy is the therapeutic option to treat short urethral strictures without scarring.
What are the contraindications to internal urethrotomy?
- Coagulation disorders
- Untreated urinary tract infection
What are the surgical techniques of Internal Urethrotomy?
Blind Internal Urethrotomy (Otis)
An Otis urethrotomy is the blind transurethral incision of the urethra performed by Otis urethrotome. Once Otis urethrotome is inserted, the urethra is dilated according to the desired width and the blade is used to cut stretched urethra.This option is ideal for palliative treatment for the long-segment strictures of the male urethra or for the female urethra to treat proximal narrowing. Before the old resectoscopes are performed Otis urethrotomy is done. This is done in a narrow urethra to stop ischemic damage. The use of modern 24 CH resectoscopes is necessary.Seek medical help from the experts and they will give you the latest treatment plan which helps you live a better quality life. Getting a timely diagnosis helps to treat the problem on time and it will not go further
Perioperative antibiotic prophylaxis
Internal urethrotomy is done with sterile urine. If there is an infection then it needs to be treated with the medications right away. For one day the perioperative antibiotic medications are ciprofloxacin 500 mg p.o. 1-0-1. The antibiotic prophylaxis can help the patient to deal with the urinary tract infection. Additionally, this can help to reduce the recurrent urinary tract infection, fever, and urethral strictures.
The patient needs to stay in a lithotomy position. Disinfect the lower abdomen, sterile draping, perineum, and external genitalia. General anesthesia or spinal anesthesia is given for internal urethrotomy.
Direct-Vision Internal Urethrotomy
Direct-vision urethrotomy is the transurethral incision of the stricture. A cold knife is used and an alternative option to cut the structure is with a laser fiber. To minimize scar contraction, it is important to reach healthy tissues.
Postoperative Management after Internal Urethrotomy
- Control micturition with the urinary flow and residual urine
- Perioperative antibiotic treatment
- A transurethral catheter for 2 to 7 days, depending on urethrotomy length. Long-term catheterization for up to 6 weeks. Recurrent urethral obturation helps in stopping recurrent urethral stricture
Complications of Internal Urethrotomy
- Recurrence of the stricture
Deep cuts with an injury of the corpus spongiosum or corpus cavernosum may lead to strong bleeding, which can be stopped by inserting a properly sized catheter.
- Rare complications
One of the rare complications is erectile dysfunction. This can occur due to the injury of erectile tissues. There can be urinary incontinence which is due to urinary sphincter getting injured.
Get medical help
If you are facing health issues that are making it difficult for you to live a normal life then consult the doctor right away. At Astha Hospital, the entire team of doctors and staff are highly skilled and experienced in giving the best treatment care. Your health is our priority and we are here to help you in case of any emergency.
When do I contact the doctor?
You need to consult the doctor immediately in case of seizures and blackouts. While some of these symptoms may be a result of other medical condition, it is always advisable to receive immediate medical attention. Repeated seizures can cause serious injury and must never be ignored.Book an Appointment