Abstract :
Background: Direct visual internal urethrotomy (DVIU) and urethral dilatation are the most commonly performed
procedures for urethral stricture disease. This approach is appealing both for urologists and patients as it is minimally
invasive. The objective of this paper is to outline the current scientific evidence supporting this approach for its use in the
management of urethral strictures in patients with multiple morbidities who would not tolerate prolonged surgeries well and
to share our own experiences. Methods: We performed a retrospective study of cystoscopy-guided internal urethrotomies
performed between 2009 and 2014 on patients with co morbid conditions. Results: Overall, urethral stricture stabilized in
76.7% of patients with 1 or 2 internal urethrotomies within 24 months of follow-up.Conclusion: Direct vision cold knife
urethrotomy is a safe technique that should be exercised as a therapeutic trial in patients with co morbidities as an
alternative giving a safer and easier option.
Keyword :
DVIU, ureththral stricture, Urethrotomy, morbidity