What is Optical Internal Urethrotomy?
The surgery that involves removal of the body tissues in the urethra for the stricture is called Urethrotomy. Optical Urethrotomy is another name of direct visual internal Urethrotomy. This process does not have much of success rate. There are many hospitals is India where you can undergo Optical Internal Urethrotomy. OIU is also termed for Optical Internal Urethrotomy.
Optical Internal Urethrotomy Procedure
Optical Internal Urethrotomy uses an endoscopic device, which is called urethrotome. With this and with a sharp knife the incision is done in the urethra. This operation is done in men and the success rate is below 10%. Still, for urethral strictures this is a popular treatment. The process removes the unwanted tissues.
The risk involved in Optical Internal Urethrotomy
The risks involved in Optical Internal Urethrotomy are the followings:
- Infection in the urinary track
- Infection in the operated place
- Wound dehiscence
- Recurrence of urethral stricture
- Excessive bleeding
OIU Post-operative care
You need to be very careful after operation. You will be given a catheter. It may remain for 2 days to 2 weeks. Few things you need to avoid after the surgery, like:
- Do not lift heavy objects
- Must drink 2 liters of water
- Do not drive for a week
Cystoscopy with Internal Optical Urethrotomy (IOU)
Cystoscopy= inserting a small telescope into the bladder
Internal= Inside a structure (in this case the urethra)
Optical= underneath direct visualization through the scope
tomy= "tome" or to cut
This process is done to open up a stricture (scar tissue) in the urethra.
The most common reasons to have a scar are:
- a history of prior urethral procedure
- an old injury to the urethra
- history of gonorrhea or other infection (urethritis) involving the urethra
Soft scars that are very short may act in response to simple dilatation (gentle scattering with specialized instruments). Other may need a more formal course of action to maximize results and weaken the incidence of recurrence. Strictures can crop up in different places all the way through the length of the urethra. They also range in length. Success of the process correlates with location of the stricture, shorter length, and whether this is the first IOU procedure.
The other alternatives to Endopyelotomy are Dilatation, Open Pyeloplasty and Laparoscopic Pyeloplasty.
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