What is VIU / OIU?

VIU (Visual Internal Urethrotomy) or OIU (Optical Internal Urethrotomy) is a minimally invasive endoscopic procedure used to treat urethral strictures — a narrowing of the urethra that obstructs urine flow.

In this procedure, Dr. Swapnil Gholap uses a specialized endoscope (urethrotome) to visualize the urethra internally and precisely cut or open the stricture using a fine surgical blade or laser.
The goal is to restore normal urine flow without the need for open surgery.

Causes of Urethral Stricture

Urethral strictures can occur due to:

• Previous urinary tract infections (UTIs)

• Injury or trauma to the penis or urethra

• Catheterization or prior surgeries involving the urinary tract

• Inflammation or scarring from conditions like lichen sclerosus

• Congenital narrowing present since birth

Symptoms of Urethral Stricture

Patients with urethral stricture may experience:

• Weak or slow urine stream

• Difficulty starting urination

• Frequent urination or urgency

• Dribbling after urination

• Pain or burning sensation while urinating

• Urinary retention or inability to pass urine

• Recurrent urinary infections

When is VIU / OIU Needed?

Dr. Swapnil Gholap may recommend VIU or OIU when:

• A short urethral stricture is detected (usually <1.5 cm)

• Repeated infections or urinary retention occur

• Urine flow is significantly reduced

• The patient does not respond to medications or dilation procedures

• A minimally invasive, quick recovery option is preferred

The VIU / OIU Procedure

• Anesthesia – The procedure is done under spinal or general anesthesia.

• Endoscopic approach – A thin instrument (urethrotome) is inserted through the urethra.

• Stricture incision – The narrowed area is carefully incised using a cold knife or laser under direct vision.

• Catheter placement – A urinary catheter is left in place for a few days to maintain the urethral opening and ensure smooth healing.

• Duration – The surgery usually takes 15–30 minutes, and most patients go home the same day.

Recovery & Aftercare

• Hospital stay – Usually day-care or overnight observation.

• Catheter removal – Typically after 3–5 days, depending on healing.

• Hydration – Drink plenty of fluids to flush the urinary tract.

• Avoid heavy activity for about a week.

• Follow-up checkups – Regular follow-ups ensure the stricture does not recur.

• Uroflowmetry or imaging tests may be advised after healing to check urine flow.

FAQs About VIU / OIU (Endoscopic Urethrotomy)

1. Is VIU or OIU painful?
No. The procedure is performed under anesthesia, so there is no pain during surgery. Mild burning may occur for a few days afterward.

2. How long does it take to recover?
Most patients recover fully within 3–5 days, and normal activities can be resumed soon after catheter removal.

3. Can the stricture come back?
There is a possibility of recurrence, especially in longer or complex strictures. Regular follow-up is essential for early detection and management.

4. Is VIU/OIU better than open surgery?
For short and simple strictures, VIU/OIU is highly effective and minimally invasive. For long or recurrent strictures, open reconstruction may be required.

5. When can I resume normal life?
Most patients can return to normal daily routines within 3–7 days, depending on comfort and recovery progress.