What is Internal Urethrotomy?
Internal Urethrotomy, also known, as Direct Vision Internal Urethrotomy (DVIU) is a surgical procedure used to treat urethral strictures (narrowing) due to scarring. Internal Urethrotomy can be categorized as Reconstructive Urology procedure where the normal anatomy and function of the urethra is restored by dilatation of the urethra. Internal Urethrotomy is a minimally invasive endoscopic procedure where a small cut is made in the narrowed part to fix the abnormal narrowing of the urethra.
Who is an ideal candidate for Internal Urethrotomy?
If patient have a narrowing of urethra due to any of the causes i.e. repeated episodes of urethritis, benign prostatic hyperplasia, scarring from a previous surgery, injury or trauma to the pelvic region or if there is narrowing of urethra due to a tumour pressing on it, then patient are an ideal candidate for Internal Urethrotomy.
Procedure of Internal Urethrotomy Surgery:
The urinary bladder will be emptied using a suprapubic catheter before the Internal Urethrotomy to prevent urinary tract infection. Patient will lie on his back on the operating table with legs wide apart. Internal Urethrotomy is performed in a hospital setting under general anesthesia. A special cystoscope (tube that doctor can look through) is placed within the urethra while patient are asleep. The scar tissue is inspected and then a small knife is carefully placed at the scar through the cystoscope which is then incised until the scarred area is open, up to the size of the rest of patient’s urethra. A catheter is left in place for about 2-10 days (sometimes longer) to permit the lining of the urethra to being to heal the raw area inside.
Benefits of Internal Urethrotomy Surgery:
Internal Urethrotomy relieves pain and discomfort during voiding, relieves decreased flow of urine i.e. restores the normal stream of urine and need to urinate frequently. Internal Urethrotomy can also reduce patient’s risk of getting orchitis, prostatitis or recurrent urinary tract infection
Recovery after the surgery of Internal Urethrotomy:
A catheter is left in place for approximately 2-10 days. There is usually minimal discomfort but there will be medication ordered if needed. Antibiotics will be prescribed for the healing period. After removal of the catheter, there may be some bleeding for several days (not very much), but patient should be able to urinate without much difficulty. Patient should refrain from strenuous activity and sexual intercourse for two (2) weeks and drink plenty of fluids during the healing.
Internal Urethrotomy Surgery in India:
Several superspeciality hospitals in, India offer comprehensive urological services and are equipped with world class endoscopy instruments and machinery to diagnose and treat stone disease, urological cancer, incontinence (unable to control our bladder & bowels), infertility, impotency and other urinary difficulties. Advanced methods such as lithotripsy for treating kidney and ureteric stones without surgery are available with complementary methods of treating stones endoscopically. Advanced machines like the Lithostar obvert the need for anaesthesia in the treatment of kidney and ureteric stones. High tech facilities for the treatment of prostate, bladder cancers, urethral strictures are also available. Investigation and treatment facilities for impotence and male/female infertility exist with specialised facilities for pharmacotherapy, cavernosometry and cavernosography, in addition to doppler studies for the assessment of blood flow.
Low cost treatment is the main appeal that pulls medical tourists to India, but this is no longer the only attraction. India boasts of a very strong medical infrastructure that provides state-of-the-art international standard services to several patients who throng India for an attractive amalgamation of cost-effective and world-class treatment. The costs incurred in medical treatments here in India are almost one-tenth of what patients have to spend in most of the western countries. Most of the medical tourists who come to India find the infrastructure and technology at par with that in USA, UK and Europe. Heart surgery, knee transplant, cosmetic surgery and dental care are the most common treatments for patients coming to India. The good facilities provided in India are certainly beneficial but also the skyrocketing medical costs and long waiting lists to get treated by the specialists in the western countries are helping Indian medical tourism industry. India Inc. is all set to capitalize on the opportunity through low costs and highly trained doctors to appeal to the medical tourists. India has a large pool of professionally qualified doctors, nurses and paramedics. The world-class facilities and infrastructure is further supported by low cost airfare and other facilities related to their stay in India. The ever-growing pharmaceutical industry aptly complements the healthcare sector in servicing the global clients. A number of counties have joined hands with the Indian healthcare sector to facilitate speedy treatments particularly for their nationals. Besides surgeries medical treatments and diagnosis, the Indian medical Diaspora is also providing tele-consultancy for expert medical opinion and transmission facilities to a number of top medical faculties in the western countries. India has demonstrated its growing competence in specialized treatments like transplantation of vital organs, cancer treatment, neuro-surgery and cardiac surgery. A very unconventional reason for India being one of the most preferred South Asian destinations amongst the medical tourists is that the Indians already cater to a gamut of industries abroad, working in close association with the western clients. The patients feel at home because Indians understand their culture. Hi-tech and cost-effective medical services and the state-of-the-art corporate hospitals offering them are best supported by alternative medical treatment facilities thriving in leaps and bounds in the country. Many people come to India for the rejuvenation promised by yoga and Ayurveda.
To know more about Hospitals in India and the Internal Urethrotomy Surgery packages available in Hospitals,
http://www.indianhealthguru.com
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