Overview
Internal Urethrotomy, also known, as direct Vision Internal Urethrotomy is a surgical procedure used to treat urethral strictures 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. If you have a narrowing of your 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 your urethra due to a tumor pressing on it, then you are an ideal candidate for Internal Urethrotomy.
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 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 to permit the lining of the urethra to being to heal the raw area inside.
You will be instructed to stay in bed for the next 2 days; you will be given pain killers and antibiotics for the next few days to help you deal with the pain and risk of infection. You will be able to perform all your routine daily activities in about 2 week’s time.
Diagnosis And Staging
edical tourism in India provides coordinated assistance to international patients for their safe and comfortable internal urethrotomy surgery in India. In India many new payment options are available which makes payment procedures very simple, these options includes paying money through western union money transfer, Pay pal services and travelers cheques etc.
Also, here you have to pay 30% of total fees in advance as a token money and remaining amount can be paid at the time of discharge. The cost of treatment in India is lower compared to that of the cost of same treatment in other developed countries. Here, you have to pay lower for the same surgical treatment procedure which takes very high amount in other developed countries.
What Patients Should Confirm
Patients should confirm the diagnosis, stage, biopsy summary, imaging reports, and whether the plan includes surgery, chemotherapy, radiation, targeted therapy, or a combination.
Before requesting a medical opinion, keep recent reports, imaging files, discharge summaries, prescriptions, and a short symptom timeline ready. This helps the specialist review the case without unnecessary back-and-forth.
Travel And Follow-Up Planning
International patients should ask about visa documents, attendant needs, estimated hospital stay, nearby accommodation, fitness-to-fly advice, and how follow-up will continue after returning home.
Forerunners Healthcare can coordinate hospital options, doctor review, appointment planning, travel support, and cost estimates while keeping the final medical decision with the treating specialist.
Care Planning Checklist
Before confirming treatment, patients should share recent reports, imaging, prescriptions, allergy details, previous discharge summaries, and a short timeline of symptoms or diagnosis. This helps the hospital team give a clearer medical opinion and a more realistic cost estimate.
Patients should also confirm the expected hospital stay, attendant needs, visa documents, airport transfers, accommodation near the hospital, payment inclusions, and what may change if extra tests or a longer stay are required.
Follow-up planning should be discussed before travel. Ask what warning signs need urgent attention, when flying is usually reviewed, how medicines or dressings will be managed, and how the treating team will coordinate after the patient returns home.
