Optical Internal Urethrotomy (OIU) Surgery in Delhi
: A Complete Guide
Optical Internal Urethrotomy (OIU) Surgery in Delhi is a minimally invasive procedure designed to treat urethral strictures—a condition where the urethra becomes narrowed, resulting in difficulty passing urine. Here’s how the IOU Surgery in Delhi is performed, based on a demo video from Dr. Vijayant Govinda Gupta:
- Initial Diagnosis and Preparation: Before the surgery, the patient undergoes diagnostic tests such as a Retrograde Urethrogram (RGU) and a Micturating Cystourethrogram (MCU). These tests help in determining the location, severity, and length of the urethral stricture.
- Insertion of the Cystoscope: After administering anesthesia, a cystoscope (a tube with a camera attached) is gently inserted into the urethra. This allows the surgeon to visually examine the urethral passage, looking for the area where the narrowing (stricture) is obstructing the flow of urine.
- Identifying the Stricture: Once inside the urethra, the surgeon uses the camera feed to locate the damaged section. The narrowed segment is clearly visible on a monitor, guiding the next steps.
- Incising the Stricture: A cold knife is introduced through the cystoscope, and the stricture is carefully incised to open the blocked passage. This technique helps restore normal urine flow by cutting through the scar tissue. In some cases, a laser may be used instead of a cold knife to minimize bleeding. This is especially beneficial for smaller or softer strictures.
- Completion and Recovery: After the stricture is opened, a catheter is placed in the urethra to ensure proper healing. The catheter remains in place for a few days to keep the urethral passage open. Patients can resume normal activities after a short recovery period, typically 7-10 days.
What is Urethral Stricture?
Urethral stricture is a narrowing of the urethra that obstructs the flow of urine. It can be caused by trauma, infection, surgery, or other medical conditions like *Balantitis Xerotica Obliterans (BXO)*. This condition can lead to symptoms such as:
- Difficulty urinating or weak urine flow
- Painful urination
- Incomplete bladder emptying
- Frequent urinary tract infections
If left untreated, urethral strictures can lead to serious complications such as bladder dysfunction or kidney damage.
Types of OIU Procedures in Delhi
Optical Internal Urethrotomy (OIU) can be performed using various techniques, depending on the severity and nature of the urethral stricture. The three primary methods are:
- Cold Knife OIU: This traditional technique employs a steel knife to carefully cut through the stricture, offering superior long-term results. However, it may be associated with increased bleeding during the procedure.
- Laser OIU: This method utilizes a Holmium or Thulium laser to precisely incise the stricture, minimizing bleeding. While the recurrence rate may be slightly higher compared to the cold knife method, it offers a safer and more controlled approach.
- OIU with Steroid Injections: To enhance the success rate of the procedure, steroids may be injected after the incision to reduce scar tissue formation. This additional step helps prevent the stricture from reforming, ensuring a more effective outcome.
These variations allow surgeons to tailor the OIU procedure to individual patient needs, ensuring the best possible results.
Why Choose Dr. Vijayant Govinda Gupta for Urethral Stricture (IOU) Surgery in Delhi?
Dr. Vijayant Govinda Gupta is a renowned urologist and andrologist in Delhi, India, specializing in endoscopic treatments for urethral strictures. His expertise, combined with cutting-edge technology, ensures exceptional patient care. Here’s why Dr. Gupta stands out:
- Minimally Invasive Expertise: With thousands of successful OIU surgeries under his belt, Dr. Gupta has established himself as a master of minimally invasive procedures, delivering outstanding results for patients with urethral strictures.
- Urological Care Leadership: Recognized as the top urologist for urethral stricture surgery in Delhi, Dr. Gupta offers both cold knife and laser OIU techniques, providing personalized treatment options for his patients.
- Affordable and Transparent Pricing: Dr. Gupta’s clinic prioritizes accessibility, offering high-quality care at affordable rates for both Indian and international patients, without compromising on excellence.
By choosing Dr. Gupta, patients can trust they are in the hands of a skilled and dedicated professional, ensuring the best possible outcomes for their urethral stricture treatment.
Urethral Stricture (IOU) Surgery Cost in Delhi
Optical Internal Urethrotomy (OIU) surgery cost in Delhi varies depending on factors such as hospital, case complexity, and technology used. Here’s an approximate breakdown:
- OIU Surgery Cost for Indian Patients: ₹25,000 to ₹45,000
- OIU Surgery Cost for International Patients: $500 to $1,000
Cost Comparison: Delhi vs USA
- Delhi, India: ₹25,000 to ₹45,000 (~ $350 – $600)
- USA: $4,000 to $7,000
Choosing OIU surgery in Delhi offers significant cost savings, with prices up to 80% lower than in the USA, while maintaining world-class medical standards. This makes Delhi a popular destination for international patients seeking high-quality care at an affordable price.
FAQs About Urethral Stricture Surgery (OIU) in Delhi
Urethral strictures can be caused by trauma, infections (such as STIs), surgical procedures, or long-term catheterization. Scar tissue forms in the urethra, narrowing the passage and obstructing the flow of urine.
Doctors typically use *Retrograde Urethrogram (RGU)* and *Micturating Cystourethrogram (MCU)* to locate and evaluate the severity of the stricture. Additional tests like *uroflowmetry* may also be conducted to assess urine flow.
The success rate for OIU depends on the type of stricture and whether it’s the first or a repeat surgery. Initial success rates range from 30-40%, but decrease with repeat procedures. Laser OIU has a slightly higher recurrence rate compared to cold knife OIU.
Patients usually recover within 7-10 days post-surgery. A catheter is typically left in place for 2-7 days to ensure proper healing of the urethra. Patients can resume normal activities shortly after the catheter is removed.
If OIU surgery fails or if the stricture recurs, the next step may involve a more definitive surgical procedure called *urethroplasty*, which has a higher success rate and is used for longer or more complex strictures.
For more information or to schedule a consultation, visit official website of Dr. Vijayant Govinda Gupta or contact his clinic in Delhi today.
