Optical Internal Urethrotomy (OIU) Surgery in Agra
Advanced Urethral Stricture Treatment at Sarkar Hospital – Best Multispecialist Hospital in Agra
Optical Internal Urethrotomy (OIU) is a minimally invasive surgical procedure used to treat urethral strictures, a condition in which the urethra becomes narrowed, causing difficulty in passing urine. At Sarkar Hospital, Agra, our experienced urologists and kidney specialists perform OIU surgery using advanced endoscopic techniques to ensure safe, effective, and long-lasting results.
As a best multispecialist hospital in Agra, Sarkar Hospital offers comprehensive diagnosis, expert surgical care, and complete post-operative management for urethral stricture disease.
How Is OIU Surgery Performed at Sarkar Hospital, Agra?
1. Diagnosis & Pre-Surgical Evaluation
Before surgery, patients undergo detailed diagnostic tests to assess the stricture’s location, length, and severity:
Retrograde Urethrogram (RGU)
Micturating Cystourethrogram (MCU)
Urine tests and imaging, if required
These evaluations help our best kidney specialists and urologists plan a precise and personalized treatment.
2. Insertion of the Cystoscope
Under spinal or general anesthesia, a cystoscope (a thin tube with a camera) is gently inserted through the urethra. This allows real-time visualization of the narrowed segment.
3. Identification of the Structure
The structure is clearly seen on a monitor, enabling accurate assessment and targeted treatment with minimal damage to surrounding tissues.
4. Incision of the Structure
The narrowed area is opened using:
Cold Knife OIU – precise incision of scar tissue
Laser OIU – Holmium or Thulium laser for minimal bleeding
In select cases, steroid injections are administered to reduce scar formation and prevent recurrence.
5. Catheter Placement & Recovery
A urinary catheter is placed to keep the urethra open during healing. It usually remains for a few days. Most patients resume normal activities within 7–10 days.
What Is a Urethral Stricture?
A urethral stricture is a narrowing of the urethra caused by scar tissue, which restricts urine flow. Common causes include:
Trauma or injury
Previous surgeries
Infections
Long-term catheter use
Conditions like Balanitis Xerotica Obliterans (BXO)
Common Symptoms
Weak or interrupted urine flow
Difficulty urinating
Pain or burning during urination
Incomplete bladder emptying
Recurrent urinary tract infections
If untreated, urethral strictures can lead to bladder dysfunction, infections, or kidney damage. Early treatment at a best multispecialist hospital is crucial.
Types of OIU Procedures at Sarkar Hospital, Agra
Cold Knife OIU
Traditional and effective method
Excellent long-term results
Slightly higher bleeding risk
Laser OIU
Advanced laser technology
Minimal bleeding and faster recovery
Ideal for short or soft strictures
OIU with Steroid Injection
Reduces scar tissue formation
Lowers recurrence risk
Improves long-term success
Our best kidney specialists choose the most suitable method based on each patient’s condition.
FAQs
They are commonly caused by trauma, infections, surgeries, catheter use, or inflammatory conditions like BXO.
Through RGU, MCU, cystoscopy, and clinical examination
Success rates are high for short strictures, especially when treated early by experienced surgeons
Most patients recover within 7–10 days.
In recurrent or complex cases, repeat OIU or reconstructive surgery (urethroplasty) may be recommended.