Direct vision internal urethrotomy in the treatment of urethral stricture or atresia]

From 1988 to 1990, 30 cases of urethral stricture or atresia were treated with direct vision internal urethrotomy (DVIU). Postoperative follow-up showed recovery of normal voiding in 25 cases, need of irregular urethral dilatation in 2 and failure in 3. Early management of urethral injury is emphasized and the causes of DVIU failure are discussed. We consider that the success rate of DVIU can be further increased.