Transurethral Incision of the Prostate (TUIP) for Benign Prostatic Hyperplasia
Transurethral incision of the prostate (TUIP) may be done to treat benign prostatic hyperplasia (BPH). The surgeon uses an instrument inserted into the urethra that generates an electric current or laser beam to make incisions in the prostate where the prostate meets the bladder. Cutting muscle in this area relaxes the opening to the bladder, decreasing resistance to the flow of urine out of the bladder. No tissue is removed. It is done under either general or spinal anesthetic.
The procedure usually requires an overnight stay in the hospital.
What To Expect After Surgery
TUIP is a much less invasive procedure than transurethral resection of the prostate (TURP). TUIP usually requires an overnight stay in the hospital. A catheter is left in the bladder for 1 to 3 days after surgery.
Why It Is Done
TUIP may be a good option for men with only slightly enlarged prostates.
TUIP may be chosen instead of TURP by men who:
How Well It Works
Symptoms improve after TUIP in about 8 out of 10 men.1 Men notice about a 73% improvement in their American Urological Association (AUA) symptom index scores.1 For example, if you have a score of 25 (indicating severe symptoms), it could be reduced to about 6 (indicating mild symptoms).
Short-term improvement in BPH symptoms is about the same for TUIP as for TURP. Studies comparing the two types of surgery suggest that the outcomes are similar. But men who have had TUIP generally are less likely to develop retrograde ejaculation than men who have TURP.
The possible risks of transurethral incision of the prostate (TUIP) include the following:
What To Think About
Surgery usually is not required to treat BPH, but it may be a reasonable choice for some men. Choosing surgery depends largely on your preferences and comfort with the idea of having surgery. Things to consider include your expectations, the severity of your symptoms, and the possibility of developing complications.
Men who have severe symptoms often have great improvement in quality of life following surgery. Men whose symptoms are mild may find that surgery does not greatly improve quality of life. Men with only mild symptoms may want to think carefully before having surgery to treat BPH.
eMedicineHealth Medical Reference from Healthwise
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