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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.
TUIP is a much less invasive procedure than transurethral resection of the prostate (TURP). You are typically able to go home after surgery. You may not be able to urinate and may need to have a catheter to drain your bladder. For most men, this lasts for a week or less.
TUIP may be a good option for men who have only slightly enlarged prostates and who are bothered a lot by their symptoms.
TUIP may be chosen instead of TURP by men who:
Symptoms improve after TUIP in about 8 out of 10 men. footnote 1Men notice about a 73% improvement in their American Urological Association (AUA) symptom index scores.footnote 1 For example, if you have a symptom score of 25 (severe), it could be reduced to about 7 (mild).
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. Men who have had TUIP generally are less likely to develop retrograde ejaculation than men who have TURP. But men who have TUIP are more likely to need a second surgery.footnote 2
The possible risks of transurethral incision of the prostate (TUIP) include the following:
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 think about include your expectations, the severity of your symptoms, and the possibility of 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. So men with only mild symptoms may want to think carefully before having surgery to treat BPH.
Fitzpatrick JM (2012). Minimally invasive and endoscopic management of benign prostatic hyperplasia. In AJ Wein et al., eds., Campbell-Walsh Urology, 10th ed., vol. 3, pp. 2655-2694. Philadelphia: Saunders.
AUA Practice Guidelines Committee (2010). AUA guideline on management of benign prostatic hyperplasia. Chapter 1: Guideline on the management of benign prostatic hyperplasia (BPH). Available online: http://www.auanet.org/content/guidelines-and-quality-care/clinical-guidelines.cfm?sub=bph.
ByHealthwise StaffPrimary Medical ReviewerE. Gregory Thompson, MD - Internal MedicineAdam Husney, MD - Family MedicineJ. Curtis Nickel, MD, FRCSC - Urology
Current as ofDecember 3, 2017
Current as of:
December 3, 2017
E. Gregory Thompson, MD - Internal Medicine
& Adam Husney, MD - Family Medicine & J. Curtis Nickel, MD, FRCSC - Urology
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