Transurethral Incision of the Prostate (TUIP)

TUIP is a surgical procedure used to treat urinary problems caused by an enlarged prostate. The goal of TUIP is to improve urine flow by making incisions in the prostate gland.

Indications

• Benign prostatic hyperplasia (BPH), also known as enlarged prostate
• Urinary retention or difficulty starting urination
• Weak urine flow or straining to urinate
• Frequent urination, especially at night
• Urinary tract infections or bladder stones due to urinary obstruction

Procedure

TUIP is typically performed under general anesthesia or spinal anesthesia. The procedure involves the following steps:

1. A cystoscope, a thin tube with a camera and light on the end, is inserted through the urethra into the bladder.
2. The surgeon uses the cystoscope to visualize the prostate gland and identify the area where the incisions will be made.
3. One or two incisions are made in the prostate gland, usually at the 5 o'clock and 7 o'clock positions.
4. The incisions allow the prostate gland to relax and reduce pressure on the urethra, improving urine flow.

Benefits

• Improved urine flow and reduced urinary retention
• Reduced risk of urinary tract infections and bladder stones
• Minimally invasive procedure with less bleeding and fewer complications compared to traditional prostate surgery
• Faster recovery time, usually 1-2 weeks

Risks and Complications

• Bleeding or hemorrhage
• Urinary incontinence or leakage
• Urinary tract infection
• Bladder neck contracture or stricture
• Erectile dysfunction or retrograde ejaculation (rare)

Postoperative Care

After the procedure, patients typically:

• Stay in the hospital for 1-2 days for monitoring and recovery
• Use a catheter to drain urine from the bladder for several days
• Experience some discomfort, pain, or burning during urination, which can be managed with medication
• Need to avoid heavy lifting, bending, or strenuous activities for several weeks

Follow-up Care

Patients should follow up with their doctor:

• 1-2 weeks after the procedure to remove the catheter and assess urine flow
• 6-12 weeks after the procedure to evaluate the effectiveness of the treatment and address any concerns or complications