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Definition
By Mayo Clinic staffTransurethral incision of the prostate (TUIP) is a type of prostate surgery done to relieve urinary symptoms caused by prostate enlargement, also known as benign prostatic hyperplasia (BPH).
During TUIP, a combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra). The urethra is surrounded by prostate tissue. No prostate tissue is removed during TUIP. Instead, the doctor cuts one or two small grooves in the area where the prostate and the bladder are connected (bladder neck) in order to open up the urinary channel. This allows urine to pass through more easily.
When deciding whether TUIP or another treatment is a good option for you, your doctor will consider how severe your symptoms are, what other health problems you have, and the size and shape of your prostate.
Before doing any enlarged prostate procedure, your doctor may want to do a test that uses a visual scope to look inside your urethra and bladder (cystoscopy). This allows the doctor to check the size of your prostate and examine your urinary system. Your doctor may also want to do other tests, such as blood tests or tests to measure urine flow.
- Cunningham GR, et al. Surgical and other invasive therapies of benign prostatic hyperplasia. http://www.uptodate.com/home/index.html. Accessed Jan. 2, 2011.
- Prostate enlargement: Benign prostatic hyperplasia. National Institute of Diabetes and Digestive and Kidney Diseases. http://kidney.niddk.nih.gov/kudiseases/pubs/prostateenlargement. Accessed Feb. 11, 2011.
- Fitzpatrick JM, et al. Minimally invasive and endoscopic management of benign prostatic hyperplasia. In: Wein AJ, et al. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/125743340-3/0/1445/91.html?tocnode=54305416&fromURL=91.html. Accessed Jan. 27, 2011.
- Guideline on the management of benign prostatic hyperplasia (BPH). Linthicum, MD. American Urological Association. http://www.auanet.org/content/guidelines-and-quality-care/clinical-guidelines.cfm?sub=bph. Accessed Jan. 27, 2011.
- Lourenco T. The clinical effectiveness of transurethral incision of the prostate: A systematic review of randomized controlled trials. World Journal of Urology. 2010;28:23.
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