RisksBy Mayo Clinic staff
Risks of TUIP can include:
- Temporary difficulty urinating. You may have trouble urinating (urinary retention) for a few days after the procedure. Until you can urinate on your own, you will need to have a tube inserted through your penis to carry urine out of your bladder (urinary catheter).
- Urinary tract infection. Urinary tract infections are a possible complication after any enlarged prostate procedure. An infection is increasingly likely to occur the longer you have a catheter in place and may require antibiotics or other treatment.
- Difficulty holding urine. You may have trouble controlling urination (urinary incontinence) right after surgery. Rarely, this is a long-term consequence of TUIP.
- Dry orgasm. TUIP can cause retrograde ejaculation, which means semen released during sexual climax (ejaculation) enters your bladder rather than exiting the penis. Retrograde ejaculation isn't harmful and generally doesn't affect sexual pleasure. But it can interfere with your ability to father a child.
- Erectile dysfunction. The inability to keep or maintain an erection is a possible long-term side effect, but is less common with TUIP than with open prostatectomy or with TURP.
- Need for re-treatment. Some men who have TUIP later require follow-up treatment with TURP or another prostate procedure. Treatment is needed either because symptoms return over time or because they never adequately improve.
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