An overview of Transurethral Incision of the Prostate (TUIP)
Transurethral Incision of the Prostate (TUIP) is a medical procedure used to treat urinary symptoms caused by an enlarged prostate, specifically benign prostatic hyperplasia (BPH). During the TUIP procedure, a combined visual and surgical instrument called a resectoscope is inserted through the tip of the penis into the urethra. The doctor cuts one or two small grooves in the bladder neck to widen the urinary channel, alleviating urinary symptoms such as frequent urination, difficulty starting urination, slow urination, and incomplete bladder emptying. TUIP is one of several minimally invasive treatment options for BPH and may be recommended for younger men with small prostates who are concerned about fertility.
What is Transurethral Incision of the Prostate (TUIP) used for?
Transurethral Incision of the Prostate (TUIP) is a medical procedure used to treat urinary symptoms caused by an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH). It is typically used in younger men with a small prostate who are concerned about fertility. The procedure involves inserting a visual and surgical instrument through the tip of the penis into the urethra to create one or two small grooves in the bladder neck, widening the urinary channel and allowing urine to pass through more easily. TUIP is one of several minimally invasive treatment options for BPH and is generally considered when other methods, such as TURP and open prostatectomy, are not suitable due to the patient's health conditions or preferences.
How to prepare for Transurethral Incision of the Prostate (TUIP)?
Before undergoing TUIP, patients generally need to make some preparations. Several days before the surgery, patients are usually advised to stop taking medications that can increase the risk of bleeding, such as warfarin (Jantoven) or clopidogrel (Plavix). Patients are also likely to be prescribed an antibiotic to prevent a urinary tract infection. Additionally, it is important to arrange transportation as patients will not be able to drive themselves home after the procedure. On the day of the surgery, patients will receive either a general anesthetic or an anesthetic that blocks feeling from the waist down (spinal block). During the procedure, a combined visual and surgical instrument called a resectoscope is inserted through the tip of the penis into the urethra. The doctor makes one or two small grooves in the bladder neck to widen the urinary channel and allow urine to pass through more easily. After the surgery, recovery is generally quick, and most men have few symptoms. Patients should ask their doctor about the expected recovery time. Possible risks of TUIP include temporary difficulty urinating, urinary tract infections, and the need for re-treatment if the procedure is less effective in improving urinary symptoms than other minimally invasive treatments or surgery.
How is Transurethral Incision of the Prostate (TUIP) conducted?
Transurethral Incision of the Prostate (TUIP) is a surgical procedure conducted to treat urinary symptoms caused by an enlarged prostate. The procedure involves using a combined visual and surgical instrument called a resectoscope, which is inserted through the tip of the penis into the urethra where the prostate surrounds the urinary channel. The doctor cuts one or two small grooves in the bladder neck, where the prostate and the bladder are connected, to widen the urinary channel and allow for easier urine flow. The aim of the procedure is to reduce urinary symptoms such as frequent urination, difficulty starting urination, slow or prolonged urination, and urinary tract infections.
Limitations and Considerations
The limitations of Transurethral Incision of the Prostate (TUIP) include: 1. Not suitable for all patients: TUIP is typically used in younger men with a smaller prostate who are concerned about fertility. It may not be the best option for older men or those with larger prostates. 2. Less effective on urinary symptoms: TUIP might be less effective in treating urinary symptoms caused by BPH compared to other minimally invasive treatments or surgery. 3. Possibility of re-treatment: Some patients may require additional BPH treatment after undergoing TUIP. It's essential to consult with a healthcare professional to determine the most suitable treatment option for an individual's specific condition and needs.