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Transurethral incision of the prostate (TUIP)

Transurethral incision of the prostate (TUIP) is a type of prostate surgery done to relieve moderate to severe urinary symptoms caused by prostate enlargement, a condition 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. 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.

TUIP is one of the options for treating urinary symptoms caused by BPH. To determine 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.

Why it's done Risks How you prepare What you can expect Results

TUIP is used to ease urinary symptoms caused by an enlarged prostate. Symptoms can include:

  • Frequent, urgent need to urinate
  • Difficulty starting urination
  • Slow (prolonged) urination
  • Increased frequency of urination at night (nocturia)
  • Stopping and starting again while urinating
  • The feeling you can't completely empty your bladder
  • Urinary tract infections

Although a number of procedures are available to treat BPH, TUIP is an option only when the prostate gland is relatively small — less than about 1 ounce (30 milliliters) in size. If you have a larger prostate or you have severe urinary symptoms, a different procedure may be a better option.

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