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Transurethral Incision of the Prostate (TUIP)

 What is transurethral incision of the prostate (TUIP)?
 When is it used?
 How do I prepare for this procedure?
 What happens during the procedure?
 What happens after the procedure?
 What are the risks of this procedure?

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What is transurethral incision of the prostate (TUIP)?

Transurethral incision of the prostate (TUIP) is a procedure to treat an enlarged prostate gland.

The prostate gland is part of a man's reproductive system. It is about the size of a walnut and located between the bladder and the penis. The prostate gland surrounds the upper part of the urethra, the tube that carries urine from the bladder out through the penis. It makes fluid that nourishes sperm and helps carry it out of the body during sex.

When is it used?

When the prostate gets bigger than normal, it may put pressure on the urethra and cause problems with urination. You may have trouble passing urine, and you may feel the need to urinate more often, sometimes even at night. The need to urinate can come on suddenly. In severe cases, you may not be able to pass urine. This can cause kidney damage if it is not treated promptly.

TUIP is a possible treatment if your prostate gland is not severely enlarged. It’s best to have this procedure before urine symptoms become severe or the prostate gland gets too large. Ask your healthcare provider about your choices for treatment and the risks.

How do I prepare for this procedure?

What happens during the procedure?

This procedure is usually done at a surgical center or hospital.

You will be given medicine to help you to relax. The medicine can make you drowsy or you may fall asleep before the procedure.

You will be given medicine called anesthesia to keep you from feeling pain during the procedure. You may have:

Your healthcare provider will pass a thin, lighted tube through the urethra and into the bladder. Fluid will be passed into the bladder to stretch the bladder and help your provider see the area better. With the scope, your provider will be able to see the area where the enlarged prostate is causing problems.

Your provider will make several deep cuts through the bladder neck and into the prostate gland to relieve the pressure on the urethra. Then, while you are still numb, your provider will insert a catheter into the penis and the urethra and then into the bladder. The catheter will help the bladder drain and flush out any blood clots that may have formed. The urethra will swell after the surgery and the catheter will help it stay open.

What happens after the procedure?

After the procedure you may stay in a recovery area for at least a few hours. You may be able to go home the day you have the procedure or you may stay in the hospital overnight.

You will likely have some pain or discomfort in the area over your bladder, as well as at the base of your penis. The catheter in the urethra normally needs to stay in for 2 to 3 days. Do not try to remove the catheter. Your healthcare provider will remove the catheter.

Ask your healthcare provider:

Make sure you know when you should come back for a checkup. Keep all appointments for provider visits or tests.

What are the risks of this procedure?

Every procedure or treatment has risks. Some possible risks of this procedure include:

Ask your healthcare provider how these risks apply to you. Be sure to discuss any other questions or concerns that you may have.

healthinformatics info


Lourenco T, et al. The clinical effectiveness of transurethral incision of the prostate: a systematic review of randomised controlled trials. World J Urol. 2010 Feb;28(1):23-32.

Mokos I, et al. Transurethral incision/resection of the prostate (TUIP/TURP) in operative treatment of repeated bladder outlet obstruction early after kidney transplantation. Acta Clin Croat. 2011 Sep;50(3):381-4.

Noerby B, Nielsen HV, and Frimodt-Moeller PC. Transurethral interstitial laser coagulation of the prostate and transurethral microwave thermotherapy vs transurethral resection or incision of the prostate: results of a randomized, controlled study in patients with symptomatic benign prostatic hyperplasia. BJU Int. 2002 Dec;90(9):853-62.

Reich O, Gratzke C, Stief CG. Techniques and long-term results of surgical procedures for BPH. Eur Urol. 2006 Jun;49(6):970-8.

Yang Q, et al. Transurethral resection or incision of the prostate and other therapies: a survey of treatments for benign: prostatic obstruction in the UK. BJU Int. 1999 Oct;84(6):640-5.

Related Topics

Transurethral Incision of the Prostate (TUIP)

Enlarged Prostate (Benign Prostatic Hyperplasia)

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Last Modified: 2014-09-16

Last Reviewed: 2014-09-15

Website Updated: August 2015

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This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.

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