TUIPTransurethral Incision Prostate
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transurethral incision of the prostate (TUIP): a limited form of surgery in which an instrument passed though the urethra makes cuts in the prostate but does no remove tissue
Systematic reviews and meta-analyses confirm that TUIP has equivalent symptomatic improvement for men with prostate glands [+ or -] 30 mL, with the advantages of less morbidity, less bleeding and less sexual dysfunction than TURP.
(5) Therefore, the previously mentioned adhesions between the prostatic lobes and excessive healing of the incisions, (3,6) responsible for impairment of the results after TUIP, could be avoided.
Holmium TUIP (Ho-TUIP) has been used safely and effectively for small prostates even in high-risk anti-coagulated patients.
The decision of performing TUIP was made purely on the anatomical appearance at the preoperative cystoscopy and the wide open cavity after the initial incision.
A more limited surgical procedure--transurethral incision of the prostate (TUIP)--may be an option in some cases.
Since its initial description in 1969 by Orandi, (1) transurethral incision of the prostate (TUIP) alleviates lower urinary tract symptoms (LUTS) secondary to bladder outlet obstructin (BOO) by splitting open the bladder outlet without tissue removal.
Despite these merits, TUIP remains underutilized in the urological community, possibly because of the concerns of the prostate size limitations, lack of transrectal ultrasonography to evaluate prostate volume prior to BOO surgery, reimbursement factors favouring TURP, and the question of long-term durability of success.
Moreover, in a randomized study comparing TUIP and TURP in prostates <30 cc, the re-treatment rate was 7.5 % for both TURP and TUIP with slightly better IPSS and maximum flow rate, in favour of the TURP group.
Likewise, the transurethral incision of the prostate (TUIP) was cited by all guidelines as the treatment of choice in selected LUTS patients, particularly those with bothersome moderate to-severe LUTS with prostate sizes < 30 g and without prostate middle lobes.
Most participants (88%) indicated that they would recommend surgery, with 46% opting for transuretheral incision of bladder neck (TUIBN), 24% for transurethral resection of the prostate (TURP), and 18% for transurethral incision of the prostate (TUIP).
TUIP is appropriate surgical therapy for men with prostate gland volumes less than 30 grams.