Why it's done

TUIP helps reduce urinary symptoms caused by BPH, including:

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

TUIP might also be done to treat or prevent complications due to blocked urine flow, such as:

  • Recurring urinary tract infections
  • Kidney or bladder damage
  • Inability to control urination or an inability to urinate at all
  • Bladder stones
  • Blood in your urine

TUIP can offer several advantages over other methods of treating BPH, such as transurethral resection of the prostate (TURP) and open prostatectomy. The advantages can include:

  • Lower risk of bleeding. TUIP can be a good option for men who take medication to thin their blood or who have a bleeding disorder that doesn't allow their blood to clot normally.
  • Minimal hospital stay. TUIP can be done on an outpatient basis although some men need to stay overnight for observation. TUIP might be a safer option than surgery if you have certain other health problems.
  • Lower risk of dry orgasm. TUIP is less likely than some other BPH treatments to cause the release of semen during ejaculation into the bladder rather than out of the penis (retrograde ejaculation). This isn't harmful but can interfere with your ability to father a child.
Aug. 27, 2016
  1. Cunningham GR, et al. Transurethral procedures for treating benign prostatic hyperplasia. http://www.uptodate.com/home. Accessed July 17, 2016.
  2. Wein AJ, et al., eds. Minimally invasive and endoscopic management of benign prostatic hyperplasia. In: Campbell-Walsh Urology. 11th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed July 17, 2016.
  3. Prostate enlargement: Benign prostatic hyperplasia. National Institute of Diabetes and Digestive and Kidney Diseases. http://kidney.niddk.nih.gov/KUDiseases/pubs/prostateenlargement/index.aspx. Accessed July 20, 2016.
  4. Taylor BL, et al. Electrosurgical transurethral resection of the prostate and transurethral incision of the prostate (monopolar techniques). The Canadian Journal of Urology. 2015; 1(suppl):24.
  5. Barbara Woodward Lips Patient Education Center. Care following transurethral resection of the prostate (TURP). Mayo Foundation for Medical Education and Research; 2012.

Transurethral incision of the prostate (TUIP)