II. Indications: Benign Prostatic Hyperplasia
III. Technique
- Regional or general Anesthesia
- Incisions made along side walls of Urethra
- Opens Bladder neck and prostatic Urethra
IV. Efficacy
- Initial reports suggested equivalent results to TURP
- Obstructive symptoms relieved
- Improved urine flow
- Later analysis suggests may not be as effective as TURP
- Urodynamic measurements improved less
- Slightly higher failure rate
- Yang (2001) J Urol 165(5): 1526-32 [PubMed]
V. Complications
- Impotence: 2%
- Retrograde ejaculation: 15% (less likely than in TURP)
- Incontinence: 1%
- Blood loss requiring Transfusion: 1%
VI. References
- Cooner (1994) Prostate Disease, AAFP, p. 9-15
- Oesterling (1995) N Engl J Med 332(2):99-109 [PubMed]
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| Definition (NCI) | A surgical procedure performed in patients with benign prostatic hyperplasia. An instrument is inserted in the urethra that generates electric current or laser beam, which create incisions in the bladder neck. The incisions result in decreased resistance to the flow of the urine out of the urinary bladder. |
| Concepts | Therapeutic or Preventive Procedure (T061) |
| SnomedCT | 176297004, 56646001 |
| CPT | 52450 |
| English | TUIP - Trnsurthrl incisn prost, Transurethral prostatotomy, Transurethra incision prostate, Prostatotomy by transurethral approach, transurethral incision of prostate, transurethral incision of prostate (treatment), TRANSURETHRAL INCISION PROSTATE, Transurethral prostatotomy (procedure), TUIP, Transurethral Incision of the Prostate, Transurethral incision of prostate, TUIP - Transurethral incision of prostate, Prostatotomy by transurethral approach (procedure), INCISION OF PROSTATE, Incision of prostate |
| Spanish | Incisión transuretral de la próstata, prostatotomía por abordaje transuretral (procedimiento), prostatotomía por abordaje transuretral |
| Dutch | transuretrale incisie van prostaat |
| Italian | Incisione transuretrale della prostata |
| German | transurethrale Prostatainzision |
| French | Incision transurétrale de la prostate |
| Portuguese | Incisão transuretral da próstata |
| Czech | Transuretrální incize prostaty |
| Japanese | ｹｲﾆｮｳﾄﾞｳﾃｷｾﾞﾝﾘﾂｾﾝｾｯｶｲ, 経尿道的前立腺切開 |
| Hungarian | Prosztata transurethralis incisioja |
