Important for men: Learn about TUIP (Transurethral Incision of the Prostate) surgery

A common health problem that many men face as they age is an enlarged prostate. Medically, we call this `(Benign Prostatic Hyperplasia - BPH)`. This can cause difficulty urinating, urinary obstruction, frequent urination, and sometimes even urinary incontinence. There are several treatments for this condition. Today, we are going to talk about one of them, TUIP, which is a relatively simple and low-risk surgery.

Simply put, what is TUIP?

TUIP stands for Transurethral Incision of the Prostate. Imagine that your prostate gland is swollen and blocking your urine flow. TUIP surgery does not involve cutting out and removing prostate tissue. Instead, a specialist inserts a very thin instrument called a resectoscope through your urethra. This instrument uses a laser beam or an electric current to make one or two small cuts at the bladder neck , where the urethra connects to the prostate.

These incisions open up the blocked urethra and allow more space for urine to flow freely. This helps relieve many of the symptoms of BPH.

Who is TUIP surgery best suited for?

This treatment method is not suitable for everyone. Your doctor will examine your condition and decide if it is suitable for you. TUIP surgery is usually recommended in the following cases:

• If your prostate is moderately enlarged (other treatments may be needed if it is very large).
• If you are concerned about side effects that may affect fertility during other surgeries.
• If you have other health conditions (e.g. heart disease) that make major surgery risky.
• If you and your doctor decide that a minimally invasive treatment, meaning one that causes less damage to the body, is the best option.

What is the difference between TUIP and TURP?

Many people confuse these two surgeries. Although both are treatments for BPH, they are two different procedures. Let's understand this difference clearly from the table below.

How do you prepare before surgery?

Your doctor will give you a set of instructions before the surgery. It is very important to follow those instructions exactly to minimize complications.

• You will be asked to fast for about 8 hours before the surgery.
• You may be advised to stop taking certain medications (especially blood thinners) a few days before surgery or to take them with sips of water. Do not stop taking any medications without your doctor's advice.
• Arrange for someone to take you home after surgery.

What are the advantages and disadvantages/risks?

Like any medical treatment, TUIP has both advantages and disadvantages. It is important to be aware of both before making a decision.

How long will it take to recover? What should I do at home?

It can take three to five weeks to fully recover from TUIP surgery. It may take several weeks or even months to see a noticeable improvement in symptoms. It is normal for the following to occur for a few days after surgery:

• A little blood in the urine.
• A sudden need to urinate or a frequent need to urinate.
• Burning or pain when urinating.

During the recovery period, it is very important to follow these instructions:

• Take the medications prescribed by your doctor (especially antibiotics to prevent infections) as prescribed.
• If you have a Foley catheter, follow your doctor's instructions on how to care for it.
• Drink plenty of water throughout the day.
• Avoid heavy lifting and strenuous exercise.
• Avoid cycling.
• Avoid hot baths and saunas.

When do you need to talk to the doctor?

If any of the following symptoms occur, inform your doctor immediately or go to the hospital's Emergency Department (ETU).

• Fever.
• Dark urine or a foul odor.
• Unbearable, unexpected pain.
• Excessive bleeding with urine.

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