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[Our experience with prostatic incision (TUIP) with local anesthesia]
C Del Boca1, D Colloi, A Guardamagna
1Divisione di Urologia Azienda USL 25 Lodi.
Summary
Transurethral incision of the prostate (TUIP) under local anesthesia offers a less invasive treatment for prostatic obstruction. This approach demonstrates good patient compliance and satisfactory urodynamic outcomes in selected cases.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Benign prostatic hyperplasia (BPH) commonly causes lower urinary tract obstruction.
- Traditional surgical interventions carry risks, especially for high-anesthesiological-risk patients.
Purpose of the Study:
- To evaluate the efficacy and safety of transurethral incision of the prostate (TUIP) performed under local anesthesia.
- To assess TUIP as a less invasive treatment option for selected patients with prostatic obstruction.
Main Methods:
- TUIP was performed using local anesthesia (200 mg Lidocaine 2%) with an endoscopic needle.
- A single deep incision was made using a 24 Fr Iglesias resectoscope.
- 28 patients (age 69-85) with urodynamically diagnosed obstruction, small prostate volume, and high anesthetic risk were included.
Main Results:
- The procedure demonstrated good patient compliance.
- Satisfactory urodynamic patterns were observed post-procedure.
- Successful outcomes were noted at 1, 6, and 12-month follow-ups.
Conclusions:
- TUIP under local anesthesia is a viable, less invasive treatment for selected patients with prostatic obstruction.
- This method offers reduced invasivity, morbidity, catheterization time, hospitalization, and costs.