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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.

Archivio Italiano Di Urologia, Andrologia : Organo Ufficiale [Di] Societa Italiana Di Ecografia Urologica E Nefrologica

|February 1, 1997

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.

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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.

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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.