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[Transurethral incision of the prostate]
A Traficante1, G Disabato, A Grieco
1Cattedra di Urologia, Università degli Studi di Bari.
Summary
Transurethral Incision of the Prostate (TUIP) using a modified monolateral incision is a safe and effective surgical option for men with benign prostatic hyperplasia (BPH) and small prostates. This procedure offers significant improvements in urine flow and reduced complications.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Benign Prostatic Hyperplasia (BPH) is a common condition causing cervico-urethral obstruction.
- Transurethral Incision of the Prostate (TUIP) is a surgical option for BPH.
- Modified surgical techniques aim to improve outcomes and reduce complications.
Purpose of the Study:
- To present preliminary results of TUIP using a modified monolateral incision for BPH.
- To assess post-operative complications, hospital stay, and short-term urine flow.
- To evaluate TUIP as a viable surgical alternative for selected BPH patients.
Main Methods:
- 56 patients with BPH-induced obstruction and prostatic volume ≤ 30g underwent modified monolateral TUIP.
- Procedures were performed under spinal anesthesia, with a 5-10 mm incision.
- Post-operative assessments included urine cultures and urine flow measurements.
Main Results:
- Average operative time was 10.3 minutes; catheter removal averaged 2 days.
- Average post-operative hospitalization was 3.9 days with no major complications.
- Significant improvements in urine flow rates and bladder emptying were observed post-surgery.
Conclusions:
- Modified monolateral TUIP is a safe procedure with a low complication rate for BPH.
- The technique leads to noteworthy subjective and objective improvements in symptomatology.
- TUIP is a cost-effective and valid surgical alternative for selected BPH patients with smaller prostates.