What is a transurethral incision of the prostate TUIP

A transurethral incision of the prostate (TUIP) is exactly that: an incision rather than a resection of the prostate. Using a special knife-like instrument, a Colling's knife that is placed through the same resectoscope sheath used for TURPs two incisions are made at 5 o'clock and 7 o'clock through the bladder neck and prostate to the verumontanum where the ejaculatory ducts exit.

A TUIP is a quicker, easier procedure than a TURP. TUIPs tend to be used in younger men with smaller prostate glands. The incidence of retrograde ejaculation after TURP ranges from 50 to 95%, whereas the incidence is from 0 to 37% with TUIP. In properly selected patients, those with small glands, the rate of symptom relief with TUIP approaches that of TURP.

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