II. Indications: Benign Prostatic Hyperplasia

  1. Enlarged Prostate <30 grams and
  2. Bladder outlet obstruction at the Bladder neck

III. Technique

  1. Regional or general anesthesia
  2. Incisions made along side walls of Urethra
  3. Opens Bladder neck and prostatic Urethra

IV. Efficacy

  1. Initial reports suggested equivalent results to TURP
    1. Obstructive symptoms relieved
    2. Improved urine flow
  2. Later analysis suggests may not be as effective as TURP
    1. Urodynamic measurements improved less
    2. Slightly higher failure rate
    3. Yang (2001) J Urol 165(5): 1526-32 [PubMed]

V. Complications

  1. Impotence: 2%
  2. Retrograde ejaculation: 15% (less likely than in TURP)
  3. Incontinence: 1%
  4. Blood loss requiring Transfusion: 1%

VI. References

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Ontology: Prostatotomy by transurethral approach (C0194794)

Definition (NCI) A surgical procedure performed in patients with benign prostatic hyperplasia. An instrument is inserted in the urethra that generates electric current or laser beam, which create incisions in the bladder neck. The incisions result in decreased resistance to the flow of the urine out of the urinary bladder.
Concepts Therapeutic or Preventive Procedure (T061)
SnomedCT 176297004, 56646001
CPT 52450
English TUIP - Trnsurthrl incisn prost, Transurethral prostatotomy, Transurethra incision prostate, Prostatotomy by transurethral approach, transurethral incision of prostate, transurethral incision of prostate (treatment), TRANSURETHRAL INCISION PROSTATE, Transurethral prostatotomy (procedure), TUIP, Transurethral Incision of the Prostate, Transurethral incision of prostate, TUIP - Transurethral incision of prostate, Prostatotomy by transurethral approach (procedure), INCISION OF PROSTATE, Incision of prostate
Spanish Incisión transuretral de la próstata, prostatotomía por abordaje transuretral (procedimiento), prostatotomía por abordaje transuretral
Dutch transuretrale incisie van prostaat
Italian Incisione transuretrale della prostata
German transurethrale Prostatainzision
French Incision transurétrale de la prostate
Portuguese Incisão transuretral da próstata
Czech Transuretrální incize prostaty
Japanese ケイニョウドウテキゼンリツセンセッカイ, 経尿道的前立腺切開
Hungarian Prosztata transurethralis incisioja