Bipolar transurethral resection in saline: the solution to avoid hyponatraemia and transurethral resection syndrome.

Transurethral incision of the prostate (TUIP) is a procedure to treat urinary symptoms caused by an enlarged prostate. It’s generally used for men with small- to moderated-sized prostates.

A combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis into the tube that carries urine from your bladder (urethra). The prostate surrounds the urethra. The doctor cuts one or two small grooves in the area where the prostate and the bladder are connected (bladder neck) to open the urinary channel and allow urine to pass through more easily.

TUIP is one of several minimally invasive treatment options for an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH). To determine the right treatment choice for you, your doctor will consider how severe your symptoms are, what other health problems you have, and the size and shape of your prostate.

Why it’s done

TUIP helps reduce urinary symptoms caused by BPH, including

  • Frequent, urgent need to urinate
  • Difficulty starting urination
  • Slow (prolonged) urination
  • Increased frequency of urination at night
  • Stopping and starting again while urinating
  • The feeling that you can’t completely empty your bladder
  • Urinary tract infections

TUIP might also be done to treat or prevent complications due to blocked urine flow, such as:

  • Recurring urinary tract infections
  • Kidney or bladder damage
  • Inability to control urination or an inability to urinate at all
  • Bladder stones
  • Blood in your urine