Transurethral Incision of the Prostate for Benign Prostatic Hyperplasia

Lee, Dong Han; Cho, Dae Haeng; Lee, Dong Hwan

Abstract

Transurethral incision of the prostate(TUIP) was designed two decades ago as a new surgical management for certain patients in whom transurethral resection of prostate( TURP) was not indicated. TUIP was performed on 24 patients in 26 months. We incised the prostate in 5 and 7 o'clock direction or 6 o'clock direction. Uroflowmetry and residual urine volume were checked preoperatively and 3 months after TUIP in 20 patients. Mean peak urine flow rate increased from 7.8+/-6.4 ml to 13.1+/-8.5 ml per second (p=0.015). Mean postvoid residual urine volume decreased from 67.2+/-l9.3 ml to 25.4+/-l2.6 ml (p<0.00l). l5 patients were interviewed or completed questionaire with mean follow-up period of 16.8 months, which demonstrated that 73.3% were satisfied with the long-term outcome. Operating time, estimated blood loss, time to catheter removal postoperatively were all significant in favor of TUIP. Based on objective and subjective criteria, TUIP is an effective treatment option for selected men with benign prostatic hyperplasia.