Transurethral Resection of Prostate (TURP) Against Transurethral Incision of Prostate (TUIP) in Benign Prostatic Hyperplasia Management

Abstract

As men age, a condition known as benign prostatic hyperplasia (BPH), or enlargement of the prostate gland, becomes more prevalent. The technique of transurethral incision of the prostate (TUIP) involves splitting the bladder outlet to relieve inferior urinary tract symptoms related to BPH with no need to remove tissues. Likewise, the surgery to remove portions of the prostate gland through the penis is known as a transurethral resection of the prostate (TURP). No cuts are required. By inserting a tool via the urethra and into the penis, the surgeon can access the prostate. The primary objective of the current study is to assess and compare the results of each procedure in a case reference study using a sample of Iraqi patients who had surgery to treat BPH. A total of 78 males with symptomatic BPH participated in this study, 31 of whom underwent TUIP, and the rest got TURP. The main outcomes to be evaluated were the periods of operation, hospital admission, catheterization, the international prostate symptom score (IPSS), the Q max, the post-voiding residual volume, and the ejaculation preservation. The mean durations of operation, hospital stay, and catheterization was significantly shorter in TUIP patients in comparison with TURP patients (P<0.05). The frequency of patients with preserved ejaculation was significantly more in TUIP patients compared with TURP patients (64.5 % vs. 37.0%) (P<0.018). TUIP was significantly better compared with TURP concerning the shorter durations of operation, hospital stays, catheterization, and preservation of ejaculation in optimally selected patients.