Transurethral prostate incision – a forgotten procedure?
Krzysztof Szkarłat, Radosław Flisikowski, Agnieszka Nieradka
Department of Urology and Oncologic Urology Szpital Specjalistyczny w Kościerzynie
Transurethral prostate incision (TUIP) is advocated for patients with bladder outlet obstruction and relatively small gland (< 30 cc) without median lobe. This is nearly 50% of patients undergoing TURP. Short and long-term results of TUIP are quite favorable when compared with those of TURP (also in regard of retrograde ejaculation); however no tissue for pathologic examination is obtained. Thus, all patients undergoing TUIP should be evaluated preoperatively with serum prostate-specific antigen determination, TRUS and a meticulous digital rectal examination. Authors present their technique of prostate incision and with careful review of the literature show advantages and drawbacks of this procedure.