Transurethral Prostate Incision (TUIP) – Dr. Kadir Tepeler


It is the method applied in benign prostate enlargement, especially in patients with small prostates. It is a method preferred by men who especially want semen output after surgery.

How is TUIP done?

The procedure is performed under spinal or anesthesia. As in the classical TURP method, it is entered through the external urinary canal with a camera device. The urethra and the prostate bladder neck are examined.


An incision is made from the bladder neck along the prostate, especially at the 5 and 7 o'clock positions, and sometimes at the 6 o'clock position in the midline with the help of a special electric wire (tuip knife). This incision should be as deep as the prostate capsule (crust). Thanks to this incision, a groove is created that allows the flow of urine from the urinary bladder to the last part of the prostate. Prostate tissue is not removed during TUIP. Therefore, pathological examination is not possible.

Laser (Holmium or Thulium) can also be used to make the endoscopic incision during the procedure. In cases where I use laser, bleeding is less.

At the end of the procedure, a catheter is placed in the bladder. To prevent bleeding, fluid is sent for irrigation for the bladder for 1 day. The catheter can be withdrawn and monitored the next day after the surgery and discharged depending on the condition.

Who is TUIP Applied to?

TUIP is actually a surgical technique applied in the surgical treatment of a benign prostate enlargement or bladder neck height-stenosis.

Therefore, it is applied to patients for whom surgical treatment is recommended due to these diseases.

However, since each patient's prostate structure and size are different, the treatment to be applied is not standard.

The TUIP technique can be applied to patients with prostate size smaller than 30 g. It is not a suitable technique especially for patients with middle lobe (median lobe).

A larger prostate (around 50gr) can be applied, but a deep incision will need to be made up to the capsule.

The risk of semen not coming out after TUIP is around 15%. This rate is higher for TUR-P (60-85%).

Contact Us Pass

What are the disadvantages?

  • It can be applied for small prostates. It is not suitable for patients with large sizes and middle lobe (median lobe).
  • Tissue cannot be removed for pathological examination. The technique in which tissue is removed can also be applied. However, patients should be evaluated in detail before the procedure in terms of prostate cancer.
  • Since the prostate tissue is not removed and only the groove is opened, re-operation may be required. This rate has been reported as 7-10%.

Are There Any Side Effects of TUIP Surgery?

As a minimally invasive endoscopic prostate surgery, it has fewer side effects than TURP. However, patients may still experience bleeding in the urine, burning, and frequent urination in the first days. In terms of urinary tract infection, patients are also at risk, albeit slightly. The presence of blood in the semen can also be observed in our patients.

“The information on this page has been prepared to enlighten patients. Please contact our doctor to get comprehensive information about diagnosis and treatment.”

May Be Interested


Leave a Reply

Your email address will not be published. Required fields are marked *