Transurethral resection and incision of the prostate

TURP remains the gold standard for the treatment of BOO symptoms secondary to BPH in appropriate surgical candidates. It remains a challenging procedure and was rated the most difficult surgery to master during residency training in a national survey of urologists [17]. Morbidity and mortality rates have significantly declined in the past 20 years with better understanding of patient selection, safer anesthesia, and better equipment. TUIP is a less invasive procedure that should be considered in patients with smaller prostates (30 g or less) and in younger patients who may be concerned with the preservation of antegrade ejaculation. TUIP can also be performed using local anesthesia, making it possible for patients with significant medical problems to be candidates for this procedure. Long-term results after TUIP are almost equal to those after TURP, but TUIP is a less invasive procedure involving shorter operative time, less blood loss, and reduced perioperative morbidity.