Transurethral incision of prostate as treatment of benign prostatic hypertrophy

ABSTRACT

To evaluate efficacy of transurethral incision of prostate [TUIP] as a treatment modality for BPH. During the period between May 1999 and April 2004 all patients with LUTS and prostates of less than 30 grams underwent transurethral incision of prostate. The operative course, early and long term complications were recorded till six months of follow up. A total of 85 patients were operated during the study period with the mean age of 56 years and average operating time of 22.5 minutes. Most patients [n=84] were discharged within 2 to 5 postoperative days. Early postoperative complications included hemorrhage requiring blood transfusion in two patients, clot retention in two patients and failure to void after catheter removal in two patients, which needed transurethral resection of prostate in the same admission. Seventy-eight patients reported improvement in symptoms while two patients reported no relief in symptoms. None of the patients reported worsening of symptoms or incontinence. Out of 58 sexually active men, 42 reported retrograde ejaculation and 8 patients suffered decreased ejaculate. Two patients reported erectile dysfunction. TUIP in prostates of less than 30 grams causing lower urinary tract symptoms is an effective and reliable procedure for young, sexually active men