Randomized controlled study comparing TURP (Transurethral resection of prostate) and TUIP (Transurethral incision of prostate) in the management of low volume benign prostatic hyperplasia

Dr. Sridhar Parnandi; Dr. Sandeep Maheswara Reddy Kallam

Volume : IX, Issue : IV, April - 2019

Randomized controlled study comparing TURP (Transurethral resection of prostate) and TUIP (Transurethral incision of prostate) in the management of low volume benign prostatic hyperplasia

Dr. Sridhar Parnandi, Dr. Sandeep Maheswara Reddy Kallam

Abstract :

INTRODUCTION: Bladder outlet obstruction in benign prostatic hyperplasia (BPH) is due to static and dynamic factors. In low volume BPH, prostatic smooth muscle tension plays a more important role than the prostatic hyperplasia as such. Transurethral incision of prostate (TUIP) relieves the outlet obstruction without resecting prostatic tissue and hence can be a viable alternative to transurethral resection of prostate (TURP) in these patients. This study was done to compare these two surgical techniques of low volume BPH. METHODS: This was a randomized prospective study done in 40 patients with lower urinary tract symptoms due to low volume BPH (prostatic volume of 20–40cc). Patients were randomized to receive either TURP or TUIP. Subjective and objective improvement post–surgery was compared using IPSS questionnaire and uroflowmetry respectively. Intraoperative parameters between the two groups were compared. RESULTS: Preoperative parameters like Age, IPSS, Prostate volume, Post void residual urine volume and peak urine flow rate were comparable between the groups. Intraoperative parameters like mean operative time, amount of irrigation fluid used and blood loss were significantly less in TUIP group than TURP group (p <0.001). Postoperative IPSS and Qmax improved significantly in both the groups with no significant difference among the two groups. CONCLUSION: TUIP is an effective method for the treatment of low volume BPH with equivalent results to that of TURP. It has a reduced operative time, little intra operative haemorrhage and less irrigation fluid requirement than TURP. It can be safely applied for prostates of up to 40 grams with minimal complications and good short term results.