What is TURP / TUIP?

TURP (Transurethral Resection of the Prostate) and TUIP (Transurethral Incision of the Prostate) are minimally invasive procedures used to treat Benign Prostatic Hyperplasia (BPH) — an enlargement of the prostate gland that can block urine flow.
These procedures relieve urinary symptoms by removing or reshaping excess prostate tissue, allowing smooth urine passage through the urethra.

• TURP involves removing small pieces of the enlarged prostate tissue using a resectoscope.

• TUIP involves making small incisions in the prostate to widen the urethra, improving urine flow without removing tissue.

Both are performed endoscopically (without external cuts), ensuring faster recovery and minimal discomfort.

Common Causes of Prostate Enlargement (BPH)

• Aging – Natural hormonal changes cause prostate tissue to grow.

• Hormonal imbalance – Fluctuations in testosterone and estrogen levels.

• Family history – Genetic predisposition to prostate growth.

• Lifestyle factors – Obesity, poor diet, and lack of physical activity.

• Certain medications – Long-term use of antihistamines or decongestants may worsen symptoms.

Symptoms of Enlarged Prostate

Men with BPH may experience:

• Frequent urination, especially at night (nocturia)

• Difficulty starting or maintaining urine flow

• Weak or interrupted urine stream

• Feeling of incomplete bladder emptying

• Urinary urgency or dribbling

• Occasional blood in urine (hematuria)

When is TURP or TUIP Needed?

Dr. Swapnil Gholap may recommend TURP or TUIP if:

• Medications no longer relieve urinary symptoms

• There is urinary retention or repeated infections

• The prostate is significantly enlarged, causing blockage

• There is bladder damage due to chronic obstruction

• The patient experiences blood in urine or bladder stones

The TURP / TUIP Procedure

• Anesthesia – The surgery is done under spinal or general anesthesia.

• Endoscopic access – A resectoscope (thin tube with a camera and surgical loop) is passed through the urethra.

• Tissue removal/incision –

  • In TURP, excess prostate tissue is trimmed and removed.

  • In TUIP, one or two small cuts are made in the prostate to relieve pressure.

• Catheter placement – A urinary catheter is inserted temporarily to drain urine post-surgery.

• Hospital stay – Most patients stay 1–2 days for observation and recovery.

Recovery & Aftercare

• Catheter removal – Usually within 24–48 hours.

• Mild burning or urgency may occur temporarily.

• Avoid heavy lifting or strenuous activity for 2–3 weeks.

• Hydration is essential to flush the bladder and prevent infection.

• Sexual activity can typically resume after 3–4 weeks (as advised by the doctor).

• Regular follow-up visits ensure proper healing and function.

FAQs About TURP / TUIP

1. Which is better — TURP or TUIP?
TURP is preferred for larger prostates, while TUIP is ideal for smaller glands. Dr. Swapnil Gholap recommends the best option based on prostate size, symptoms, and overall health.

2. Is TURP a permanent solution for prostate enlargement?
Yes, in most cases, TURP provides long-term relief. However, prostate tissue can regrow slowly over several years.

3. Will surgery affect sexual function?
Some men may experience retrograde ejaculation (semen entering the bladder), but this does not affect sexual pleasure or performance.

4. How long is the recovery period?
Most patients recover within 2–3 weeks and notice improved urine flow soon after surgery.

5. Is the procedure painful?
The surgery is performed under anesthesia, and any mild post-operative discomfort is managed effectively with medication.