Aminul Haq, Aminul Haq, Sarhad Khan, Mir Alam Jan, Taskeen Ahmad Khan.
Transurethral resection versus transurethral incision of the prostate: a subjective and objective analysis.
J Postgrad Med Inst Jan ;21(1):40-5.

Objective: To assess and compare the outcome and complications of transurethral prostatectomy (TURP) versus transurethral incision of the prostate (TUIP) in patients having bladder outlet obstruction. Material and Methods: Fifty patients suffering form benign prostatic hyperplasia (BPH) with prostate size of <30 gms were included in this study. Group A (25 patients) underwent TURP while in group B (25 patients) TUIP was performed. The patients were assessed using International Prostatic Symptoms Scoring System (IPSS), uroflowmetry, TRUS and postvoid residual urine volume. Follow up was done at 1,3,6 and 9 months intervals. Results: There was no statistically significant difference in the mean age among the two groups. IPSS score dropped by 81.55% for group A and 85.71% for group B at 9 months postoperatively from baseline. The overall improvement in maximum flow rates as recorded for both groups was 172.60% and 249% respectively while it was 182.8% and 279% for group A and B in average flow rates. The mean drop in postvoid residual urine volume for group A was -88.50% and -99.02% for group B. Overall 84% of patients in group A and 92% of patients in group B were well satisfied with the outcome of procedures. Conclusion: TUIP is an effective and comparable treatment modality for BPH with gland size of < 30 grams. Results of TURP and TUIP were comparable, but TUIP was simple and easier to perform, with less morbidity and shorter operation time than TURF.

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