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Transurethral Incision of the Prostate (ITUP)  

Transurethral Incision of the Prostate or ITUP is a kind of prostate surgery which is done to relieve urinary symptoms caused by prostate enlargement (Benign Prostatic Hyperplasia or BPH). BPH is a medical condition in which the prostate gland is enlarged in size due to reasons such as infections other problems. This may affect the flow of urine from the urethera to the bladder which in turn causes conditions like urinary retention or frequent urination. In such cases, usually surgery is done to remove the blockage from the urethera. 

Procedure 

Resectoscope, a combined surgical and visual instrument, is inserted through the tip of the penis and then in to the tube carrying urine from the urethera. In order to open up the urinary channel, one or two small grooves in the area of the prostate tissues are removed during Transurethral Incision of the Prostate. This results in easy flow of urine through the vessels. Many factors such as health and health problems of the patient, severity of the symptoms, size and shape of the prostate are taken in to consideration before deciding the treatment. Cystoscopy, which is a test performed before performing any enlarged prostate procedure becomes essential as this test helps the doctor to look in to the urethera and the bladder by inserting small instruments. Tests to measure the urine flow are also conducted. 

Transurethral Incision of the Prostate or ITUP is used to treat the symptoms which include:

  • Prolonged urination
  • Nocturia (Increased frequency of urination at night)
  • Recurrent Urinary Tract Infections
  • Urinary Retention
  • Kidney malfunction or damage
  • Incontinence (Bladder damage)
  • Bladder stones.

In case of large prostate or severe urinary problems, other different procedures may be used. Transurethral Resection of the prostate (TURP), Transurethral Needle Ablation (TUNA), Transurethral Microwave Therapy (TUMT), Laser surgery such as Holmium Laser Enucleation of the prostate (HoLEP) or laser Photo vaporization of the prostate (PVP) are some of the other procedures available. 

Risks Involved  

Unlike prostate cancer surgeries, Transurethral Incision of the Prostate entails less blood loss or other surgical complications. Temporary difficulties in urinating, urinary tract infection, difficulty in holding urine, dry orgasm, and erectile dysfunction are some of the risks involved in Transurethral Incision of the Prostate.  

In few cases, follow up treatment with another prostrate procedure may be required as the symptoms may return over time.  

Post Operative Care

  • Patient may need care and concern in following ways after successful completion of Transurethral Incision of the Prostate
  • Pain relieving medications for relief from pain and spasm in ureteral and bladder
  • Intake of bulk-forming laxative to promote normal bowel movements
  • Medication to control reflexive bladder contractions and symptomatic relief from urinary tract discomfort
  • Antibiotic medications for preventing urinary tract and other infections
  • Keeping away from intake of alcoholic beverages and fat-rich meals
  • Refraining from sexual activities for several weeks
  • Avoiding driving, weight lifting and strenuous domestic activities
  • Eating healthy and nutritious diet with plentiful intake of liquids