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Transurethral Incision of the Prostate (TUIP) is effective in men with prostates smaller than 35 millilitres who do not suffer from severe obstruction. This procedure is rarely used for the treatment of BPE because it has the same results as drug treatment. TUIP is recommended if you cannot tolerate drugs for BPE symptoms.

During TUIP, the doctor cuts into the prostate through the bladder neck with a resectoscope to improve the flow of urine. After the operation, a catheter is placed in your bladder to drain urine. The catheter is also used to continuously flush your bladder and urethra with a sterile solution to prevent blood clots.