Bladder neck incision or transurethral incision of the prostate (TUIP) is a common urological procedure for men with obstructive urinary symptoms and a relatively small prostate gland. It is used to decrease bladder outlet resistance from prostatic obstruction.
The procedure is completed using a telescope and camera system. The telescope is passed through the eye of the penis and allows vision. One or two small incisions are made in the prostate gland. No prostate tissue is removed (unlike transurethral resection of the prostate, TURP). The incisions "open" the bladder neck and prostatic urethra creating a wider channel to urinate through. A catheter is usually placed at the end of the procedure. Patients usually stay in hospital for 1 to 2 days. The procedure is usually done under spinal anaesthetic or a general anaesthetic. Both methods mean that you will not feel any pain.
In general, bladder neck incision/TUIP has less complications than TURP (transurethral resection of the prostate). Bladder neck incision attempts to relieve the majority of your urinary symptoms, however, not all symptoms are prostate related or resolved with this relatively simple procedure.