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Open prostatectomy for benign prostatic hyperplasia

Open prostatectomy for benign prostatic hyperplasia

Surgery Overview

Open prostatectomy is the surgical removal of an enlarged (noncancerous) prostate. It is done under a general or spinal anesthetic. Usually, an incision is made through the lower abdomen, although sometimes the incision is made between the rectum and the base of the penis. A catheter may be placed in the bladder through the lower abdominal skin to help flush the bladder (postoperative bladder irrigation) and another catheter comes out of the penis to drain the urine. The procedure requires a slightly longer hospital stay and recovery period than transurethral resection of the prostate (TURP).

Open prostatectomies may be needed only for men with very enlarged prostate glands (it may be more effective than TURP in relieving the blockage of urine flow), for men with bladder diverticula (pockets) or stones, and if TURP is not possible. A prostatectomy also reduces the possibility that another surgery will be needed, which is a potential problem when TURP is used. But if you have been treated for prostate cancer, an open prostatectomy cannot be done.


Author: Monica Rhodes Last Updated: March 24, 2008
Medical Review: E. Gregory Thompson, MD - Internal Medicine
Christopher G. Wood, MD, FACS - Urology/Oncology

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Surgery Overview
What To Expect After Surgery
Why It Is Done
How Well It Works
Risks
What To Think About
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