Open Prostatectomy for Benign Prostatic Hyperplasia
Open prostatectomy is the surgical removal of the prostate gland . 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 prostatectomy is not done very often for benign enlargement of the prostate. It may be recommended if:
- You have a very large prostate.
- You have bladder diverticula (pouches in the wall of the bladder) or bladder stones.
- TURP is not possible for another reason.
A prostatectomy also reduces the chances that another surgery will be needed, which is a potential problem when TURP is used.
If you have been treated for prostate cancer, an open prostatectomy cannot be done.
What To Expect After Surgery
Open prostatectomy requires several days in the hospital. A catheter is left in place for 3 to 5 days. You may go home with a urinary catheter in place. Your doctor will give you instructions about how to care for your catheter at home.
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