TURP : Open prostatectomy for benign prostatic hyperplasia

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.

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.

Why It Is Done?
Open prostatectomy usually is used for men who want surgery to treat their benign prostatic hyperplasia (BPH) symptoms and who have very enlarged prostates.

How Well It Works?
Open prostatectomy almost always improves symptoms. Men generally notice noticeable improvement  after surgery.
Men who have severe symptoms before surgery often have great improvement in their quality of life following surgery. Men whose symptoms are mild may find that surgery does not greatly improve their quality of life.

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