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Why it's done
By Mayo Clinic staffOpen prostatectomy is a procedure to treat urinary symptoms caused by an enlarged prostate. These symptoms include:
- Frequent need to urinate
- Increased frequency of urination at night (nocturia)
- Stopping and starting again while urinating
- Feeling like you can't completely empty your bladder
Open prostatectomy works well at relieving urinary symptoms, but it has a higher risk of complications than do most other enlarged prostate procedures. Although it's more involved than other treatments, open prostatectomy can be the best option for certain men. It's generally reserved for men who have a very enlarged prostate.
- AUA guideline on the management of benign prostatic hyperplasia: Diagnosis and treatment recommendations. Baltimore, Md.: American Urological Association. http://www.auanet.org/content/guidelines-and-quality-care/clinical-guidelines/main-reports/-management/chapt_1_appendix.pdf. Accessed March 12, 2009.
- Han M. Retropubic and suprapubic open prostatectomy. In: Wein AJ, et al. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/128042617-3/0/1445/92.html?tocnode=54305512&fromURL=92.html. Accessed March 25, 2009.
- Seur E, et al. Open prostatectomy is still a valid option for large prostates: A high-volume, single-center experience. Urology. 2008;72:90.
- Cunningham GR, et al. Surgical and other invasive therapies of benign prostatic hyperplasia. http://www.uptodate.com/home/index.html. Accessed March 12, 2009.
