Open prostatectomy is the surgical removal of an enlarged prostate without eveidence of prostate cancer. Usually under a general anesthesia an incision is made through the lower abdomen,. A catheter will 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 longer hospital stay and recovery period than transurethral resection of the prostate (TURP / TURiS).
Open prostatectomies are needed only for men with very enlarged prostate glands or bladder stones if a transurethral approach is not possible.
The risks of open prostatectomy includes the possible need for a blood transfusion. More men require a blood transfusion after open prostatectomy than after TURP or TURiS.
Moreover there is an increased risk of Complete or partial incontinence.