Izmir Open Prostatectomy
Open prostatectomy is a procedure that can be preferred if the prostate weight is more than 80 grams, according to the guidelines of the European Association of Urology.
This procedure can be defined as the removal of the part of the prostate that grows and makes urination difficult by the surgeon by making a 4-5 cm incision in the lower abdomen under general or spinal (regional) anesthesia.
It is a method that can be preferred especially if there are large bladder stones. After the operation, a urinary catheter is inserted into the patient and removed after a few days. After open prostatectomy, you should try to drink plenty of fluids, avoid lifting heavy loads, and avoid constipation for a while, and you should stay in touch with your doctor.
What is Open Prostatectomy?
The prostate is a gland located under the bladder, in front of the rectum. It has an important place in the male reproductive system’s production of fluids that carry sperm. The procedure performed to partially or completely remove the prostate is called prostatectomy.
Open prostatectomy is a procedure to remove an enlarged prostate that is causing urinary problems. With open prostate removal surgery, your entire prostate will be removed through an incision made in the lower part of your belly. This procedure can be performed under general or spinal anesthesia.
In this way, you can get rid of this discomfort in a short time. It is also possible for you to be discharged within a week after surgery. After the surgery, it may take two or three weeks for you to fully return to daily life.
How is Izmir Open Prostatectomy Surgery Performed?
| Treatment Details | |
| Operation: | Open Prostatectomy |
| Procedure: | An incision is made in your lower abdomen to access the bladder and prostate. |
| Duration: | 1.5-2 Hours |
| Length of Hospital Stay: | 1-2 Days |
| Anesthesia: | General or spinal anesthesia |
| Healing Time: | 5 – 7 Days |
| Return to Work (School): | 15-20 Days |
| Scars: | Yes |
| Pain Duration: | 24 – 48 Hours |
In open prostatectomy, your entire prostate is removed through an incision under your belly button. This procedure can be performed under general or spinal anesthesia. The aim is to reach the prostate. This incision is approximately 6 to 8 cm. The procedure is then completed by the surgeon removing the adenoma, which is the growing part of the prostate, from the abdominal area.
It is possible to get rid of your discomfort in a short time. You can be discharged within a week after surgery. After the surgery, it may take up to two or three weeks for you to fully return to daily life.
What You Need to Know About Open Prostatectomy Surgery
- Open prostatectomy is not preferred in every case.
- After the open prostatectomy operation, a catheter is inserted to the patient so that he can urinate. In addition to inserting a catheter, a drain is also placed in the abdominal cavity.
- There may be bleeding in the urine after the operation, and it is important that the blood does not clot to prevent the catheter from clogging. Therefore, the urinary tract and bladder are washed with sterile solutions at regular intervals.
- If no problems arise after open prostatectomy, the patient is discharged after 12 days. The drain installed is also removed during the discharge process. Removal of the catheter occurs as a result of the healing of the patient’s wounds. This process takes approximately 5-7 days.
- There are conditions for this operation to be preferred. According to the guideline of the European Association of Urology, this surgery is recommended if the patient’s prostate is 80 mm or more. In addition, this operation may be preferred if there are large bladder stones, severe urinary tract stenosis, and bladder diverticulum to be excised.
- After surgery, patients may experience bleeding while urinating for a few days. If it lasts more than a few days, it may be necessary to consult a doctor.
- Frequent urination, urinary incontinence or pain may occur for a certain period of time after Izmir open prostatectomy. It may take several weeks for patients to fully recover.
- Sexual intercourse is not recommended for a period of 2 to 3 weeks after the operation, and retrograde ejaculation (dry ejaculation during orgasm) may occur.
- After the surgery, you should drink plenty of fluids for a period of 4 to 6 weeks, and especially water consumption should be emphasized.
- Lifting heavy loads should be avoided after open prostatectomy. Additionally, cycling should not be done and heavy exercises should be avoided until full recovery is achieved.
- After open prostatectomy surgery, the diet prescribed by the doctor must be followed. It is especially important to avoid problems such as constipation with proper nutrition.
- Open prostatectomy solves the problems experienced by patients in a short time. It also provides a long-term recovery. Therefore it is advantageous.
Does Open Prostate Surgery Affect Sexuality?
Open prostatectomy, also called open prostate surgery, may affect sexual function. During surgery, the prostate gland and some of the surrounding tissue are removed, which can affect the nerves and blood vessels necessary for sexual function. Men may experience erectile dysfunction (impotence) and difficulty achieving orgasm after surgery, although the extent to which sexual function is affected may vary depending on specific circumstances.
According to some research, using neuroprotective methods may help reduce the risk of erectile dysfunction. However, regardless of the surgical method used, some men will be affected. It is very important that you review the potential risks and benefits of surgery with your doctor before the procedure to fully understand what to expect following the procedure.
Who Should Have Open Prostate Surgery?
Open prostate surgery is one of the treatment options that can be recommended when the prostate weight is more than 80 grams, according to the European Association of Urology (EAU). If there are large or many stones in the urinary bladder or large bubble-shaped sacs in the urinary bladder that can cause infection and bleeding, these can be intervened at the same time.
For open prostate surgery, the surgeon makes an incision in the lower abdomen from below the belly button to the pubic bone. Although the incision size depends on the surgeon’s experience, it is generally 7-8 cm in size. During surgery, spinal anesthesia along with sedation is usually sufficient, but sometimes general anesthesia may be required depending on the anesthesiologist’s preference. During the surgery, the part of the prostate gland called adenoma, which grows into the urinary tract and makes urination difficult, is removed, and the urinary tract is thus relaxed, allowing the person to urinate comfortably.
Open prostatectomy surgery has nothing to do with prostate cancer surgery (Radical Prostatectomy). It is a surgery that is not difficult to perform and has high patient satisfaction. Postoperative bleeding is one of the most important problems, but it is usually controlled. The urinary catheter is removed after approximately 5-7 days. In the long term, although rare, narrowing of the urinary tract or urinary incontinence may occur.
What are the Prices of Open Prostate Surgery in Izmir?
You can contact us to get information about open prostatectomy surgery prices in Izmir.
Frequently Asked Questions
What is Open Radical Prostatectomy?
Is Open Prostate Surgery Risky?
How Many Days Do You Stay in the Hospital for Open Prostate Surgery?
How is Open Prostate Surgery Performed?
How is Closed Prostate Surgery Performed?
Source:
https://my.clevelandclinic.org/health/treatments/16286-open-radical-prostatectomy
Kuyumcuoğlu, U., & Özdedeli, K. The place of open prostatectomy in BPH in Turkey.