Open prostatectomy was a surgical treatment to remove the prostate gland. Open prostatectomy was not done very frequently for the benign enlargement of the prostate. It can be recommended if:
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If patient has very large prostate.
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If patient is having bladder diverticula (pouches will present in the wall of the bladder) or bladder stones.
PROCEDURE:
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Open prostatectomy will be done under the general anesthesia with the patient placed on his back at an incline position.
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The doctor will make a small single cut or incision roughly about 4 to 5 inches long. For the most part, the critical structures in and surrounding of the prostate will be readily seen.
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If magnification was essential, the doctor will use a simple device called as the surgical loupe to enhance his or her view.
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Once the prostate area was exposed, the doctor will detach the prostate gland from the urinary bladder & the urethra. The goal was to remove tissue in a way which will eliminates the cancer but reduces the damage to the critical surrounding structure — the muscles which will control urinary continence & the nerve which enables erectile function.
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Once the prostate was removed, the resected end of the urethra was been attached to the neck of the bladder.
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A Foley catheter was left in that place to enable the urine to drain throughout the healing process. The patient was then taken to the Post-Anesthesia Care Unit at that time he can wakeup from the anesthesia.
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Open prostatectomy may require so many days in the hospital. A catheter was left in the place for 3 to 5 days.
