Open Prostatectomy  

Open prostatectomy is a surgical procedure that is often recommended for men who are suffering from cancer that is confined to the prostate gland.      

Prostate cancer occurs in the small gland in males that produces seminal fluid. It is the most common form of cancer in men over age 50, and when it’s detected early, there’s an excellent chance that treatment will be successful. One of the surgical treatments that may be recommended for prostate cancer is an open prostatectomy, which involves the removal of the gland and some surrounding tissues and lymph nodes (if necessary).  

What Are the Benefits of an Open Prostatectomy? 

Open prostatectomy is one of the best ways to ensure that localized prostate cancer has been completely eradicated and will not return. Additionally, it is highly effective at eliminating some of the side effects of prostate cancer, including urination difficulties.  

Details of an Open Prostatectomy Procedure  

An open prostatectomy procedure is performed under general anesthesia, with an incision made through the lower abdomen, or sometimes between the rectum and the base of the penis. After separating the prostate from surrounding nerves and blood vessels, the surgeon removes the gland along with some nearby tissues. A drain is usually inserted, and the incision is then closed with sutures. The surgeon will leave the surrounding nerves intact if possible, as they are important for normal sexual function.  

What to Expect With an Open Prostatectomy 

Following an open prostatectomy, the patient will receive pain medication as needed and remain in the hospital overnight. When the doctor decides it’s safe for the patient to go home, the pelvic drain will be removed. However, most patients need to use a urinary catheter for seven to 10 days after surgery.  

How Effective Are Open Prostatectomy Procedures? 

Many men who undergo an open prostatectomy to treat localized prostate cancer have an excellent survival rate and enjoy long-term relief of any associated urinary symptoms. More than 88 percent of patients who undergo an open prostatectomy after radiation treatment has failed are still alive 10 years after surgery.   

Tampa General Hospital has an experienced team that provides comprehensive diagnostic and treatment services for men who have prostate cancer.