Open simple prostatectomy

Abstract

Open Prostatectomy is still widely used as a form of surgical management of BPH across the world. Although its use is declining, it still has a vital role in prostates greater than 100 g. The two common techniques used are the transvesical (Freyer’s) and retropubic (Millin’s) approaches. Both techniques are associated with a marked improvement in subjective and objective outcomes. Historically the procedure is associated with significant morbidity; however improved techniques and peri-operative management have led to superior outcomes. This chapter will focus on the use of open prostatectomy in modern day urology practice and outline the underlying principles of the procedure and its expected outcomes.