Open Prostatectomy refers to the surgical removal of the prostate gland. Dr Singh may recommend the procedure if you have been diagnosed with an enlarged prostate. The procedure is generally reserved for extremely large prostate glands, and cases where transurethral resection of the prostate (TURP) is not possible.
You will be under spinal and general anaesthesia so that you don't feel any pain during the procedure. During the procedure, Dr Singh will make an incision in the lower abdomen allowing him to have access to the organs inside your abdomen. He will then make an incision in the bladder to expose the prostate area. Once the prostate is exposed, Dr Singh will detach the prostate gland from the urinary bladder and the urethra. The main goal is to remove tissue to eliminate cancer but also minimise damaging critical surrounding muscles that control the urinary continence and the nerve that allows erectile functioning.
A catheter will be inserted in your bladder to allow fluid to drain from the site of surgery, while another catheter may be placed in your penis in order to drain urine from the body while you heal.
After the procedure, you will spend one or two days in the hospital. You may feel some pain, and Dr Singh will give you intravenous pain medication before prescribing oral pain medication the day after surgery. When the pain is controlled, and the bowel function returns to normal, Dr Singh will deem you ready to be discharged.
Once you are discharged, you won’t be able to do anything strenuous like exercising, running, or lifting heavy objects. You will be able to shower but must avoid bathing and swimming until you are completely healed. When the bladder has completely healed, you will have to see Dr Singh for a checkup where he will remove the urinary catheter. This takes place 2 to 3 weeks after surgery.