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An open prostatectomy is usually done only when necessary, as it is a major surgery that can take longer to heal. It’s typically recommended for men with a very large prostate, about four times the size of a healthy prostate (usually over 80 mL).
During the surgery, the prostate is removed through a cut in your lower abdomen. You’ll be given a general anaesthetic, which will make you sleep through the surgery, or a spinal anaesthetic, which will numb you from the waist down while you stay awake.
This chapter provides general information about prostatectomy for BPE. It is not a replacement for professional medical advice or treatment. Always consult your doctor or healthcare provider for guidance on your individual medical situation.
Last updated: September 2025
Reviewed by:
- Prof. Jean-Nicolas Cornu (Guideline Panel on Non-Neurogenic Male LUTS)
- Dr. Tarik Emre Şener (YAU Working Group Endourology & Urolithiasis)