- Trans-Urethral Resection of the Prostate
- Robotic Assisted Prostatectomy
- Open Radical Prostatectomy
- Drug Treatment for BHP
- Transurethral Incision of the prostate
- Open Prostatectomy
- Trans-Urethral Resection of Bladder Tumour
- BCG treatment
- Electrical stimulation of the pelvic floor
- Botulinum toxin injections for OAB
- Sacral Nerve Stimulation
- Bladder Augmentation
- Suprapubic Catheter
- Tension-free vaginal tape (TVT)
- Trans Obtutrator Tape (TOT)
- Urinary Diversion
- Vaginal Mesh Support
- Percutaneous Nephrolithotomy (PCNL)
- Genitourinary medicine
- Sexual health
This operation is only appropriate for men with very large prostate or who have bladder stones. The surgeon makes a horizontal incision in the lower abdomen, under general or epidural anaesthetics. The surgeon then removes the central part of the prostate, and the wound closed with sutures or surgical clips. A urethral catheter will be inserted into your bladder during the operation so that urine can drain away. This will be left in place for 3 days after the operation. Hospital stay is 5 days.
Potential complication of open prostatectomy:
- Retrograde ejaculation
- Reduced fertility, but this does not make you sterile.
Note: For all of these procedures, you should have nothing to eat 6 hours before the operation, but you can drink clear fluids up to 2 hours before your operation.
If you are on anti-coagulation therapy (warfarin and clopidogrel), they should be stopped 3-10 days respectively before your surgery, and speak to your anti-coagulation nurse about it.