BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuSimple prostatectomyProstatectomy - simple; Suprapubic prostatectomy; Retropubic simple prostatectomy; Open prostatectomy; Millen procedureSimple prostate removal is a procedure to remove the inside part of the prostate gland to treat an enlarged prostate. It is done through a surgical cut in your lower belly.Enlarged prostateThe prostate is a gland that produces some of the fluid that carries sperm during ejaculation. The prostate gland surrounds the urethra, the tube th...Read Article Now Book Mark Article Description You will be given general anesthesia (asleep, pain-free) or spinal anesthesia (sedated, awake, pain-free). The procedure takes about 2 to 4 hours.General anesthesiaGeneral anesthesia is treatment with certain medicines that puts you into a deep sleep so you do not feel pain during surgery. After you receive the...Read Article Now Book Mark Article Your surgeon will make a surgical cut in your lower belly. The cut will go from below the belly button to just above the pubic bone or it may be made horizontally just above the pubic bone. The bladder is opened and the prostate gland is removed through this cut.The surgeon removes only the inner part of the prostate gland. The outer part is left behind. The process is similar to scooping out the inside of an orange and leaving the peel intact. After removing part of your prostate, the surgeon will close the outer shell of the prostate with stitches. A drain may be left in your belly to help remove extra fluids after surgery. A catheter may also be left in the bladder. This catheter may be in the urethra or in the lower abdomen or you may have both. These catheters allow the bladder to rest and heal. Why the Procedure Is Performed An enlarged prostate can cause problems with urinating. This can lead to urinary tract infections. Taking out part of the prostate gland can often make these symptoms better. Before you have surgery, your health care provider may tell you some changes you can make in how you eat or drink. You may also be asked to try taking medicine.Prostate removal can be done in many different ways. The kind of procedure you will have depends on the size of the prostate and what caused your prostate to grow. Open simple prostatectomy is often used when the prostate is too large for less invasive surgery. However, this method does not treat prostate cancer. Radical prostatectomy may be needed for cancer.Radical prostatectomyRadical prostatectomy (prostate removal) is surgery to remove all of the prostate gland and some of the tissue around it. It is done to treat prosta...Read Article Now Book Mark Article Prostate removal may be recommended if you have:Problems emptying your bladder (urinary retention) Frequent urinary tract infections Frequent bleeding from the prostate Bladder stones with prostate enlargement Bladder stonesBladder stones are hard buildups of minerals. These form in the urinary bladder.Read Article Now Book Mark Article Very slow urination Damage to the kidneys Your prostate may also need to be removed if taking medicine and changing your diet do not help your symptoms. Risks Risks for any surgery are:Blood clots in the legs that may travel to the lungs Blood clotsBlood clots are clumps that occur when blood hardens from a liquid to a solid. A blood clot that forms inside one of your veins or arteries is calle...Read Article Now Book Mark Article Blood loss Blood lossBleeding is the loss of blood. Bleeding may be:Inside the body (internally) Outside the body (externally)Bleeding may occur:Inside the body when blo...Read Article Now Book Mark Article Breathing problems Breathing problemsBreathing difficulty may involve:Difficult breathing Uncomfortable breathingFeeling like you are not getting enough airRead Article Now Book Mark Article Heart attack or stroke during surgery Heart attackMost heart attacks are caused by a blood clot that blocks one of the coronary arteries. The coronary arteries bring blood and oxygen to the heart. ...Read Article Now Book Mark Article StrokeA stroke occurs when blood flow to a part of the brain stops. A stroke is sometimes called a "brain attack. " If blood flow is cut off for longer th...Read Article Now Book Mark Article Infection, including in the surgical wound, lungs (pneumonia), or bladder or kidney PneumoniaPneumonia is a breathing (respiratory) condition in which there is an infection of the lung. This article covers community-acquired pneumonia (CAP). ...Read Article Now Book Mark Article Reactions to medicines Other risks are:Damage to internal organs Erection problems (impotence) ImpotenceAn erection problem occurs when a man cannot get or keep an erection that is firm enough for intercourse. You may not be able to get an erection at ...Read Article Now Book Mark Article Loss of the ability for sperm to leave the body resulting in infertility InfertilityInfertility means you cannot get pregnant (conceive). There are 2 types of infertility:Primary infertility refers to couples who have not become preg...Read Article Now Book Mark Article Passing semen back up into the bladder instead of out through the urethra (retrograde ejaculation) Retrograde ejaculationRetrograde ejaculation occurs when semen goes backward into the bladder. Normally, it moves forward and out of the penis through the urethra during ...Read Article Now Book Mark Article Problems with urine control (incontinence) IncontinenceUrinary (or bladder) incontinence occurs when you are not able to keep urine from leaking out of your urethra. The urethra is the tube that carries ...Read Article Now Book Mark Article Tightening of the urinary outlet from scar tissue (urethral stricture) Urethral strictureUrethral stricture is an abnormal narrowing of the urethra. Urethra is the tube that carries urine out of the body from the bladder.Read Article Now Book Mark Article Before the Procedure You will have many visits with your doctor and tests before your surgery:Complete physical exam Visits with your doctor to make sure medical problems (such as diabetes, high blood pressure, and heart or lung diseases) are being treated well DiabetesDiabetes is a long-term (chronic) disease in which the body cannot regulate the amount of sugar in the blood.Read Article Now Book Mark Article High blood pressureBlood pressure is a measurement of the force exerted against the walls of your arteries as your heart pumps blood to your body. Hypertension is the ...Read Article Now Book Mark Article Additional testing to confirm bladder functionIf you are a smoker, you should stop several weeks before the surgery. Your provider can help.Always tell your provider what drugs, vitamins, and other supplements you are taking, even ones you bought without a prescription.During the weeks before your surgery:You may need to stop taking aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), and any other medicines like these. Ask your doctor which medicines you should still take on the day of your surgery. You may take a special laxative the day before your surgery. This will clean out the contents of your colon. On the day of your surgery:DO NOT eat or drink anything after midnight the night before your surgery. Take the drugs you were told to take with a small sip of water. You will be told when to arrive at the hospital. After the Procedure You will stay in the hospital for about 2 to 4 days.You will need to stay in bed until the next morning. After you are allowed to get up you will be asked to move around as much as possible. Your nurse will help you change positions in bed. You will also learn exercises to keep blood flowing, and coughing/deep breathing techniques. You should do these exercises every 3 to 4 hours. You may need to wear special compression stockings and use a breathing device to keep your lungs clear. You will leave surgery with a Foley catheter in your bladder. Some men have a suprapubic catheter in their belly wall to help drain the bladder.Foley catheterA urinary catheter is a tube placed in the body to drain and collect urine from the bladder.Read Article Now Book Mark Article Suprapubic catheterA urinary catheter is a tube placed in the body to drain and collect urine from the bladder.Read Article Now Book Mark Article Outlook (Prognosis) Many men recover in about 6 weeks. You can expect to be able to urinate as usual without leaking urine.Open ReferencesReferencesHan M, Partin AW. Simple prostatectomy: open and robot-assisted laparoscopic approaches. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 147.Roehrborn CG, Strand DG. Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, and natural history. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 144.Zhao PT, Richstone L. Robotic-assisted and laparoscopic simple prostatectomy. In: Bishoff JT, Kavoussi LR, eds. Atlas of Laparoscopic and Robotic Urologic Surgery. 3rd ed. Philadelphia, PA: Elsevier; 2017:chap 32.AllVideoImagesTogRelated Information Enlarged prostate(Condition)Prostate resection - minimally invasive(Surgery)Transurethral resection of the prostate(Surgery)Enlarged prostate - what to ask your doctor (Doctor Questions)Transurethral resection of the prostate - discharge (Discharge)Erectile dysfunction(In-Depth)Urinary incontinence(In-Depth)Benign prostatic hyperplasia(In-Depth) Review Date: 4/18/2021 Reviewed By: Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- © 1997- All rights reserved. A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.Content is best viewed in IE9 or above, Firefox and Google Chrome browser.